Cao Bonnie, Adler Joel T, Bababekov Yanik J, Markmann James F, Chang David C, Yeh Heidi
Department of Surgery, Massachusetts General Hospital, Boston, MA, USA.
School of Medicine and Dentistry, University of Rochester, Rochester, NY, USA.
Pediatr Transplant. 2018 Mar;22(2). doi: 10.1111/petr.13120. Epub 2018 Jan 7.
Distance from pediatric kidney transplant centers may be a significant barrier in accessing care for patients and families, particularly due to the lower number of pediatric kidney transplant centers compared with the number of adult centers. We performed a retrospective cohort study using data from the Scientific Registry of Transplant Recipients to determine the effect of distance on pediatric kidney transplant waitlist outcomes. We found that distance did not play a role in the likelihood of transplantations for patients who were placed on the waitlist. However, living a greater distance from the transplant center was associated with a greater risk of death while on the waitlist. Larger volume centers attracted patients from greater distances, many of whom had other centers closer to their home. Further investigation on the role of distance to transplant center and the likelihood of being evaluated and listed for a kidney transplant would elucidate whether there are additional barriers these patients face.
与儿科肾脏移植中心的距离可能是患者及其家庭获得医疗服务的重大障碍，特别是因为与成人移植中心的数量相比，儿科肾脏移植中心的数量较少。我们使用来自移植受者科学登记处的数据进行了一项回顾性队列研究，以确定距离对儿科肾脏移植等待名单结果的影响。我们发现，距离对被列入等待名单的患者的移植可能性没有影响。然而，与移植中心距离越远，在等待名单上时死亡风险就越高。规模较大的中心吸引了来自更远距离的患者，其中许多患者在家附近还有其他中心。对距离移植中心的远近以及接受肾脏移植评估和列入等待名单的可能性所起的作用进行进一步调查，将阐明这些患者是否还面临其他障碍。
