Transplant center characteristics associated ...
Document type :
Article dans une revue scientifique: Article original
DOI :
PMID :
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Title :
Transplant center characteristics associated with living-donor kidney transplantation: A cohort study with a hierarchical modeling approach.
Author(s) :
Chatelet, Valerie [Auteur]
Centre Universitaire des Maladies Rénales [CHU Caen] [CUMR Caen]
Gatault, Philippe [Auteur]
Service de néphrologie et immunologie clinique [CHRU Tours]
Hazzan, Marc [Auteur]
Lille Inflammation Research International Center - U 995 [LIRIC]
Anglicheau, Dany [Auteur]
Hôpital Necker - Enfants Malades [AP-HP]
Launoy, Guy [Auteur]
Unité de recherche interdisciplinaire pour la prévention et le traitement des cancers [ANTICIPE]
Lobbedez, Thierry [Auteur]
Centre Universitaire des Maladies Rénales [CHU Caen] [CUMR Caen]
Moulin, Bruno [Auteur]
Centre Hospitalier Universitaire [Strasbourg] [CHU Strasbourg]
Centre Universitaire des Maladies Rénales [CHU Caen] [CUMR Caen]
Gatault, Philippe [Auteur]
Service de néphrologie et immunologie clinique [CHRU Tours]
Hazzan, Marc [Auteur]
Lille Inflammation Research International Center - U 995 [LIRIC]
Anglicheau, Dany [Auteur]
Hôpital Necker - Enfants Malades [AP-HP]
Launoy, Guy [Auteur]
Unité de recherche interdisciplinaire pour la prévention et le traitement des cancers [ANTICIPE]
Lobbedez, Thierry [Auteur]
Centre Universitaire des Maladies Rénales [CHU Caen] [CUMR Caen]
Moulin, Bruno [Auteur]
Centre Hospitalier Universitaire [Strasbourg] [CHU Strasbourg]
Journal title :
Transplant International
Abbreviated title :
Transpl. Int.
Volume number :
32
Pages :
865-875
Publication date :
2019-08
ISSN :
1432-2277
HAL domain(s) :
Sciences du Vivant [q-bio]
English abstract : [en]
Transplant center organization, that is a modifiable factor, may affect the access to living-donor kidney transplantation (LDKT). The objective of this study was to identify the center characteristics associated with LDKT ...
Show more >Transplant center organization, that is a modifiable factor, may affect the access to living-donor kidney transplantation (LDKT). The objective of this study was to identify the center characteristics associated with LDKT using a hierarchical analysis. This was a retrospective multicenter observational study of 8701 patients who received a first renal graft between 2010 and 2014 in 32 transplantation centers of France. Hierarchical modeling was used to estimate the center effect and organization associated with LDKT. Among 8507 patients, 1225 (12%) were transplanted with a LD kidney. There was a transplant center effect on the proportion of LDKT. After adjustment for patient and center characteristics, the random effect variance decreased by 47%. Patients transplanted at a center with more than four nephrologists [1.81 (95% CI: 1.10-2.95)] and more than 1.5 nurse transplant coordinators [1.98 (95% CI: 1.26-3.13)] were more likely to be transplanted with a LD kidney. ABO-incompatible program was associated with LDKT [2.23 (95% CI: 1.22-4.06)]. There was a transplant center effect on the proportion of LDKT that could be decreased by modifiable center characteristics. Our study suggests the importance of the transplant team organization on the LDKT utilization.Show less >
Show more >Transplant center organization, that is a modifiable factor, may affect the access to living-donor kidney transplantation (LDKT). The objective of this study was to identify the center characteristics associated with LDKT using a hierarchical analysis. This was a retrospective multicenter observational study of 8701 patients who received a first renal graft between 2010 and 2014 in 32 transplantation centers of France. Hierarchical modeling was used to estimate the center effect and organization associated with LDKT. Among 8507 patients, 1225 (12%) were transplanted with a LD kidney. There was a transplant center effect on the proportion of LDKT. After adjustment for patient and center characteristics, the random effect variance decreased by 47%. Patients transplanted at a center with more than four nephrologists [1.81 (95% CI: 1.10-2.95)] and more than 1.5 nurse transplant coordinators [1.98 (95% CI: 1.26-3.13)] were more likely to be transplanted with a LD kidney. ABO-incompatible program was associated with LDKT [2.23 (95% CI: 1.22-4.06)]. There was a transplant center effect on the proportion of LDKT that could be decreased by modifiable center characteristics. Our study suggests the importance of the transplant team organization on the LDKT utilization.Show less >
Language :
Anglais
Audience :
Internationale
Popular science :
Non
Administrative institution(s) :
CHU Lille
Inserm
Université de Lille
Inserm
Université de Lille
Submission date :
2019-10-22T07:44:28Z
2024-04-23T11:49:38Z
2024-04-23T11:49:38Z