Transplantation rates for living- but not deceased-donor kidneys vary with socioeconomic status in Australia  Blair S. Grace, Philip A. Clayton, Alan.

Slides:



Advertisements
Similar presentations
Why don’t indigenous dialysis patients receive transplants – waitlist or allocation? N. Khanal 1, P. Clayton 1, S. McDonald 1, M. Jose 2 1 The University.
Advertisements

Stephen P. McDonald, Graeme R. Russ  Kidney International 
Improved prognosis of diabetic nephropathy in type 1 diabetes
The Registry of the International Society for Heart and Lung Transplantation: Twenty- seventh official adult heart transplant report—2010  Josef Stehlik,
Severity of primary MPGN, rather than MPGN type, determines renal survival and post- transplantation recurrence risk  M.A. Little, P. Dupont, E. Campbell,
UK Renal Registry 18th Annual Report
Marlies Noordzij, Kitty J. Jager  Kidney International 
No difference in bleeding risk between subcutaneous enoxaparin and heparin for thromboprophylaxis in end-stage renal disease  Kevin E. Chan, Ravi I. Thadhani,
In Reply to ‘The Importance of Icodextrin Use for Technique and Patient Survival in Peritoneal Dialysis’  Emily J. See, MBBS, David W. Johnson, PhD, Yeoungjee.
The risk of hospitalization and modality failure with home dialysis
Mortality caused by sepsis in patients with end-stage renal disease compared with the general population  Mark J. Sarnak, Bertrand L. Jaber  Kidney International 
Volume 80, Issue 2, Pages (July 2011)
Jeffrey C. Fink, Glenn M. Chertow  Kidney International 
Volume 63, Issue 3, Pages (March 2003)
End-stage renal disease in living kidney donors
Volume 80, Issue 9, Pages (November 2011)
The online measurement of hemodialysis dose (Kt): Clinical outcome as a function of body surface area  Edmund G. Lowrie, Zhensheng Li, Norma Ofsthun,
Comorbidity and confounding in end-stage renal disease
Volume 68, Issue 5, Pages (November 2005)
Volume 67, Issue 4, Pages (April 2005)
Volume 77, Issue 7, Pages (April 2010)
Fernando Valderrábano, Francisco Gómez-Campderá, Elizabeth H.P. Jones 
Renal risk scores: Progress and prospects
Volume 77, Issue 2, Pages (January 2010)
Volume 88, Issue 5, Pages (November 2015)
Stephen P. McDonald  Kidney International Supplements 
Volume 85, Issue 6, Pages (June 2014)
Volume 70, Issue 12, Pages (December 2006)
U-shaped effect of eGFR and mortality
The analysis of survival data: the Kaplan–Meier method
Volume 70, Issue 12, Pages (December 2006)
Volume 85, Issue 1, Pages (January 2014)
Impact of Diabetes Mellitus on the Association of Vascular Disease Before Transplantation With Long-term Transplant and Patient Outcomes After Kidney.
Volume 76, Issue 6, Pages (September 2009)
Volume 61, Issue 1, Pages (January 2002)
V.R. Sørensen, P.M. Hansen, J. Heaf, B. Feldt-Rasmussen 
Volume 56, Issue 2, Pages (August 1999)
Improved prognosis of diabetic nephropathy in type 1 diabetes
Volume 84, Issue 4, Pages (October 2013)
Volume 71, Issue 12, Pages (June 2007)
Forest plot showing the association between center-level characteristics and death-censored technique failure after adjusting for age, sex, race, body.
Stephen P. McDonald, Graeme R. Russ  Kidney International 
Volume 82, Issue 3, Pages (August 2012)
Long-term survival in renal transplant recipients with graft function
Volume 74, Issue 8, Pages (October 2008)
Volume 76, Issue 6, Pages (September 2009)
Does equal care give equal outcomes?
The Iranian model of living renal transplantation
Stephen P. Mcdonald, Graeme R. Russ  Kidney International 
Volume 83, Issue 3, Pages (March 2013)
The Danish Renal Biopsy Register
Allocation of the Highest Quality Kidneys and Transplant Outcomes Under the New Kidney Allocation System  Supreet Sethi, Reiad Najjar, Alice Peng, James.
Volume 68, Issue 1, Pages (July 2005)
Volume 75, Issue 1, Pages (January 2009)
Volume 53, Issue 5, Pages (May 1998)
Assessing the impact of different imputation methods on serial measures of renal function: The Strong Heart Study  N.-M. Shara, J.-G. Umans, W. Wang,
Volume 83, Issue 3, Pages (March 2013)
Volume 63, Pages S13-S16 (February 2003)
Volume 87, Issue 3, Pages (March 2015)
Douglas E. Schaubel, Howard I. Morrison, Stanley S.A. Fenton 
Collecting and using patient and treatment center data to improve care: Adequacy of hemodialysis and end-stage renal disease surveillance1  William M.
Thiazolidinedione use is associated with better survival in hemodialysis patients with non-insulin dependent diabetes  Steven M. Brunelli, Ravi Thadhani,
Comparative effectiveness of carotid arterial stenting versus endarterectomy  Peter W. Groeneveld, MD, MS, Lin Yang, MS, Alexis Greenhut, MPH, Feifei Yang,
The international realities of live donor kidney transplantation
A nationwide cohort study suggests chronic hepatitis B virus infection increases the risk of end-stage renal disease among patients in Taiwan  Yi-Chun.
Associations of hemodialysis dose and session length with mortality risk in Australian and New Zealand patients  M.R. Marshall, B.G. Byrne, P.G. Kerr,
Friends, social networks, and progressive chronic kidney disease
Survival of propensity matched incident peritoneal and hemodialysis patients in a United States health care system  Victoria A. Kumar, Margo A. Sidell,
Kevin C. Abbott, Robert J. Oglesby, Lawrence Y. Agodoa 
Severity of primary MPGN, rather than MPGN type, determines renal survival and post- transplantation recurrence risk  M.A. Little, P. Dupont, E. Campbell,
Presentation transcript:

