Abstract:
:Access to kidney transplants for patients with end-stage chronic renal disease is a major challenge in France. Registration on the transplant waiting list is a mandatory step to be able to access this technique. The Haute Autorité de santé (HAS) updated, in 2015, the contraindications to access this list. In this context, we wanted to make an inventory of the reasons for non-registration on the renal transplant waiting list in patients on dialysis for at least a year, aged less than 80 years, in France. All patients included in the Epidemiology and Nephrology Information Register (REIN), who were supposed to have their annual monitoring point from August 1 to November 30, 2016 meeting the criteria, were included and a dedicated questionnaire was completed by their dialysis center. Thus, 3172 patients were analyzed: 2302 (73%) had a medical contraindication to transplant, most often (33%) vascular, 458 (14%) refused to be registered, with proportionately more women in this category, and finally in 412 patients (13%), there was no reason given in our questionnaire. However, for 65% of patients in the latter category, an assessment for registration had started. There were therefore, in our cohort, only 144 patients (4.5%) without explanation for the non-registration. This national study is the first to give a view of the reasons for non-registration on the renal transplant list in France. Unsurprisingly, medical contraindication is the primary reason in this population of chronic patients. The high refusal rate should be emphasized and analyzed more precisely, in particular with the patient's point of view. And finally, very few patients have no informed reason or current assessment.
journal_name
Nephrol Therjournal_title
Nephrologie & therapeutiqueauthors
Vabret E,Vigneau C,Bayat S,Frimat L,Monnet É,Hannedouche T,Jacquelinet Cdoi
10.1016/j.nephro.2020.02.014subject
Has Abstractpub_date
2020-05-01 00:00:00pages
139-146issue
3eissn
1769-7255issn
1872-9177pii
S1769-7255(20)30036-5journal_volume
16pub_type
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journal_title:Nephrologie & therapeutique
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abstract::Protein energy wasting is a major complication in peritoneal dialysis. It is leading to a poor quality of life and increasing mortality. Diagnosis must be early, according to criteria defined by the International society of renal nutrition and metabolism. It is necessary to appropriate the diagnostic tools with dialys...
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journal_title:Nephrologie & therapeutique
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journal_title:Nephrologie & therapeutique
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journal_title:Nephrologie & therapeutique
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journal_title:Nephrologie & therapeutique
pub_type: 杂志文章,多中心研究
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journal_title:Nephrologie & therapeutique
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journal_title:Nephrologie & therapeutique
pub_type: 杂志文章,评审
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journal_title:Nephrologie & therapeutique
pub_type: 杂志文章
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journal_title:Nephrologie & therapeutique
pub_type: 杂志文章
doi:10.1016/j.nephro.2016.12.002
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journal_title:Nephrologie & therapeutique
pub_type: 杂志文章
doi:10.1016/j.nephro.2012.10.004
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journal_title:Nephrologie & therapeutique
pub_type: 杂志文章
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journal_title:Nephrologie & therapeutique
pub_type: 杂志文章
doi:10.1016/j.nephro.2008.10.004
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journal_title:Nephrologie & therapeutique
pub_type: 杂志文章
doi:10.1016/j.nephro.2008.12.003
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journal_title:Nephrologie & therapeutique
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journal_title:Nephrologie & therapeutique
pub_type: 杂志文章
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journal_title:Nephrologie & therapeutique
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doi:10.1016/j.nephro.2013.05.005
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journal_title:Nephrologie & therapeutique
pub_type: 杂志文章,评审
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journal_title:Nephrologie & therapeutique
pub_type: 历史文章,杂志文章
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doi:10.1016/j.nephro.2006.01.003
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journal_title:Nephrologie & therapeutique
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journal_title:Nephrologie & therapeutique
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journal_title:Nephrologie & therapeutique
pub_type: 杂志文章,评审
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journal_title:Nephrologie & therapeutique
pub_type: 杂志文章,评审
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abstract::The source of living kidney donors in the general population remains underused. The present study aims at assessing the prevalence and the characteristics of potential living kidney donors in Ivory Coast in a view of a project of kidney transplantation in French Black Africa. A survey was undertaken in Abidjan from 30...
journal_title:Nephrologie & therapeutique
pub_type: 杂志文章
doi:10.1016/j.nephro.2006.12.003
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journal_title:Nephrologie & therapeutique
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