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DOI:	10.1371/journal.pone.0153431
论文题名:	Influence of Socio-Economic Inequalities on Access to Renal Transplantation and Survival of Patients with End-Stage Renal Disease
作者:	Wahida Kihal-Talantikite; Cécile Vigneau; Séverine Deguen; Muriel Siebert; Cécile Couchoud; Sahar Bayat
刊名:	PLOS ONE
ISSN:	1932-6203
出版年:	2016
发表日期:	2016-4-15
卷:	11, 期:4
语种:	英语
英文关键词:	Renal transplantation ; Medical dialysis ; Chronic kidney disease ; Diabetes mellitus ; Neighborhoods ; Nephrology ; Cardiovascular diseases ; Multivariate analysis
英文摘要:	Background Public and scientific concerns about the social gradient of end-stage renal disease and access to renal replacement therapies are increasing. This study investigated the influence of social inequalities on the (i) access to renal transplant waiting list, (ii) access to renal transplantation and (iii) patients’ survival. Methods All incident adult patients with end-stage renal disease who lived in Bretagne, a French region, and started dialysis during the 2004–2009 period were geocoded in census-blocks. To each census-block was assigned a level of neighborhood deprivation and a degree of urbanization. Cox proportional hazards models were used to identify factors associated with each study outcome. Results Patients living in neighborhoods with low level of deprivation had more chance to be placed on the waiting list and less risk of death (HR = 1.40 95%CI: [1.1–1.7]; HR = 0.82 95%CI: [0.7–0.98]), but this association did not remain after adjustment for the patients’ clinical features. The likelihood of receiving renal transplantation after being waitlisted was not associated with neighborhood deprivation in univariate and multivariate analyses. Conclusions In a mixed rural and urban French region, patients living in deprived or advantaged neighborhoods had the same chance to be placed on the waiting list and to undergo renal transplantation. They also showed the same mortality risk, when their clinical features were taken into account.
URL:	http://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0153431&type=printable
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资源类型:	期刊论文
标识符:	http://119.78.100.158/handle/2HF3EXSE/23695
Appears in Collections:	过去全球变化的重建影响、适应和脆弱性科学计划与规划气候变化与战略全球变化的国际研究计划气候减缓与适应气候变化事实与影响

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journal.pone.0153431.PDF（234KB）	期刊论文	作者接受稿	开放获取	CC BY-NC-SA	View Download

作者单位:

EHESP School of Public Health, Sorbonne Paris Cité, Rennes, France;CHU Pontchaillou, Service de néphrologie, Rennes, France;Université de Rennes 1, UMR 6290, équipe Kyca, Rennes, France;EHESP School of Public Health, Sorbonne Paris Cité, Rennes, France;CHU Pontchaillou, Service de néphrologie, Rennes, France;REIN Registry, Agence de la biomédecine, Saint Denis La Plaine, France;EHESP School of Public Health, Sorbonne Paris Cité, EA MOS, Rennes, France

Recommended Citation:

Wahida Kihal-Talantikite,Cécile Vigneau,Séverine Deguen,et al. Influence of Socio-Economic Inequalities on Access to Renal Transplantation and Survival of Patients with End-Stage Renal Disease[J]. PLOS ONE,2016-01-01,11(4)

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