Pediatric kidney transplantation and mortality: Distance to transplant center matters

Pediatric Transplantation
Bonnie CaoHeidi Yeh

Abstract

Distance from pediatric kidney transplant centers may be a significant barrier in accessing care for patients and families, particularly due to the lower number of pediatric kidney transplant centers compared with the number of adult centers. We performed a retrospective cohort study using data from the Scientific Registry of Transplant Recipients to determine the effect of distance on pediatric kidney transplant waitlist outcomes. We found that distance did not play a role in the likelihood of transplantations for patients who were placed on the waitlist. However, living a greater distance from the transplant center was associated with a greater risk of death while on the waitlist. Larger volume centers attracted patients from greater distances, many of whom had other centers closer to their home. Further investigation on the role of distance to transplant center and the likelihood of being evaluated and listed for a kidney transplant would elucidate whether there are additional barriers these patients face.

References

Jun 25, 2004·The New England Journal of Medicine·Stephen P McDonaldUNKNOWN Australian and New Zealand Paediatric Nephrology Association
Jan 10, 2008·JAMA : the Journal of the American Medical Association·David A AxelrodRobert M Merion
Apr 23, 2009·JAMA : the Journal of the American Medical Association·Marcello TonelliJohn Gill
Apr 12, 2012·Pediatric Transplantation·Susan M SamuelUNKNOWN Pediatric Renal Outcomes Canada Group
Jul 27, 2012·Kidney International·Abby S KazleyPrabhakar Baliga
Dec 20, 2012·Transplantation·Nino DzebisashviliDavid A Axelrod
Mar 15, 2014·The International Journal of Angiology : Official Publication of the International College of Angiology, Inc·Eric SiskindErnesto Molmenti
May 2, 2014·Nephro-urology Monthly·Nasrollah GhahramaniAnkita Tandon
Mar 12, 2015·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·J T AdlerH Yeh
Feb 5, 2016·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Joel T AdlerHeidi Yeh

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Citations

Mar 14, 2018·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Rebecca MillerJoseph D Tobias
Sep 25, 2020·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Jill R KrissbergPaul H Wise

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