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13 results on '"Di Ciaccio, Paola"'

1. Santander Statement: Towards Global Convergence in Transplantation: Sufficiency, Transparency, and Oversight

Author

Adamec, Milos, Ahn, Curie, Albreht, Katarina, Almén, Helena, Al Obaidli, Ali Abdul Kareem, Anušić Juričić, Martina, Arrabal, Samuel, Ascher, Nancy, Ashkenazi, Tamar, Avendaño-Solá, Cristina, Avsec, Danica, Badenes, Rafael, Bal, Omer, Ballesté, Chloë, Barquero, Teresita, Be, Alicia, Beltrán, Mauricio, Bengochea, Milka, Beqo, Flutra, Berenguer, Marina, Berishvili, Ekaterina, Bokhorst, Arlinke, Boletis, Ioannis, Bolocan, Vladimir, Koh, Mickey BC, Börgel, Martin, Briceño, Javier, Brix-Zuleger, Martina, Busic, Mirela, Buziuviene, Audrone, Caballero, Xavier, Caamaño, Aimée, Carmona, Mar, Capron, Alexander, Cardillo, Massimo, Carella, Claudia, Castillo, María Esther, Cervantes, Lilia, Chandrasekar, Akila, Chaouali, Mafaten, Chatzixiros, Efstratios, Ciccocioppo, Rachele, Cillo, Umberto, Cloherty, Jenny, Colenbie, Luc, Coll, Elisabeth, Cooper, Matthew, Correa-Rocha, Rafael, Cortesi, Paolo Angelo, Cozzi, Emanuele, Cuende, Natividad, Cuero, César, Antonio Da Silva, Juan, Daga, Domingo, Danielyan, Samvel, Danovitch, Gabriel, de Andrade, Joel, de Angelis, Vincenzo, Dedinska, Ivana, del Río, Francisco J., Delmonico, Francis L., Di Ciaccio, Paola, Doerr, Petra, Domínguez-Gil, Beatriz, Emery, Marie-Pierre, Espinel, Mauricio, Fadhil, Riadh, Foeken, Lydia, Forsberg, Anna, Forsythe, John L. R., Friend, Peter, Gadžijev, Andrej, Gallego, Daniel, Gardiner, Dale, Gatt, Sandra, Gjerek, Jernej, Gondolesi, Gabriel, Haraldsson, Börje, Hasal, Antonín, Hennerbichler, Simone, Hernández-Maraver, Dolores, Herson, Marisa, Hickey, Laura, Humar, Simona, Ilbawi, Andre, Immer, Franz, Izeta, Ander, Hawthorne, Wayne J., Jha, Vivekanand, Joyce, Ruth, Jusinskis, Janis, Kaminski, Artur, Kazancıoğlu, Rümeyza, Kim, Joe, Lentine, Krista L., Fraga, Marta López, Lundin, Kersti, Mahillo, Beatriz, Maier, Philip, Mallet, Laurent, Manas, Derek, Manyalich, Marti, Marco, Jaime, Martin, Dominique E., Martínez-Donate, María Dolores, Martjak, Marge, McGee, Andrew, McPhaden, Marcelle, Menjívar, Ana, Mey, Devi, Mihály, Sándor, Mihelčič, Petra, Miñambres, Eduardo, Mirabet, Sonia, Mojsova Mijovska, Maja, Montrasio, Lorenzo, María Moraleda, Jose, Morales, Fernando, Mueller, Thomas, Muller, Elmi, Musquera, Mireia, Nagral, Sanjay, Nathan, Naomi, Nikolac, Vanja, Niño Murcia, Alejandro, Noel, Luc, O’Sullivan, Siobhan, Oniscu, Gabriel C., Opdam, Helen, Orlando, Giuseppe, Ortega, Noelia, Padilla, Benita, Papatheodoridis, George, Pérez Bech, Eva, Pérez Blanco, Alicia, Pérez Martínez, Antonio, Perojo, Dolores, Pires Silva, Ana, Plattner, Verena, Porte, Robert, Potashnik, Anna, Potena, Luciano, Gilberto Prasca, Tomás, Premužić, Marina, Procaccio, Francesco, Rahmel, Axel, Randazzo, Enrico, Raptis, Dimitri A, Rela, Mohamed, Resanović, Vladimir, Rizzolo, Katherine, Adina Rugescu, Iona, Ruiz-Pérez, Blanca, Sainte-Marie, Isabelle, Angelica Salinas, Maria, Sánchez Ibáñez, Jacinto, Serrano, Roselyn, Shaheen, Faissal A., Shemie, Sam, Snyder, Jon, Marie Sørensen, Ragnhild, Spiro, Michael, Stock, Peter, Subotić-Popović, Andreja, Gracious, Noble, Sureda, Ana, Tassot, Johanna, ten Ham, Renske, Thomson, David, Timbalari, Tatiana, Torres, Martín, Tort, Jaume, Trias, Esteve, Trojan, Diletta, Tsimaratos, Mitchel, Tullius, Stefan G., Van Assche, Kristof, Van der Spiegel, Stefaan, Vatachki, Guenadiy, Velasco, Belén, Villatoro, Matías, Walsh, John, Wang, Haibo, and Waterman, Amy

