Medical and non-medical factors that influence the kidney transplantation technical registry: a cross-sectional study

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Juliana Dall’Agnol
Eda Schwartz
Vanclei Zanin


Introduction: Chronic kidney disease is a worldwide public health problem, because of its association with an elevated risk of mortality, low quality of life, and prohibitive cost to the health system. Objective: To identify the factors that might influence the kidney transplantation technical registry. Methods: Cross-sectional study of descriptive analysis conducted in six dialysis health care centers in the south of Rio Grande do Sul, Brazil. Patients over 18 years of age were included in this study in 2016 and 2017. The demographic and clinical variables were subjected to Pearson's chi-square test using Stata Software for statistical analysis. Research approved by the Ethics Committee 1386385. Results: Of 314 participants, 228 (72.6%) were not on the kidney transplantation technical registry. The medical and non-medical factors with statistical significance were age (p<0.01), income (p<0.01), having children (p=0.01), time since diagnosis (p=0.01), and time on hemodialysis (p=0.01). Conclusion: There is a substantial proportion of 72.6% of hemodialysis patients not registered on the kidney transplantation technical registry. The identification of factors that influence the kidney transplantation technical registry contributes both theoretically and to healthcare management, by the health team and government who can direct strategies towards the most appropriate health care. Health professionals should be aware of the impact of these factors and how the factors might pose a risk of complications that make it impossible to register on the kidney transplantation waiting list.


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Dall’Agnol, J., Schwartz, E., & Zanin, V. (2023). Medical and non-medical factors that influence the kidney transplantation technical registry: a cross-sectional study. ABCS Health Sciences.
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Chadban SJ, Ahn C, Axelrod DA, Foster BJ, Kasiske BL, Kher V, et al. KDIGO Clinical Practice Guideline on the Evaluation and Management of Candidates for Kidney Transplantation. Transplantation. 2020;104(4S1 Suppl 1):S11-103.

Chan CT, Blankestijn PJ, Dember LM, Gallieni M, Harris DCH, Lok CE et al. Dialysis initiation, modality choice, access, and prescription: conclusions from a Kidney Disease: Improving Global Outcomes (KDIGO) Controversies Conference. Kidney Int. 2019;96(1):37-47.

Foreman KJ, Marquez N, Dolgert A, Fukutaki K, Fullman N, McGaughey M, et al. Forecasting life expectancy, years of life lost, and all-cause and cause-specific mortality for 250 causes of death: reference and alternative scenarios for 2016-40 for 195 countries and territories. Lancet. 2018;392(10159):2052-90.

Luyckx VA, Tonelli M, Stanifer JW. The global burden of kidney disease and the sustainable development goals. Bull World Health Organ. 2018;96(6):414-22.

Jager KJ, Kovesdy C, Langham R, Rosenberg M, Jha V, Zoccali C. Single number for advocacy and communication worldwide more than 850 million individuals have kidney diseases. Kidney Int. 2019;96(5):1048-50.

Luyckx VA, Al-Aly Z, Bello AK, Bello AK, Bellorin-Font E, Carlini RG, et al. Sustainable Development Goals relevant to kidney health: an update on progress. Nat Rev Nephrol. 2021;17(1):15-32.

Silva SB, Caulliraux HM, Araújo CAS, Rocha E. Cost comparison of kidney transplant versus dialysis in Brazil. Cad Saude Publica. 2016;32(6):e00013515.

Morton RL, Schlackow I, Gray A, Emberson J, Herrington W, Staplin N, et al. Impact of CKD on Household Income. Kidney Int Rep. 2017;3(3):610-18.

Vanholder R, Annemans L, Brown E, Gansevoort R, Gout-Zwart JJ, Lameire N, et al. Reducing the costs of chronic kidney disease while delivering quality health care: a call to action. Nat Rev Nephrol. 2017;13(1):393-409. nrneph.2017.63

Wolfe RA, Ashby VB, Milford EL, Ojo AO, Ettenger RE, Agodoa LY, et al. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Engl J Med. 1999;341(1):1725-30. NEJM199912023412303

Port FK, Wolfie RA, Mauger EA, Berling DP, Jiang KJ. Comparison of survival probabilities for dialysis patients vs cadaveric renal transplant recipients. JAMA. 1993;270(1):1339-43.

