[社会因素与进入肾移植候选名单]。

IF 0.6 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Medicina-buenos Aires Pub Date : 2024-01-01
Guillermo D Fragale, Mauro Magenta, Vanina Beitia, Alejandra Karl, Ivana Claros, Lina M Rodriguez, Matías Tisi Baña
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引用次数: 0

摘要

导言:肾移植仍然是终末期慢性肾功能衰竭患者的最佳治疗选择。器官短缺和漫长的等待时间意味着许多患者在接受移植手术时病情已严重恶化。本研究的目的是分析社会经济变量与移植前咨询中对先期肾移植知识的了解之间的关系:方法:横断面研究。方法:横断面研究。分析了一组开始接受移植前评估的 18 岁以上患者。对社会经济变量进行了评估,并就肾脏病随访和透析前(先期)肾移植信息进行了简要调查:结果:共评估了 164 名患者(平均 ± SD),年龄为 57 ± 14 岁。56%(n = 92)的患者在透析前接受了 33 ± 66 个月的肾病随访,其中 41%(n = 68)的随访时间超过一年。移植前咨询前的透析时间平均为 20 ± 23 个月。72%(n = 118)的患者没有肾移植前的相关信息。有透析前肾病随访的患者更有可能了解肾脏移植前的信息(OR 2.94;IC 1.30-6.63;P 0.009):通过延长透析时间可推迟向移植中心转诊的时间。大多数患者并不了解肾移植。这些研究结果表明,有必要实施相关政策,改善患者教育、信息获取和及时转诊至移植中心的情况。
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[Social factors and entry to the waiting list for kidney transplantation].

Introduction: Kidney transplant continues to be the best treatment option for patients with end-stage chronic renal failure. The shortage of organs and long waiting times mean that many patients arrive at the transplant with a significant level of deterioration. The objective was to analyze the relationship between socioeconomic variables and knowledge about pre-emptive kidney transplant in the pre-transplant consultation.

Methods: Cross-sectional study. A group of patients over 18 years' old who began pre-transplant evaluation was analyzed. Socioeconomic variables were evaluated and a brief survey on nephrological follow-up and information on kidney transplant prior to dialysis (preemptive) was carried out.

Results: A total of 164 patients with (mean ± SD) 57 ± 14 years were evaluated. A 56% (n = 92) had a predialysis nephrological follow-up of 33 ± 66 months, with 41% (n = 68) of more than one year. The time on dialysis before the pre-transplant consultation averaged 20 ± 23 months. Seventy-two % (n = 118) did not have information on pre-emptive kidney transplantation. Patients with predialysis nephrological follow-up were more likely to have information about pre-emptive kidney transplantation (OR 2.94; IC 1.30-6.63; p 0.009).

Discussion: Referral to the transplant center is postponed by increasing the time on dialysis. Most patients are not aware of pre-emptive kidney transplantation. These findings point out the need to implement policies to improve patient education, access to information, and timely referral to transplant centers.

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来源期刊
Medicina-buenos Aires
Medicina-buenos Aires 医学-医学:内科
CiteScore
1.30
自引率
12.50%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Information not localized
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