Abstract:
INTRODUCTION:End-stage renal disease patients' access to the renal transplant (RT) waiting list (WL) depends on general criteria and their specific application in the different treatment units. METHODS:Study in nonhospital hemodialysis centers (n = 9), dependent on an adult RT center. Cases included 228 patients considered to have nonactive status on the WL due to incomplete immunologic data (no blood group or HLA typing) or temporary contraindication from an incomplete pretransplant study (nonimmunologic) or comorbidity. Each individual situation was studied by reviewing the center's clinical history with the nephrologist in charge. RESULTS:Three situations were classified three groups. (1) Patients in this group had incomplete basic study (65 patients, 28.5%) pending cardiologic evaluation in 34%; urologic evaluation, 26%; both 18%; others, 9%; study not initiated, 12%. (2) Patients in this group had pre-existing or onset comorbidities (117 patients, 51.3%) pending studies or confirmed resolution: obesity, 30%; cancer, 17%; cardiovascular disease, 14%; digestive pathology, 10%; infection, 9%; neuropsychiatric disorders, 7%; multiple, 13%. (3) Patients in this group had other situations contraindicating RT (46 patients, 20.2%): poor therapeutic adherence, 30%; negative will of the patient, 26%; social issues, 9%; excluded by the center (not reported), 35%. CONCLUSIONS:We detected a high incidence of cases pending basic tests for inclusion on the WL. Obesity can be highlighted as the most frequent cause for noninclusion. Further support and coordination is required with referral hospital centers to increase and refine the RT WL.
journal_name
Transplant Procjournal_title
Transplantation proceedingsauthors
Toapanta-Gaibor NG,Suñer-Poblet M,Cintra-Cabrera M,Pérez-Valdivia MÁ,Suárez-Benjumea A,Gonzalez-Roncero FM,Bernal-Blanco G,Rocha-Castilla JL,Gentil-Govantes MÁdoi
10.1016/j.transproceed.2017.09.066subject
Has Abstractpub_date
2018-03-01 00:00:00pages
553-554issue
2eissn
0041-1345issn
1873-2623pii
S0041-1345(17)30933-8journal_volume
50pub_type
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pub_type: 杂志文章,多中心研究
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