Resident foreign patients receive adequate dialysis but fewer preemptive transplantations: data from the Italian pediatric dialysis registry
Background Sociocultural issues play a key role in children needing kidney replacement therapy (KRT). Methods Data of incident patients
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| Veröffentlicht in: | Pediatric nephrology (Berlin, West) West), 2021-03, Vol.36 (3), p.639-647 |
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| creator | Paglialonga, Fabio Consolo, Silvia Vidal, Enrico Parolin, Mattia Minale, Bruno Giordano, Mario Guzzo, Isabella Benevenuta, Chiara Roperto, Rosa Corrado, Ciro Mencarelli, Francesca Chimenz, Roberto Ratsch, Ilse-Maria Pieri, Giovanni Montini, Giovanni Edefonti, Alberto Verrina, Enrico |
| description | Background
Sociocultural issues play a key role in children needing kidney replacement therapy (KRT).
Methods
Data of incident patients |
| doi_str_mv | 10.1007/s00467-020-04730-0 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_2441614518</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A650457855</galeid><sourcerecordid>A650457855</sourcerecordid><originalsourceid>FETCH-LOGICAL-c511t-74e8a22f756ecb673d7654a780ac27dcb363e40ec9c10b92d02971de248fb0763</originalsourceid><addsrcrecordid>eNp9km9r1TAUxoso7jr9Ar6QgCC-6Tz506b13RhTBwNBFPYupOlpb0bbdEk6ud9hH9rc3el1cpFAQnJ-5-GckyfLXlM4oQDyQwAQpcyBQQ5C8rQ_yVZUcJbTurp6mq2g5jSF6NVR9iKEawCoiqp8nh1xVlPBRLXK7r5hsC1OkXTOo-0nMuto0z0QjwbtLRLd4s2iI5LW6mETbCDNknD8iZ7MHnGc4xaLXk9hHvQUk4CbwkfS6qhJ591I4hrJRdSD1Ukfk0701uz1PPY2RL95mT3r9BDw1cN5nP34dP797Et--fXzxdnpZW4KSmMuBVaasU4WJZqmlLyVZSG0rEAbJlvT8JKjADS1odDUrAVWS9piarhrQJb8OHu_0529u1kwRDXaYHBIxaNbgmJC0JKKglYJffsPeu0WP6XqElUlrgYOe6rXAyo7dS5Nw2xF1WlZgChkVRSJyg9QPU7o9eAm7Gx6fsSfHODTanG05mDCu78S1qiHuA5uWO7_4zHIdqDxLgSPnZq9HbXfKApq6y2185ZK3lL33lLbJt88jGJpRmz_pPw2UwL4DggpNPXo97P6j-wv0IvZqw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2484419030</pqid></control><display><type>article</type><title>Resident foreign patients receive adequate dialysis but fewer preemptive transplantations: data from the Italian pediatric dialysis registry</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Paglialonga, Fabio ; Consolo, Silvia ; Vidal, Enrico ; Parolin, Mattia ; Minale, Bruno ; Giordano, Mario ; Guzzo, Isabella ; Benevenuta, Chiara ; Roperto, Rosa ; Corrado, Ciro ; Mencarelli, Francesca ; Chimenz, Roberto ; Ratsch, Ilse-Maria ; Pieri, Giovanni ; Montini, Giovanni ; Edefonti, Alberto ; Verrina, Enrico</creator><creatorcontrib>Paglialonga, Fabio ; Consolo, Silvia ; Vidal, Enrico ; Parolin, Mattia ; Minale, Bruno ; Giordano, Mario ; Guzzo, Isabella ; Benevenuta, Chiara ; Roperto, Rosa ; Corrado, Ciro ; Mencarelli, Francesca ; Chimenz, Roberto ; Ratsch, Ilse-Maria ; Pieri, Giovanni ; Montini, Giovanni ; Edefonti, Alberto ; Verrina, Enrico</creatorcontrib><description>Background
Sociocultural issues play a key role in children needing kidney replacement therapy (KRT).
Methods
Data of incident patients < 18 years treated with chronic dialysis or preemptive kidney transplantation (pTx) between 2007 and 2016 were retrospectively collected from the Italian Pediatric Dialysis Registry; KRT modality and outcome were compared between patients with at least one non-Italian parent (“resident foreign patients,” RFPs) and those from native parents (“domestic patients,” DPs) and between the quinquennium 2007–2011 (period 1) and 2012–2016 (period 2).
