Châtelet Valérie, Lobbedez Thierry, Harambat Jérôme, Bayat-Makoei Sahar, Glowacki François, Vigneau Cécile
Centre universitaire des maladies rénales, CHU de Caen, avenue Côte-de-Nacre, CS 30001, 14033 Caen cedex 9, France.
Centre universitaire des maladies rénales, CHU de Caen, avenue Côte-de-Nacre, CS 30001, 14033 Caen cedex 9, France.
Nephrol Ther. 2018 Apr;14(2):81-84. doi: 10.1016/j.nephro.2017.04.003. Epub 2017 Dec 1.
Studies at the population level must take into account the effect of social insecurity and socioeconomic inequalities on the patient outcomes. Socioeconomic inequalities depend on many determinants that are socially determined. In renal transplantation, these social determinants are not registered in the databases. The European Deprivation Index (EDI) is a composite index of social vulnerability with a French version. The EDI is an ecological measure of deprivation including the individual perception of basic needs for daily life that is called "subjective poverty". The Townsend index, Carstairs index and the Index of Multiple Deprivation are other ecological index available. It has been demonstrated in the United States that socioeconomic indicators of deprivation were associated with both the access to the waiting list for renal transplantation and transplantation failure. In France, socioeconomic deprivation may also affect the access to the waiting list and outcome of transplantation. This article is a review about deprivation and renal transplantation.
在人群层面的研究必须考虑社会不安全因素和社会经济不平等对患者治疗结果的影响。社会经济不平等取决于许多由社会因素决定的因素。在肾移植中,这些社会因素并未记录在数据库中。欧洲贫困指数(EDI)是一个具有法语版本的社会脆弱性综合指数。EDI是一种贫困的生态测量指标,包括对日常生活基本需求的个人认知,即所谓的“主观贫困”。汤森指数、卡斯尔斯指数和多重剥夺指数是其他可用的生态指数。在美国,已经证明贫困的社会经济指标与进入肾移植等待名单的机会以及移植失败都有关联。在法国,社会经济贫困也可能影响进入等待名单的机会和移植结果。本文是一篇关于贫困与肾移植的综述。