Perception of social inequities in the access to the kidney transplant waiting list by nephrology trainees: a national survey

BMC Nephrology

Research

Angélique Lecouf¹  Lucile Paris²  Thierry Lobbedez³  Eve Calvar³  Mathilde Beaumier³  Valérie Châtelet³  Rémy Morello⁴ 

[1]Centre Universitaire des Maladies Rénales, CHU de Caen, Avenue de la Côte de Nacre, 14 033, Caen Cedex 9, France

[2]Centre Universitaire des Maladies Rénales, CHU de Caen, Avenue de la Côte de Nacre, 14 033, Caen Cedex 9, France

[3]Normandie Université, Unicaen, UFR de Médecine, 2 rue des Rochambelles, 14032, Caen Cedex, France

[4]Centre Universitaire des Maladies Rénales, CHU de Caen, Avenue de la Côte de Nacre, 14 033, Caen Cedex 9, France

[5]Normandie Université, Unicaen, UFR de Médecine, 2 rue des Rochambelles, 14032, Caen Cedex, France

[6]U1086 INSERM – ANTICIPE – Centre Régional de Lutte Contre le Cancer, François Baclesse, Caen, France

[7]Plateforme de Méthodologie, CHU de Caen, Avenue de la Côte de Nacre, Niveau 3, CS 30001, 14033, Caen Cedex 9, France

关键词: Access to kidney transplant waitlisting;    Nephrology trainees;    Perception;    Social inequalities in health;   

DOI  :  10.1186/s12882-022-03017-w

 received in 2022-08-27, accepted in 2022-11-24,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundSocial inequalities in health are responsible for disparities in access to the kidney transplant waiting list (KTWL). The perception of disparities by nephrologists has consequences for the registration on the KTWL. The purposes of our study were to assess the perception of the factors implicated in the disparities in access to the KTWL by nephrology trainees and to assess the quality of the questionnaire.MethodsA questionnaire was developed to assess the perception of the determinants of the inequities in access to waitlisting. Continuous variables were described by median, 1st and 3rd quartiles. Categorical variables were described by frequencies and percentages. A principal component analysis and a hierarchical cluster analysis were performed to approach the correlation between the variables. A scree plot and a factor analysis were performed to determine the dimensions of the questionnaire. The internal consistency was estimated by Cronbach’s coefficient.ResultsThe response rate was 98/110 (89%). The determinants of inequities in the access to KTWL not perceived by the nephrology trainees were “female sex”, “income level” and “the centre provision to adapt the information to all of the patients” (18,3%, 36,7, 47% respectively). “Age”, “being born abroad”, “place of living”, “education level”, “transplant centre”, “the health care provider” were determinants of disparities perceived by most of the trainees (85,7%, 75,5%, 82,6%, 78,6%, 73,5% et 78,5% respectively). Items related to the transplant centre were positively correlated, as well as “being born abroad”, “education level” and “income level”. The Cronbach’s coefficient was 0,60.ConclusionSocial inequalities in health are partially perceived by nephrology trainees. A teaching session could raise nephrologists’ awareness of this issue and could help reduce the impact of these disparities on the course of ESKD (end-stage kidney disease) patients.

【 授权许可】

CC BY   
© The Author(s) 2022

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