Transplantation rates for living- but not deceased-donor kidneys vary with socioeconomic status in Australia  Blair S. Grace, Philip A. Clayton, Alan Cass, Stephen P. McDonald  Kidney International  Volume 83, Issue 1, Pages 138-145 (January 2013) DOI: 10.1038/ki.2012.304 Copyright © 2013 International Society of Nephrology Terms and Conditions

Figure 1 Percentage of patients commencing renal replacement therapy (RRT) who received a preemptive kidney transplant in Australia versus area socioeconomic status (SES). (a) All patients. Patients were stratified by (b) gender, (c) number of comorbidities, and (d) age. Results shown have not been adjusted. The x-axis (SES) shows postcodes grouped into quartiles based on SES, with some values staggered slightly for clarity. Error bars show 95% confidence intervals (CIs), calculated from binomial distribution. Y scales vary between panels. Kidney International 2013 83, 138-145DOI: (10.1038/ki.2012.304) Copyright © 2013 International Society of Nephrology Terms and Conditions

Figure 2 Unadjusted nonparametric cumulative incidence of first transplantation from (left) a living donor (including preemptive transplants) and (right) a deceased donor for patients from disadvantaged and advantaged areas. Time is taken from start of renal replacement therapy. Living-donor curves were calculated with patient death or receipt of a deceased-donor kidney as competing risks. Similarly, deceased-donor curves were calculated with patient death or receipt of a living-donor kidney as competing risks. Kidney International 2013 83, 138-145DOI: (10.1038/ki.2012.304) Copyright © 2013 International Society of Nephrology Terms and Conditions

Figure 3 Relationship between quartiles of postcode based on the Index of Relative Socioeconomic Advantage and Disadvantage and personal earnings, education, occupation type, and household internet access. Data presented are raw data from the 2006 Australian Census. Home internet access is for all households, other lines show data for non-Indigenous Australian individuals aged 20–69 years. Kidney International 2013 83, 138-145DOI: (10.1038/ki.2012.304) Copyright © 2013 International Society of Nephrology Terms and Conditions

Figure 4 Association between likelihood of receiving a transplant and patient socioeconomic status (SES), demographics, and health. The preemptive transplant graph shows relative rates from Poisson regression; other living- and deceased-donor graphs show subhazard ratios from competing risk regressions, with models adjusted for all other covariates in graphs. Points show exponentiated coefficients, and bars show 95% confidence intervals. Reference groups (dots on the vertical line=1) are not shown for clarity. Kidney International 2013 83, 138-145DOI: (10.1038/ki.2012.304) Copyright © 2013 International Society of Nephrology Terms and Conditions

Figure 5 Cumulative incidence of any transplant by socioeconomic status (SES) and era. Disadvantaged patients lived in 50% of postcodes with the lowest score and advantaged patients in 50% of postcodes with the highest score. Patients were censored on 31 December 2005 (left panel) and 31 December 2009 (right panel). Kidney International 2013 83, 138-145DOI: (10.1038/ki.2012.304) Copyright © 2013 International Society of Nephrology Terms and Conditions