Failure to Advance Access to Kidney Transplantation over Two Decades in the United States.

ABSTRACT: Extensive research and policies have been developed to improve access to kidney transplantation among patients with ESKD. Despite this, wide variation in transplant referral rates exists between dialysis facilities. To evaluate the longitudinal pattern of access to kidney transplantation over the past two decades, we conducted a retrospective cohort study of adult patients with ESKD initiating ESKD or placed on a transplant waiting list from 1997 to 2016 in the United States Renal Data System. We used cumulative incidence models accounting for competing risks and multivariable Cox models to evaluate time to waiting list placement or transplantation (WLT) from ESKD onset. Among the study population of 1,309,998 adult patients, cumulative 4-year WLT was 29.7%, which was unchanged over five e

SUBMITTER: Schold JD 

PROVIDER: S-EPMC8017535 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature