BMJ  2003;327 (29 November), doi:10.1136/bmj.327.7426.0-c

Access to kidney transplants in Scotland is uneven

Scottish patients face inequities in getting on to the renal transplant waiting list and to receiving a new kidney. Oniscu and colleagues (p 1261) identified 4523 adults starting renal replacement therapy in Scotland in 1999 from the database of the Scottish Renal Registry and UK Transplant. The authors identified the factors that influence access to the renal transplant waiting list or transplantation—female sex, older age, hospitals where assessed and treated, primary renal disease, and socioeconomic status. They call for national guidelines for evaluating candidates for transplantation.


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Relevant Article

Equity of access to renal transplant waiting list and renal transplantation in Scotland: cohort study
Gabriel C Oniscu, Annemarie A H Schalkwijk, Rachel J Johnson, Helen Brown, and John L R Forsythe
BMJ 2003 327: 1261. [Abstract] [Full Text] [PDF]




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