Social factors and entry to the waiting list for kidney transplantation

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E-Poster

https://storage.unitedwebnetwork.com/files/1099/1c6ce550e924d585c06a12ed63ee2903.pdf

Abstract Title

First Name *

Lina

Last Name *

Rodriguez

Co-author 1

Guillermo Fragale Gfragale@cas.austral.edu.ar Hospital Univeristario Austral Nefrologia y trasplante renal Pilar

Co-author 2

Vanina Beitia ebeitia@cas.austral.edu.ar Hospital Universitario Austral Nefrologia y trasplante renal Pilar

Co-author 3

Alejandra Karl Akarl@cas.austral.edu.ar Hospital Universitario Austral Nefrologia y trasplante renal Pilar

Co-author 4

Mauro Magenta mmagenta@cas.asutral.edu.ar Hospital Universitario Austral Nefrologia y trasplante renal Pilar

Co-author 5

Ivana Claros ivaclaros@gmail.com Hospital universitario Austral Nefrologia y trasplante renal Pilar

Co-author 6

Lina Rodriguez linamarcelita05@gmail.com Hospital Universitrio Austral Nefrologia y trasplante renal Pilar

Co-author 7

Co-author 8

Co-author 9

Co-author 10

Co-author 11

Co-author 12

Co-author 13

Co-author 14

Co-author 15

Introduction

Kidney transplant continues to be the best treatment option for patients with end-stage chronic renal failure. The shortage of organs and long waiting times mean that many patients arrive at the transplant with a significant level of deterioration. Objective: to describe socioeconomic variables that influence accessibility to transplantation in our center

Methods

Prospective longitudinal observational study (Prospective Cohort). A group of patients over 18 years who began pre-transplant evaluation was analyzed. Socioeconomic variables were evaluated and a brief survey on nephrological follow-up and information on kidney transplant prior to dialysis (preemptive) was carried out.

Results

A total of 164 patients were evaluated. Mean age 57.35 years (SD ±13.85). N=92(56%) had pre-dialysis nephrological follow-up, which averaged 33.29 (SD ±65.72) months, being more than a one year in n=68(41%). The time on dialysis prior to the pre-transplant consultation averaged 20.24 (SD±23.19) months. N=118(72%) did not have information on preemptive kidney transplantation. Patients with predialysis nephrological follow-up were more likely to have information about preemptive kidney transplantation (p=0.002).

Conclusions

Referral to the transplant center is postponed by increasing the time on dialysis. Most patients are not aware of preemptive kidney transplantation. These findings point out the need to implement policies to improve patient education, access to information and timely referral to transplant centers.

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