TY - JOUR
T1 - The preferences and perspectives of nephrologists on patients' access to kidney transplantation: A systematic review
AU - Tong, Allison
AU - Hanson, Camilla
AU - Chapman, Jeremy
AU - Halleck, Fabian
AU - Budde, Klemens
AU - Papachristou, Christina
AU - Craig, Jonathan
PY - 2014/10/15
Y1 - 2014/10/15
N2 - We aimed to describe nephrologists' attitudes to patients' access to kidney transplantation. Studies that assessed nephrologists' perspectives toward patient referral, screening, and eligibility for kidney transplantation were synthesized. Twenty-four studies (n≥4695) were included. Patients with comorbidities, were nonadherent, of older age, ethnic minorities, or low socioeconomic status were less likely to be recommended. Six themes underpinned nephrologists' perspectives: prioritizing individual benefit and safety, maximizing efficiency, patient accountability, justifying gains, protecting unit outcomes, and reluctance to raise patients' expectations. Evidence-based guidelines may support systematic and equitable decision-making. Interventions for high-risk or disadvantaged patient populations could reduce disparities in access to transplantation.
AB - We aimed to describe nephrologists' attitudes to patients' access to kidney transplantation. Studies that assessed nephrologists' perspectives toward patient referral, screening, and eligibility for kidney transplantation were synthesized. Twenty-four studies (n≥4695) were included. Patients with comorbidities, were nonadherent, of older age, ethnic minorities, or low socioeconomic status were less likely to be recommended. Six themes underpinned nephrologists' perspectives: prioritizing individual benefit and safety, maximizing efficiency, patient accountability, justifying gains, protecting unit outcomes, and reluctance to raise patients' expectations. Evidence-based guidelines may support systematic and equitable decision-making. Interventions for high-risk or disadvantaged patient populations could reduce disparities in access to transplantation.
KW - Kidney transplantation
KW - Qualitative research
KW - Referral
KW - Waitlisting
UR - http://www.scopus.com/inward/record.url?scp=84925547576&partnerID=8YFLogxK
U2 - 10.1097/TP.0000000000000336
DO - 10.1097/TP.0000000000000336
M3 - Review article
VL - 98
SP - 682
EP - 691
JO - Transplantation
JF - Transplantation
SN - 0041-1337
IS - 7
ER -