Results
We included 448 children (26.8% RFPs). The percentage of RFPs increased from 23 to 30.3% (
p
= 0.08) from periods 1 to 2. They were younger (6.7 vs. 9.4 years,
p
= 0.025) and less often treated with pTx (3.3 vs. 13.4%,
p
= 0.009) than DPs. The percentage of pTx increased from period 1 to 2 in RFPs only (8.4–18.6%,
p
= 0.006). Independent predictors of a lower probability of pTx were lower age, belonging to RFPs group, starting KRT in period 1 and focal segmental glomerulosclerosis or glomerulopathy as primary kidney disease. Peritoneal dialysis was the preferred dialysis modality in both groups. Age, primary kidney disease, and center size were independently associated with dialysis modality choice. Patient survival, waiting time to Tx, and dialysis modality survival were not different between the two groups.
Conclusions
The proportion of patients receiving KRT born from immigrant families increased in recent years in Italy. They were younger and less often treated with pTx than domestic patients. In case of dialysis, the outcome was not different between the two groups.
Graphical abstract</description><identifier>ISSN: 0931-041X</identifier><identifier>EISSN: 1432-198X</identifier><identifier>DOI: 10.1007/s00467-020-04730-0</identifier><identifier>PMID: 32914248</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Child ; Children ; Demographic aspects ; Health care disparities ; Hemodialysis ; Humans ; Italy - epidemiology ; Kidney Diseases ; Kidney transplantation ; Kidneys ; Medicine ; Medicine & Public Health ; Nephrology ; Original Article ; Pediatric research ; Pediatrics ; Peritoneal dialysis ; Peritoneum ; Registries ; Renal Dialysis ; Retrospective Studies ; Statistics ; Survival ; Transplantation ; Urology ; What’s New in Renal Transplantation</subject><ispartof>Pediatric nephrology (Berlin, West), 2021-03, Vol.36 (3), p.639-647</ispartof><rights>IPNA 2020</rights><rights>COPYRIGHT 2020 Springer</rights><rights>IPNA 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c511t-74e8a22f756ecb673d7654a780ac27dcb363e40ec9c10b92d02971de248fb0763</citedby><cites>FETCH-LOGICAL-c511t-74e8a22f756ecb673d7654a780ac27dcb363e40ec9c10b92d02971de248fb0763</cites><orcidid>0000-0002-9912-3371</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00467-020-04730-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00467-020-04730-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32914248$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Paglialonga, Fabio</creatorcontrib><creatorcontrib>Consolo, Silvia</creatorcontrib><creatorcontrib>Vidal, Enrico</creatorcontrib><creatorcontrib>Parolin, Mattia</creatorcontrib><creatorcontrib>Minale, Bruno</creatorcontrib><creatorcontrib>Giordano, Mario</creatorcontrib><creatorcontrib>Guzzo, Isabella</creatorcontrib><creatorcontrib>Benevenuta, Chiara</creatorcontrib><creatorcontrib>Roperto, Rosa</creatorcontrib><creatorcontrib>Corrado, Ciro</creatorcontrib><creatorcontrib>Mencarelli, Francesca</creatorcontrib><creatorcontrib>Chimenz, Roberto</creatorcontrib><creatorcontrib>Ratsch, Ilse-Maria</creatorcontrib><creatorcontrib>Pieri, Giovanni</creatorcontrib><creatorcontrib>Montini, Giovanni</creatorcontrib><creatorcontrib>Edefonti, Alberto</creatorcontrib><creatorcontrib>Verrina, Enrico</creatorcontrib><title>Resident foreign patients receive adequate dialysis but fewer preemptive transplantations: data from the Italian pediatric dialysis registry</title><title>Pediatric nephrology (Berlin, West)</title><addtitle>Pediatr Nephrol</addtitle><addtitle>Pediatr Nephrol</addtitle><description>Background
Sociocultural issues play a key role in children needing kidney replacement therapy (KRT).
Methods
Data of incident patients < 18 years treated with chronic dialysis or preemptive kidney transplantation (pTx) between 2007 and 2016 were retrospectively collected from the Italian Pediatric Dialysis Registry; KRT modality and outcome were compared between patients with at least one non-Italian parent (“resident foreign patients,” RFPs) and those from native parents (“domestic patients,” DPs) and between the quinquennium 2007–2011 (period 1) and 2012–2016 (period 2).
Results
We included 448 children (26.8% RFPs). The percentage of RFPs increased from 23 to 30.3% (
p
= 0.08) from periods 1 to 2. They were younger (6.7 vs. 9.4 years,
p
= 0.025) and less often treated with pTx (3.3 vs. 13.4%,
p
= 0.009) than DPs. The percentage of pTx increased from period 1 to 2 in RFPs only (8.4–18.6%,
p
= 0.006). Independent predictors of a lower probability of pTx were lower age, belonging to RFPs group, starting KRT in period 1 and focal segmental glomerulosclerosis or glomerulopathy as primary kidney disease. Peritoneal dialysis was the preferred dialysis modality in both groups. Age, primary kidney disease, and center size were independently associated with dialysis modality choice. Patient survival, waiting time to Tx, and dialysis modality survival were not different between the two groups.