Taylor DM, Bradley JA, Bradley C, Draper H, Dudley C, Fogarty D, et al. Limited health literacy is associated with reduced access to kidney transplantation. Kidney Int. 2019;95(5):1244-52. j.kint.2018.12.021

Bayat S, Frimat L, Thilly N, Loos C, Brianc S, Kessler M. Medical and non-medical determinants of access to renal transplant waiting list in a French community-based network of care. Nephrol Dial Transplant 2006;21(10):2900-7.

Bayat S, Macher MA, Couchoud C, Bayer F, Lassalle M, Villar E, et al. Individual and regional factors of access to the renal transplant waiting list in France in a cohort of dialyzed patients. Am J Transplant. 2015;15(4):1050-60.

Erdem E, Karatas A, Ecder T. Factors affecting registration on kidney transplant waiting list. Turk J Nephrol. 2019;28:280-5.

Zhang Y, Gerdtham UG, Rydell H, Jarl J. Socioeconomic inequalities in the kidney transplantation process: a registry-based study in Sweden. Transplant Direct. 2018;4(2):e346.

Zhang Y, Jarl J, Gerdtham UG. Are there inequities in treatment of end-stage renal disease in Sweden? A longitudinal register-based study on socioeconomic status-related access to kidney transplantation. Int J Environ Res Public Health. 2017;14(2):119.

Farah SS, Alhaji MM, Ahmed D, Alam S, Johan NH, Zulkipli IN, et al. Barriers to kidney transplantation as a choice of renal replacement therapy. Transplantat Proc. 2018;50(10):3165-71.

Barth A, Szollosi GJ, Nemes B. Factors Affecting Access to the Kidney Transplant Waiting List in Eastern Hungary. Transplantat Proc. 2021;S0041-1345(21)00078-6.

Neves PDMM, Sesso RCC, Thomé FS, Lugon JR, Nascimento MM. Censo Brasileiro de Diálise: análise de dados da década 2009-2018. Braz J Nephrol. 2020;42(2):191-200.

Bayat S, Kessler M, Briancon S, Frimat L. Survival of transplanted and dialysed patients in a French region with focus on outcomes in elderly. Nephrol Dial Transplant. 2009;25(1):292-300. gfp469

Etges V. Mesorregiões brasileiras: o portal da metade Sul/RS-Mesosul. Redes. 2005;10(2):73-82.

Fiori TP. Principais resultados do Idese 2016. Secretaria de Planejamento, Orçamento e Gestão. Departamento de Economia e Estatística. Available from:

Niessen LW, Mohan D, Akuoku JK, Mirelman AJ, Ahmed S, Koehlmoos TP, et al. Tackling socioeconomic inequalities and non-communicable diseases in low-income and middle-income countries under the Sustainable Development agenda. Lancet. 2018;391(10134):2036-46.

Frazão CMFQ, Ramos VP, Lira ALBC. Qualidade de vida de pacientes submetidos à hemodiálise. Rev Enferm UERJ. 2011;19(4):577-82.

Taylor DM, Fraser SD, Dudley C, Oniscu GC, Tomson C, Ravanan R, et al. Health literacy and patient outcomes in chronic kidney disease: a systematic review. Nephrol Dial Transplant. 2018;33(9):1545-58.

Garcia-Garcia G, Jha V. CKD in disadvantaged populations. J Bras Nefrol. 2015;37(1):14-18.

Garcia-Garcia G, Martinez-Castellanos Y, Renoirte-Lopez K, Barajas-Murguia A, de la Torre-Campos L, Becerra-Muñoz LE, et al. Multidisciplinary care for poor patients with chronic kidney disease in Mexico. Kidney Int Suppl. 2013;3(2):178-83.

Qiao B, Liu L, Liu J, Xie J. A study on the attitude toward kidney transplantation and factors among hemodialysis patients in China. Transplant Proc. 2016;48(8):2601-7.