Socioeconomic inequality: accessibility and outcomes after renal transplantation in New Zealand

Background Socioeconomic deprivation (SED) is a risk factor for worse outcomes after renal transplantation (RTx). This study aimed to evaluate access to RTx in different SED strata of the New Zealand population. We also assessed patient survival, acute cellular allograft rejection (AR) and allograft...

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Veröffentlicht in:ANZ journal of surgery 2021-12, Vol.91 (12), p.2656-2662
Hauptverfasser: Belyaev, Andrei M., Henry, Luke, Dittmer, Ian, MuthuKumaraswamy, Carl, Davies, Christopher E., Bergin, Colleen J.
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Sprache:eng
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Zusammenfassung:Background Socioeconomic deprivation (SED) is a risk factor for worse outcomes after renal transplantation (RTx). This study aimed to evaluate access to RTx in different SED strata of the New Zealand population. We also assessed patient survival, acute cellular allograft rejection (AR) and allograft loss. Methods This was an Australian and New Zealand Dialysis and Transplantation and Organ Donation Registries‐based retrospective cohort study. Patients who underwent RTx in New Zealand from 2008 to 2018 were identified. Patients younger than 16 years of age and those who left the country after RTx were excluded. Results: In the higher SED stratum of New Zealanders, the rate of RTx was 53% greater than in the lower SED stratum (odds ratio = 1.53; 95% confidence interval: 1.33–1.76; p 
ISSN:1445-1433
1445-2197
DOI:10.1111/ans.16997