Conclusions
The proportion of patients receiving KRT born from immigrant families increased in recent years in Italy. They were younger and less often treated with pTx than domestic patients. In case of dialysis, the outcome was not different between the two groups.
Graphical abstract</description><subject>Child</subject><subject>Children</subject><subject>Demographic aspects</subject><subject>Health care disparities</subject><subject>Hemodialysis</subject><subject>Humans</subject><subject>Italy - epidemiology</subject><subject>Kidney Diseases</subject><subject>Kidney transplantation</subject><subject>Kidneys</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nephrology</subject><subject>Original Article</subject><subject>Pediatric research</subject><subject>Pediatrics</subject><subject>Peritoneal dialysis</subject><subject>Peritoneum</subject><subject>Registries</subject><subject>Renal Dialysis</subject><subject>Retrospective Studies</subject><subject>Statistics</subject><subject>Survival</subject><subject>Transplantation</subject><subject>Urology</subject><subject>What’s New in Renal Transplantation</subject><issn>0931-041X</issn><issn>1432-198X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9km9r1TAUxoso7jr9Ar6QgCC-6Tz506b13RhTBwNBFPYupOlpb0bbdEk6ud9hH9rc3el1cpFAQnJ-5-GckyfLXlM4oQDyQwAQpcyBQQ5C8rQ_yVZUcJbTurp6mq2g5jSF6NVR9iKEawCoiqp8nh1xVlPBRLXK7r5hsC1OkXTOo-0nMuto0z0QjwbtLRLd4s2iI5LW6mETbCDNknD8iZ7MHnGc4xaLXk9hHvQUk4CbwkfS6qhJ591I4hrJRdSD1Ukfk0701uz1PPY2RL95mT3r9BDw1cN5nP34dP797Et--fXzxdnpZW4KSmMuBVaasU4WJZqmlLyVZSG0rEAbJlvT8JKjADS1odDUrAVWS9piarhrQJb8OHu_0529u1kwRDXaYHBIxaNbgmJC0JKKglYJffsPeu0WP6XqElUlrgYOe6rXAyo7dS5Nw2xF1WlZgChkVRSJyg9QPU7o9eAm7Gx6fsSfHODTanG05mDCu78S1qiHuA5uWO7_4zHIdqDxLgSPnZq9HbXfKApq6y2185ZK3lL33lLbJt88jGJpRmz_pPw2UwL4DggpNPXo97P6j-wv0IvZqw</recordid><startdate>20210301</startdate><enddate>20210301</enddate><creator>Paglialonga, Fabio</creator><creator>Consolo, Silvia</creator><creator>Vidal, Enrico</creator><creator>Parolin, Mattia</creator><creator>Minale, Bruno</creator><creator>Giordano, Mario</creator><creator>Guzzo, Isabella</creator><creator>Benevenuta, Chiara</creator><creator>Roperto, Rosa</creator><creator>Corrado, Ciro</creator><creator>Mencarelli, Francesca</creator><creator>Chimenz, Roberto</creator><creator>Ratsch, Ilse-Maria</creator><creator>Pieri, Giovanni</creator><creator>Montini, Giovanni</creator><creator>Edefonti, Alberto</creator><creator>Verrina, Enrico</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9912-3371</orcidid></search><sort><creationdate>20210301</creationdate><title>Resident foreign patients receive adequate dialysis but fewer preemptive transplantations: data from the Italian pediatric dialysis registry</title><author>Paglialonga, Fabio ; Consolo, Silvia ; Vidal, Enrico ; Parolin, Mattia ; Minale, Bruno ; Giordano, Mario ; Guzzo, Isabella ; Benevenuta, Chiara ; Roperto, Rosa ; Corrado, Ciro ; Mencarelli, Francesca ; Chimenz, Roberto ; Ratsch, Ilse-Maria ; Pieri, Giovanni ; Montini, Giovanni ; Edefonti, Alberto ; Verrina, Enrico</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c511t-74e8a22f756ecb673d7654a780ac27dcb363e40ec9c10b92d02971de248fb0763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Child</topic><topic>Children</topic><topic>Demographic aspects</topic><topic>Health care disparities</topic><topic>Hemodialysis</topic><topic>Humans</topic><topic>Italy - epidemiology</topic><topic>Kidney Diseases</topic><topic>Kidney transplantation</topic><topic>Kidneys</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nephrology</topic><topic>Original Article</topic><topic>Pediatric research</topic><topic>Pediatrics</topic><topic>Peritoneal dialysis</topic><topic>Peritoneum</topic><topic>Registries</topic><topic>Renal Dialysis</topic><topic>Retrospective Studies</topic><topic>Statistics</topic><topic>Survival</topic><topic>Transplantation</topic><topic>Urology</topic><topic>What’s New in Renal Transplantation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Paglialonga, Fabio</creatorcontrib><creatorcontrib>Consolo, Silvia</creatorcontrib><creatorcontrib>Vidal, Enrico</creatorcontrib><creatorcontrib>Parolin, Mattia</creatorcontrib><creatorcontrib>Minale, Bruno</creatorcontrib><creatorcontrib>Giordano, Mario</creatorcontrib><creatorcontrib>Guzzo, Isabella</creatorcontrib><creatorcontrib>Benevenuta, Chiara</creatorcontrib><creatorcontrib>Roperto, Rosa</creatorcontrib><creatorcontrib>Corrado, Ciro</creatorcontrib><creatorcontrib>Mencarelli, Francesca</creatorcontrib><creatorcontrib>Chimenz, Roberto</creatorcontrib><creatorcontrib>Ratsch, Ilse-Maria</creatorcontrib><creatorcontrib>Pieri, Giovanni</creatorcontrib><creatorcontrib>Montini, Giovanni</creatorcontrib><creatorcontrib>Edefonti, Alberto</creatorcontrib><creatorcontrib>Verrina, Enrico</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric nephrology (Berlin, West)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Paglialonga, Fabio</au><au>Consolo, Silvia</au><au>Vidal, Enrico</au><au>Parolin, Mattia</au><au>Minale, Bruno</au><au>Giordano, Mario</au><au>Guzzo, Isabella</au><au>Benevenuta, Chiara</au><au>Roperto, Rosa</au><au>Corrado, Ciro</au><au>Mencarelli, Francesca</au><au>Chimenz, Roberto</au><au>Ratsch, Ilse-Maria</au><au>Pieri, Giovanni</au><au>Montini, Giovanni</au><au>Edefonti, Alberto</au><au>Verrina, Enrico</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Resident foreign patients receive adequate dialysis but fewer preemptive transplantations: data from the Italian pediatric dialysis registry</atitle><jtitle>Pediatric nephrology (Berlin, West)</jtitle><stitle>Pediatr Nephrol</stitle><addtitle>Pediatr Nephrol</addtitle><date>2021-03-01</date><risdate>2021</risdate><volume>36</volume><issue>3</issue><spage>639</spage><epage>647</epage><pages>639-647</pages><issn>0931-041X</issn><eissn>1432-198X</eissn><abstract>Background
Sociocultural issues play a key role in children needing kidney replacement therapy (KRT).
Methods
Data of incident patients < 18 years treated with chronic dialysis or preemptive kidney transplantation (pTx) between 2007 and 2016 were retrospectively collected from the Italian Pediatric Dialysis Registry; KRT modality and outcome were compared between patients with at least one non-Italian parent (“resident foreign patients,” RFPs) and those from native parents (“domestic patients,” DPs) and between the quinquennium 2007–2011 (period 1) and 2012–2016 (period 2).
Results
We included 448 children (26.8% RFPs). The percentage of RFPs increased from 23 to 30.3% (
p
= 0.08) from periods 1 to 2. They were younger (6.7 vs. 9.4 years,
p
= 0.025) and less often treated with pTx (3.3 vs. 13.4%,
p
= 0.009) than DPs. The percentage of pTx increased from period 1 to 2 in RFPs only (8.4–18.6%,
p
= 0.006). Independent predictors of a lower probability of pTx were lower age, belonging to RFPs group, starting KRT in period 1 and focal segmental glomerulosclerosis or glomerulopathy as primary kidney disease. Peritoneal dialysis was the preferred dialysis modality in both groups. Age, primary kidney disease, and center size were independently associated with dialysis modality choice. Patient survival, waiting time to Tx, and dialysis modality survival were not different between the two groups.
Conclusions
The proportion of patients receiving KRT born from immigrant families increased in recent years in Italy. They were younger and less often treated with pTx than domestic patients. In case of dialysis, the outcome was not different between the two groups.
Graphical abstract</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>32914248</pmid><doi>10.1007/s00467-020-04730-0</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-9912-3371</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0931-041X |
| ispartof | Pediatric nephrology (Berlin, West), 2021-03, Vol.36 (3), p.639-647 |
| issn | 0931-041X 1432-198X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2441614518 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Child Children Demographic aspects Health care disparities Hemodialysis Humans Italy - epidemiology Kidney Diseases Kidney transplantation Kidneys Medicine Medicine & Public Health Nephrology Original Article Pediatric research Pediatrics Peritoneal dialysis Peritoneum Registries Renal Dialysis Retrospective Studies Statistics Survival Transplantation Urology What’s New in Renal Transplantation |
| title | Resident foreign patients receive adequate dialysis but fewer preemptive transplantations: data from the Italian pediatric dialysis registry |
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