Abstract:
:The objective of this present study is to analyze individual and contextual factors associated with access to renal transplant in Brazil. An observational, prospective and non-concurrent study was carried out, based on data from the National Database on renal replacement therapies in Brazil. Patients undergoing dialysis between 01/Jan/2000 and 31/Dec/2000 were included and monitored up to the point of transplant, death or until the end of the study period. Variables that were analyzed included: individual variables (age, sex, region of residence, primary renal disease, hospitalizations); and context variables concerning both the dialysis unit (level of complexity, juridical nature, hemodialysis machines and location) and the city (geographic region, location and HDI). Proportional hazard models were adjusted with hierarchical entry to identify factors associated with the risk of transplant. The results point to differentials in access according to socio-demographic, clinical, geographic and social factors, indicating that the organ allocation system has not eliminated avoidable disparities for those who compete for an organ in the nationwide waiting list.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Machado EL,Caiaffa WT,César CC,Gomes IC,Andrade EI,Acúrcio Fde A,Cherchiglia MLdoi
10.1590/s0102-311x2011001400015subject
Has Abstractpub_date
2011-01-01 00:00:00pages
S284-97eissn
0102-311Xissn
1678-4464pii
S0102-311X2011001400015journal_volume
27 Suppl 2pub_type
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journal_title:Cadernos de saude publica
pub_type: 杂志文章,meta分析,评审
doi:10.1590/0102-311x00017613
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abstract::This study was undertaken using a case-control, prevalence survey design, aimed at verifying the effects of socioeconomic, environmental, and biological/morbidity variables on the growth of schoolchildren from low-income families. The study focused on schoolchildren whose height/age (H/A) ratio was < or = 2SD (NCHS). ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2001000100008
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abstract::In the early 1990s, a group of British researchers developed a new methodology for healthcare resource allocation based on need. The methodology's main characteristics are to draw on the theoretical model for healthcare services demand and apply data on health services utilization to estimate needs-based use. The obje...
journal_title:Cadernos de saude publica
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doi:10.1590/s0102-311x2007000600014
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abstract::The authors conducted a cross-sectional study of the local canine population in the Krenak indigenous community to detect parasites of the genus Leishmania and identify the circulating species and the proportion of asymptomatic dogs, while investigating associations between canine infection and the dogs' sex, age, and...
journal_title:Cadernos de saude publica
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journal_title:Cadernos de saude publica
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doi:10.1590/s0102-311x2008000300006
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abstract::This qualitative study explores the illness experiences, the efficacy of pulmonary rehabilitation as perceived by patients with chronic obstructive pulmonary disease (COPD) and their rationale for improvements in health. 23 patients participated in a daily, three-month home-based pulmonary rehabilitation. A pre-post s...
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journal_title:Cadernos de saude publica
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journal_title:Cadernos de saude publica
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journal_title:Cadernos de saude publica
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journal_title:Cadernos de saude publica
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abstract::The COVID-19 pandemic and the sanitary measures of social distance brought impasses to Social Research and its future. Research in digital environments was already booming, but now that face-to-face activities are temporarily suspended, it becomes an alternative to enable the continuity of studies. Understanding it be...
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journal_title:Cadernos de saude publica
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abstract::Reporting family violence against children has two main benefits: it protects the child from the violence and improves epidemiological control of violence. Health professionals play an important role in this area, since they are required to report any known or even suspected case of violence. Nevertheless, when and ho...
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journal_title:Cadernos de saude publica
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