Title :

French nationwide survey of undocumented ESRD migrant patient access to scheduled hemodialysis and kidney transplantation.

Author(s) :

Doreille, Alice [Auteur]
Sorbonne Université - Faculté de Médecine [SU FM]
CHU Tenon [AP-HP]
Godefroy, Raphaël [Auteur]
Assistance Publique - Hôpitaux de Marseille [APHM]
Martzloff, Jonas [Auteur]
Centre Hospitalier Universitaire [Strasbourg] [CHU Strasbourg]
Delthombe, Clément [Auteur]
Centre Hospitalier Universitaire de Nantes = Nantes University Hospital [CHU Nantes]
Luque, Y. [Auteur]
Mesnard, L. [Auteur]
Hazzan, Marc [Auteur]
Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286
Tsimaratos, M. [Auteur]
Rondeau, E. [Auteur]
Hourmant, M. [Auteur]
Moulin, B. [Auteur]
Robert, T. [Auteur]
Rafat, Cédric [Auteur]

Journal title :

Nephrology Dialysis Transplantation

Abbreviated title :

Nephrol Dial Transplant

Publication date :

2021-10-01

ISSN :

1460-2385

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Scheduled thrice-weekly haemodialysis represents the standard of care for patients suffering end-stage renal disease (ESRD) pending kidney transplantation based on cogent evidence and guidelines. Yet, when it comes to ...
Show more >Scheduled thrice-weekly haemodialysis represents the standard of care for patients suffering end-stage renal disease (ESRD) pending kidney transplantation based on cogent evidence and guidelines. Yet, when it comes to undocumented migrants with no health insurance, an emergency-only dialysis strategy is often used to treat life-threatening manifestations of ESRD [1–3]. Most available studies on dialysis in undocumented migrants stem from the USA. Nevertheless, this situation is common in Europe, where immigrants represent about 1.5% of the dialysis population [4]. The French healthcare scheme provides for full reimbursement of expenditures related to ESRD on grounds of citizenship and residence status [5, 6]. The lack of an unambiguous national policy regarding insurance coverage during the first 3 months of stay of undocumented migrants has given rise to disparate appraisal across nephrology centres in France: some centres have opted for an emergency-only dialysis strategy whereas others have settled for scheduled haemodialysis. Likewise, the decision to enrol patients on the waiting list for kidney transplantation differs according to local policy. France, akin to other European countries, has experienced a rising trend in migration, bringing these issues into the spotlight [7]. Through two nationwide surveys sponsored by the Société Francophone de Néphrologie, Dialyse et Transplantation, we sought to: (i) estimate the number of patients involved per centre, (ii) examine the determinants underpinning the decision to proceed to or forego scheduled haemodialysis and/or kidney transplantation, and (iii) investigate the clinicians’ perception of local policy. The surveys were sent through the mailing list consisting of 870 currently practicing nephrologists in France.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
Inserm
CHU Lille

Collections :

• Institut de Recherche Translationnelle sur l'Inflammation (INFINITE) - U1286

Submission date :

2024-01-12T05:58:43Z
2024-02-27T16:28:00Z