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Published on: February 21, 2016
Access to kidney transplantation in Australia: does equal mean equitable?
Fergus J Caskey1, Rommel Ravanan
1Richard Bright Renal Unit, Southmead Hospital, Bristol, UK. mdfjc@bris.ac.uk
Kidney International
|December 29, 2012
Summary
Sociodemographic factors do not appear to influence access to deceased donor kidney transplants in Australia. However, further research is needed to confirm these findings, considering living donor transplant variations.
Area of Science:
- Nephrology
- Transplantation Medicine
- Health Services Research
Background:
- Sociodemographic gradients are prevalent in healthcare, including end-stage renal disease (ESRD) treatment.
- Previous studies indicate socioeconomic disparities in accessing kidney replacement therapies.
Purpose of the Study:
- To investigate the presence of sociodemographic gradients in access to deceased donor kidney transplantation (DDKT) in Australia.
- To determine if socioeconomic status influences DDKT rates after accounting for living donor transplantation.
Main Methods:
- Analysis of Australian national registry data.
- Statistical adjustment for the competing risk of living kidney donor transplantation.
- Examination of sociodemographic factors and their association with DDKT access.
Main Results:
- The study by Grace et al. reported no significant sociodemographic gradient in DDKT access.
- This finding persisted after adjusting for the higher likelihood of living donor transplantation in higher socioeconomic groups.
Conclusions:
- While initial findings suggest equitable access to DDKT in Australia, caution is advised.
- Further investigation is warranted to fully understand potential underlying disparities in kidney transplantation.
- The influence of socioeconomic factors on overall kidney transplant access requires continued scrutiny.
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