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161 Barriers to Kidney Transplant Waitlisting among Patients with End-Stage Kidney Disease in Puerto Rico

OBJECTIVES/GOALS: The prevalence of patients with end-stage kidney disease (ESKD) in PR has increased in the last decade along with an aging population, while waitlisted patients have decreased. Our objective is to compare clinical and sociodemographic characteristics of patients with ESKD on dialys...

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Autores principales: Vélez-López, Bryan, de Jesús-Gonzalez, Nilka
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9209079/
http://dx.doi.org/10.1017/cts.2022.69
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author Vélez-López, Bryan
de Jesús-Gonzalez, Nilka
author_facet Vélez-López, Bryan
de Jesús-Gonzalez, Nilka
author_sort Vélez-López, Bryan
collection PubMed
description OBJECTIVES/GOALS: The prevalence of patients with end-stage kidney disease (ESKD) in PR has increased in the last decade along with an aging population, while waitlisted patients have decreased. Our objective is to compare clinical and sociodemographic characteristics of patients with ESKD on dialysis who are waitlisted from those who are not waitlisted. METHODS/STUDY POPULATION: Retrospective study of all patients with ESKD who received dialysis in PR from 2013-2019, based on the United States Renal Data System data. Variables: (1)waitlisting status (yes or no; waitlisting date); (2)sociodemographics (age at dialysis initiation, sex, zip-code area, health insurance type, and employment status); and (3)clinical characteristics (dialysis initiation date, primary diagnosis of renal disease, comorbidities including obesity, diabetes, peripherovascular/cardiovascular disease, cancer, etc.). Statistics: (1)descriptive statistics (continuous - central tendency [mean, median] and dispersion [standard deviation, interquartile range]; and categorical [frequencies and percentages]); (2)Chi-square test, Students t-test, and Mann Whitney U test to evaluate differences. RESULTS/ANTICIPATED RESULTS: We expect patients on dialysis not waitlisted will be older and have more comorbidities than those who are on dialysis and waitlisted. DISCUSSION/SIGNIFICANCE: Kidney transplant is the choice of therapy for ESKD and its benefits are better quality of life, improved survival, and best long term-cost effectiveness. If our hypothesis is true, findings will highlight the importance of characterizing which patients with ESKD on dialysis are kidney transplant candidates when considering barriers to waitlisting.
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spelling pubmed-92090792022-07-01 161 Barriers to Kidney Transplant Waitlisting among Patients with End-Stage Kidney Disease in Puerto Rico Vélez-López, Bryan de Jesús-Gonzalez, Nilka J Clin Transl Sci Community Engagement OBJECTIVES/GOALS: The prevalence of patients with end-stage kidney disease (ESKD) in PR has increased in the last decade along with an aging population, while waitlisted patients have decreased. Our objective is to compare clinical and sociodemographic characteristics of patients with ESKD on dialysis who are waitlisted from those who are not waitlisted. METHODS/STUDY POPULATION: Retrospective study of all patients with ESKD who received dialysis in PR from 2013-2019, based on the United States Renal Data System data. Variables: (1)waitlisting status (yes or no; waitlisting date); (2)sociodemographics (age at dialysis initiation, sex, zip-code area, health insurance type, and employment status); and (3)clinical characteristics (dialysis initiation date, primary diagnosis of renal disease, comorbidities including obesity, diabetes, peripherovascular/cardiovascular disease, cancer, etc.). Statistics: (1)descriptive statistics (continuous - central tendency [mean, median] and dispersion [standard deviation, interquartile range]; and categorical [frequencies and percentages]); (2)Chi-square test, Students t-test, and Mann Whitney U test to evaluate differences. RESULTS/ANTICIPATED RESULTS: We expect patients on dialysis not waitlisted will be older and have more comorbidities than those who are on dialysis and waitlisted. DISCUSSION/SIGNIFICANCE: Kidney transplant is the choice of therapy for ESKD and its benefits are better quality of life, improved survival, and best long term-cost effectiveness. If our hypothesis is true, findings will highlight the importance of characterizing which patients with ESKD on dialysis are kidney transplant candidates when considering barriers to waitlisting. Cambridge University Press 2022-04-19 /pmc/articles/PMC9209079/ http://dx.doi.org/10.1017/cts.2022.69 Text en © The Association for Clinical and Translational Science 2022 https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
spellingShingle Community Engagement
Vélez-López, Bryan
de Jesús-Gonzalez, Nilka
161 Barriers to Kidney Transplant Waitlisting among Patients with End-Stage Kidney Disease in Puerto Rico
title 161 Barriers to Kidney Transplant Waitlisting among Patients with End-Stage Kidney Disease in Puerto Rico
title_full 161 Barriers to Kidney Transplant Waitlisting among Patients with End-Stage Kidney Disease in Puerto Rico
title_fullStr 161 Barriers to Kidney Transplant Waitlisting among Patients with End-Stage Kidney Disease in Puerto Rico
title_full_unstemmed 161 Barriers to Kidney Transplant Waitlisting among Patients with End-Stage Kidney Disease in Puerto Rico
title_short 161 Barriers to Kidney Transplant Waitlisting among Patients with End-Stage Kidney Disease in Puerto Rico
title_sort 161 barriers to kidney transplant waitlisting among patients with end-stage kidney disease in puerto rico
topic Community Engagement
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9209079/
http://dx.doi.org/10.1017/cts.2022.69
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