Leonforte Francesco, Veroux Pierfrancesco, Mistretta Antonio, Giaquinta Alessia, Giambra Martina Maria, Zerbo Domenico, Roscitano Giuseppe, De Pasquale Concetta, Pistorio Maria Luisa, D'Anna Antonio, Cusmano Carmelo, Granata Roberta, Riccioli Giordana, Scribano Marianna, Veroux Massimiliano
Public Health Physician, University Hospital Polyclinic "G. Rodolico San Marco",95124 Catania, Italy.
Department of Medical and Surgical Sciences and Advanced Technologies, University of Catania, 95124 Catania, Italy.
Biomedicines. 2025 Apr 9;13(4):916. doi: 10.3390/biomedicines13040916.
: Kidney transplantation outcomes are correlated to many factors, including the socioeconomics conditions and the educational level. : We evaluated the role of educational level on patient and graft survival in a population of 456 kidney transplant recipients. Patients were divided into two groups on the basis of their pre-transplant educational status: patients with primary education (elementary or middle school, as low education) were compared with patients with a secondary school education (high school or a university degree, as high education). : Among the 456 patients considered for this analysis, 161 patients had a low educational status, and 295 had a high educational status. Patients with a low educational status were more rarely employed (66.1% vs. 32.5%, < 0.001), with a high rate of retired patients compared to high-educational status patients (35.6% vs. 10.6%, < 0.001). Although the educational status did not influence the graft function, the 1-year (88.1% vs. 96.2%, = 0.0008), 5-year (77.6% vs. 88.8%, = 0.001), and 10-year (62.1% vs. 75%, = 0.003) graft survival rates were significantly lower in patients with low educational status compared with high-educational status patients, respectively. Patient survival at 1-year (94.4% vs. 97.6%, = 0.073), 5-year (85% vs. 92.5%, = 0.011), and 10-year (75.7% vs. 83.4%, = 0.042) follow-up was significantly lower in patients with low educational status. : Low socioeconomic conditions and educational level had a negative impact on kidney transplant outcomes. Improving access to education and providing targeted educational support and health literacy could enhance treatment adherence and reduce disparities in transplant outcomes.
肾移植结果与许多因素相关，包括社会经济状况和教育水平。我们评估了教育水平对456名肾移植受者人群中患者和移植物存活的作用。根据移植前教育状况将患者分为两组：小学教育程度（小学或初中，视为低教育水平）的患者与中学教育程度（高中或大学学位，视为高教育水平）的患者进行比较。在纳入该分析的456名患者中，161名患者教育水平低，295名患者教育水平高。教育水平低的患者就业较少（66.1%对32.5%，<0.001），与教育水平高的患者相比，退休患者比例高（35.6%对10.6%，<0.001）。尽管教育水平不影响移植物功能，但教育水平低的患者1年（88.1%对96.2%，=0.0008）、5年（77.6%对88.8%，=0.001）和10年（62.1%对75%，=0.003）移植物存活率分别显著低于教育水平高的患者。教育水平低的患者1年（94.4%对97.6%，=0.073）、5年（85%对92.5%，=0.011）和10年（75.7%对83.4%，=0.042）随访时的患者存活率显著较低。社会经济状况差和教育水平低对肾移植结果有负面影响。改善教育机会并提供有针对性的教育支持和健康素养可提高治疗依从性并减少移植结果的差异。