Published
2025
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2. Building Kidney Exchange Programmes in Europe – An Overview of Exchange Practice and Activities

Author

Biró, Péter, Haase-Kromwijk, Bernadette, Andersson, Tommy, Ásgeirsson, Eyjólfur Ingi, Baltesová, Tatiana, Boletis, Ioannis, Bolotinha, Catarina, Bond, Gregor, Böhmig, Georg, Burnapp, Lisa, Cechlárová, Katarína, Di Ciaccio, Paola, Fronek, Jiri, Hadaya, Karine, Hemke, Aline, Jacquelinet, Christian, Johnson, Rachel, Kieszek, Rafal, Kuypers, Dirk, Leishman, Ruthanne, Macher, Marie-Alice, Manlove, David, Menoudakou, Georgia, Salonen, Mikko, Smeulders, Bart, Sparacino, Vito, Spieksma, Frits, de la Oliva Valentín Muñoz, María, Wilson, Nic, and vd Klundert, Joris

Published
2018
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3. Life beyond life: Perceptions of post‐mortem organ donation and consent to donate—A focus group study in Italy.

Author

Cipolletta, Sabrina, Tomaino, Silvia Caterina Maria, Brena, Alessandra, Di Ciaccio, Paola, Gentile, Margherita, Procaccio, Francesco, and Cardillo, Massimo

Subjects
ORGAN donation, FOCUS groups, MEDICAL personnel, CLERKS, YOUNG adults, FEAR of death, DILEMMA
Abstract

Objectives: Many factors such as personal and cultural beliefs, misinformation, fear of death and inadequate will registering procedures can influence post‐mortem organ donation. The present study aimed to explore the perceptions, beliefs and information around post‐mortem donation and will expression in different groups of the Italian population, to orient future interventions and raise awareness. Design: Qualitative research with focus groups. Methods: A total of 38 focus groups involving 353 participants including the general population (young adults: 18–39, mature adults: 40–70), local and hospital health professionals, critical area health professionals (emergency room and intensive care), registry office employees and opinion leaders, were conducted in six regions from different parts of Italy between June and November 2021. Thematic analysis was conducted with the use of Atlas.ti9. Results: Five overarching themes were identified: dilemmas regarding donation, resistance to donation, facilitators of donation, difficulties in terms of will expression and proposals to encourage will expression. Possible facilitators were having personal and professional experiences with organ donation, feeling useful for society, having reliable information and trust in the health care system. Potential barriers to donation were doubts and fears about brain death, bodily integrity concerns, religious beliefs, misinformation and distrust in the health care system. Conclusions: These results highlighted the significance of a bottom‐up perspective with regard to identifying the personal perceptions and beliefs with regard to donation, underlining the urgency of creating tailored interventions to sensitize different groups of the population in terms of promoting an informed choice and a culture of donation. [ABSTRACT FROM AUTHOR]

Published
2023
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5. Building Kidney Exchange Programmes in Europe—An Overview of Exchange Practice and Activities.

