Social Deprivation Is Associated With Lower Access to Pre-emptive Kidney Transplantation and More Urgent-Start Dialysis in the Pediatric Population
| dc.rights.license | open | en_US |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| dc.contributor.author | DRIOLLET, Benedicte | |
| dc.contributor.author | BAYER, Florian | |
| dc.contributor.author | KWON, Theresa | |
| dc.contributor.author | KRID, Saoussen | |
| dc.contributor.author | RANCHIN, Bruno | |
| dc.contributor.author | TSIMARATOS, Michel | |
| dc.contributor.author | PARMENTIER, Cyrielle | |
| dc.contributor.author | NOVO, Robert | |
| dc.contributor.author | ROUSSEY, Gwenaelle | |
| dc.contributor.author | TELLIER, Stephanie | |
| dc.contributor.author | FILA, Marc | |
| dc.contributor.author | ZALOSZYC, Ariane | |
| dc.contributor.author | GODRON-DUBRASQUET, Astrid | |
| dc.contributor.author | CLOAREC, Sylvie | |
| dc.contributor.author | VRILLON, Isabelle | |
| dc.contributor.author | BROUX, Francoise | |
| dc.contributor.author | BERARD, Etienne | |
| hal.structure.identifier | Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Pontchaillou] | |
| dc.contributor.author | TAQUE, Sophie | |
| dc.contributor.author | PIETREMENT, Christine | |
| hal.structure.identifier | Service de pédiatrie [CHRU Besançon] | |
| dc.contributor.author | NOBILI, François | |
| dc.contributor.author | GUIGONIS, Vincent | |
| dc.contributor.author | LAUNAY, Ludivine | |
| dc.contributor.author | COUCHOUD, Cecile | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| dc.contributor.author | HARAMBAT, Jerome
IDREF: 110567358 | |
| hal.structure.identifier | Bordeaux population health [BPH] | |
| dc.contributor.author | LEFFONDRE, Karen | |
| dc.date.accessioned | 2022-02-09T15:12:40Z | |
| dc.date.available | 2022-02-09T15:12:40Z | |
| dc.date.issued | 2021-12 | |
| dc.identifier.issn | 2468-0249 | en_US |
| dc.identifier.uri | oai:crossref.org:10.1016/j.ekir.2021.12.015 | |
| dc.identifier.uri | https://oskar-bordeaux.fr/handle/20.500.12278/124689 | |
| dc.description.abstractEn | Introduction Socioeconomic status (SES) is recognized as an important determinant of kidney health. We aimed to evaluate the association of social deprivation with different indicators at kidney replacement therapy (KRT) initiation in the French pediatric metropolitan population. Methods All patients with end-stage kidney disease (ESKD) who started KRT before 20 years old in France between 2002 and 2015 were included. We investigated different indicators at KRT initiation, which are as follows: KRT modality (dialysis vs. pre-emptive transplantation), late referral to a nephrologist, and dialysis modality (hemodialysis [HD] vs. peritoneal dialysis [PD], urgent vs. planned start of dialysis, use of catheter vs. use of fistula for HD vascular access). An ecological index (European Deprivation Index [EDI]) was used as a proxy for social deprivation. Results A total of 1115 patients were included (males 59%, median age at dialysis 14.4 years, glomerular/vascular diseases 36.8%). The most deprived group represented 38.7% of the patients, suggesting pediatric patients with ESKD come from a more socially deprived background. The most deprived group was more likely to initiate KRT with dialysis versus kidney transplantation. Among patients on HD, the odds of starting treatment in emergency with a catheter was >2-fold higher for the most deprived compared with the least deprived children (adjusted odds ratio [aOR] 2.35, 95% CI 1.16–4.78). Conclusion Children from the most deprived area have lower access to pre-emptive transplantation, have lower access to PD, tend to be late referred to a nephrologist, and have more urgent initiation of HD with a catheter. | |
| dc.language.iso | EN | en_US |
| dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
| dc.source | crossref | |
| dc.subject.en | dialysis initiation | |
| dc.subject.en | end stage kidney disease | |
| dc.subject.en | French EDI | |
| dc.subject.en | pediatric kidney replacement therapy | |
| dc.subject.en | social deprivation | |
| dc.title.en | Social Deprivation Is Associated With Lower Access to Pre-emptive Kidney Transplantation and More Urgent-Start Dialysis in the Pediatric Population | |
| dc.type | Article de revue | en_US |
| dc.identifier.doi | 10.1016/j.ekir.2021.12.015 | en_US |
| dc.subject.hal | Sciences du Vivant [q-bio]/Médecine humaine et pathologie | en_US |
| bordeaux.journal | Kidney International Reports | en_US |
| bordeaux.page | 11p. | en_US |
| bordeaux.hal.laboratories | Bordeaux Population Health Research Center (BPH) - UMR 1219 | en_US |
| bordeaux.institution | Université de Bordeaux | en_US |
| bordeaux.institution | INSERM | en_US |
| bordeaux.team | BIOSTAT_BPH | en_US |
| bordeaux.team | LEHA_BPH | |
| bordeaux.peerReviewed | oui | en_US |
| bordeaux.inpress | non | en_US |
| bordeaux.import.source | dissemin | |
| hal.identifier | hal-03563361 | |
| hal.version | 1 | |
| hal.date.transferred | 2022-02-09T15:12:45Z | |
| hal.export | true | |
| workflow.import.source | dissemin | |
| dc.rights.cc | CC BY-NC-ND | en_US |
| bordeaux.COinS | ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Kidney%20International%20Reports&rft.date=2021-12&rft.spage=11p.&rft.epage=11p.&rft.eissn=2468-0249&rft.issn=2468-0249&rft.au=DRIOLLET,%20Benedicte&BAYER,%20Florian&KWON,%20Theresa&KRID,%20Saoussen&RANCHIN,%20Bruno&rft.genre=article |
