The preferences and perspectives of nephrologists on patients' access to kidney transplantation: A systematic review

Allison Tong, Camilla Hanson, Jeremy Chapman, Fabian Halleck, Klemens Budde, Christina Papachristou, Jonathan Craig

Research output: Contribution to journalReview article

23 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)682-691
Number of pages10
JournalTransplantation
Volume98
Issue number7
DOIs
Publication statusPublished - 2014

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