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Social Deprivation Is Associated With Lower Access to Pre-emptive Kidney Transplantation and More Urgent-Start Dialysis in the Pediatric Population

dc.rights.licenseopenen_US
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDRIOLLET, Benedicte
dc.contributor.authorBAYER, Florian
dc.contributor.authorKWON, Theresa
dc.contributor.authorKRID, Saoussen
dc.contributor.authorRANCHIN, Bruno
dc.contributor.authorTSIMARATOS, Michel
dc.contributor.authorPARMENTIER, Cyrielle
dc.contributor.authorNOVO, Robert
dc.contributor.authorROUSSEY, Gwenaelle
dc.contributor.authorTELLIER, Stephanie
dc.contributor.authorFILA, Marc
dc.contributor.authorZALOSZYC, Ariane
dc.contributor.authorGODRON-DUBRASQUET, Astrid
dc.contributor.authorCLOAREC, Sylvie
dc.contributor.authorVRILLON, Isabelle
dc.contributor.authorBROUX, Francoise
dc.contributor.authorBERARD, Etienne
hal.structure.identifierCentre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Pontchaillou]
dc.contributor.authorTAQUE, Sophie
dc.contributor.authorPIETREMENT, Christine
hal.structure.identifierService de pédiatrie [CHRU Besançon]
dc.contributor.authorNOBILI, François
dc.contributor.authorGUIGONIS, Vincent
dc.contributor.authorLAUNAY, Ludivine
dc.contributor.authorCOUCHOUD, Cecile
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorHARAMBAT, Jerome
IDREF: 110567358
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorLEFFONDRE, Karen
dc.date.accessioned2022-02-09T15:12:40Z
dc.date.available2022-02-09T15:12:40Z
dc.date.issued2021-12
dc.identifier.issn2468-0249en_US
dc.identifier.urioai:crossref.org:10.1016/j.ekir.2021.12.015
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/124689
dc.description.abstractEnIntroduction 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.isoENen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.sourcecrossref
dc.subject.endialysis initiation
dc.subject.enend stage kidney disease
dc.subject.enFrench EDI
dc.subject.enpediatric kidney replacement therapy
dc.subject.ensocial deprivation
dc.title.enSocial Deprivation Is Associated With Lower Access to Pre-emptive Kidney Transplantation and More Urgent-Start Dialysis in the Pediatric Population
dc.typeArticle de revueen_US
dc.identifier.doi10.1016/j.ekir.2021.12.015en_US
dc.subject.halSciences du Vivant [q-bio]/Médecine humaine et pathologieen_US
bordeaux.journalKidney International Reportsen_US
bordeaux.page11p.en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamBIOSTAT_BPHen_US
bordeaux.teamLEHA_BPH
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.import.sourcedissemin
hal.identifierhal-03563361
hal.version1
hal.date.transferred2022-02-09T15:12:45Z
hal.exporttrue
workflow.import.sourcedissemin
dc.rights.ccCC BY-NC-NDen_US
bordeaux.COinSctx_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


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