Variation in Practice Patterns for Listing Patients for Renal Transplantation in the United Kingdom: a National Survey.


Pruthi, R; Tonkin-Crine, S; Calestani, M; Leydon, G; Eyles, C; Oniscu, GC; Tomson, C; Bradley, A; Forsythe, JL; Bradley, C; Cairns, J; Dudley, C; Watson, C; Draper, H; Johnson, R; Metcalfe, W; Fogarty, D; Ravanan, R; Roderick, PJ; ATTOM Investigators, ; (2017) Variation in Practice Patterns for Listing Patients for Renal Transplantation in the United Kingdom: a National Survey. Transplantation. ISSN 0041-1337 DOI: https://doi.org/10.1097/TP.0000000000002046

Full text not available from this repository.

Abstract

Despite the availability of guidelines for the evaluation of candidates for renal transplantation, variation in access to transplantation exists. This national survey investigates whether centre variation exists in the assessment of patients for renal transplantation in the UK. An online survey, informed by qualitative interviews, was distributed to all UK renal centres. This survey examined centre approaches to chronic kidney disease service provision, transplant recipient assessment, education provision and wait-listing decision making processes. Centre re-evaluation policies for patients already listed and priorities for future development were also examined. All 71 renal centres responded. Of these, 83% reviewed predialysis patients in a low clearance clinic. In 26% of centres transplantation was not discussed as a treatment option with all patients. Fourteen centres reported having a dedicated transplant assessment clinic whilst 28% did not have a formal assessment protocol. Age was an exclusion criterion for listing in 3 centers, all of which had a cut off at 75 years. 83% of centres excluded patients with a high BMI. Cardiac investigations were risk-stratified in 90% of centres. Surgical involvement varied with 11% of centres listing patients without formal surgical review. There was no formal protocol in place to re-evaluate listed patients in 62% of centres. There is wide variation in UK practice patterns for listing patients for renal transplantation, though its impact on access to transplantation is unclear. The extent to which centre-specific and patient-specific factors affect access to transplantation requires further analysis in a prospective cohort of patients.

Item Type: Article
Faculty and Department: Faculty of Public Health and Policy > Dept of Health Services Research and Policy
PubMed ID: 29215463
URI: http://researchonline.lshtm.ac.uk/id/eprint/4645595

Statistics


Download activity - last 12 months
Downloads since deposit
0Downloads
9Hits
Accesses by country - last 12 months
Accesses by referrer - last 12 months
Impact and interest
Additional statistics for this record are available via IRStats2

Actions (login required)

Edit Item Edit Item