Author

Biró, Péter, Haase-Kromwijk, Bernadette, Andersson, Tommy, Ásgeirsson, Eyjólfur Ingi, Baltesová, Tatiana, Boletis, Ioannis, Bolotinha, Catarina, Bond, Gregor, Böhmig, Georg, Burnapp, Lisa, Cechlárová, Katarína, Di Ciaccio, Paola, Fronek, Jiri, Hadaya, Karine, Hemke, Aline, Jacquelinet, Christian, Johnson, Rachel, Kieszek, Rafal, Kuypers, Dirk R., and Leishman, Ruthanne

Published
2019
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6. IItaly’s successful restructuring programme

Author

Venettoni Sante, Nanni Costa Alessandro, Di Ciaccio Paola, Ghirardini Angelo, Mattucci Dino, Santangelo Giorgia, Buscaroli Andrea, Peter Morris, and Venettoni Sante, Nanni Costa Alessandro, Di Ciaccio Paola, Ghirardini Angelo, Mattucci Dino, Santangelo Giorgia, Buscaroli Andrea

Subjects
surgical procedures, operative, transplants, bioethics
Abstract

Organ and tissue transplants are the result of a process that begins with identifying a potential donor and ends with the transplant operation itself.

Published
2003

7. Vigilance: Lessons learned from the tissue and cell experiance in the European Union. Part I: Reporting and communication

Author

1. Fehily, Deirdre, Uhrynowska-Tyszkiewicz, Izabela, Creusvaux, Hervè, Pariente-Khayat, Ann, Kaminski, Artur, Olender, Ewa, Manjaji, Elvira, Swann, Imogen, Sornarajah, Renuka, Costello, Patrick, Harkin, Donna, Masterson, Sinead, Alvarez, Marina, Cantarero, Gregorio Garrido, Smith, Mike, Roels, Leo, Teskrat, Fewzi, O’Toole, Chris, Funk, Markus, Golubić Ćepulić, Branka, Nikolac, Vanja, Mareri, Maura, Porta, Eliana, Ghirardini, Angelo, di Ciaccio, Paola, Noel, Luc, and Nanni Costa, Alessandro

Subjects
Vigilance, tissues, cells, serious adverse events
Abstract

SOHO V&S (Vigilance and Surveillance of Substances of Human Origin) was a project co-funded by the European Union Public Health Programme. The project ran from March 2010 to February 2013. Its scope included tissues and cells for transplantation and gametes and embryos for assisted reproduction. The broad aim of the project was to support European Union Member States in the establishment of effective vigilance and surveillance (V&S) systems for tissues and cells used for human applications, including transplantation and assisted reproduction, ensuring the adoption of a common approach that would allow sharing of data and didactic information for the improvement of safety and quality. To achieve this broad objective, a number of key activities were carried out, including the development of guidance to EU Competent Authorities on the investigation and management of severe adverse reactions and events associated with tissues and cells for transplantation and for assisted reproduction. Equivalent guidance was developed for professionals in European Union hospitals and clinics who apply human tissues and cells to their patients. The latter guidance addressed the roles and responsibilities of clinical users in relation to supporting traceability and vigilance of tissues and cells for transplantation and assisted reproduction. This article, and its sister article (due to in March 2014), describe the key issues that arose and the conclusions reached in the development of these two guidance documents. This article describes the key points of guidance developed on reporting and communication of serious adverse events and reactions.

Published
2013

8. Vigilance: lessons learned from the tissue and cell experience in the european union. Part 1: reporting and communication

Author

Fehily, Deirdre, Uhrynowska-Tyszkiewicz, Izabela, Creusvaux, Hervè, Pariente-Khayat, Artur, Kaminski, Ann, Olender, Ewa, Manjaji, Elvira, Swann, Imogen, Sornarajah, Renuka, Costello, Patrick, Harkin, Donna, Sinead Masterson5 , Marina Alvarez6 , Gregorio Garrido Cantarero6 , Mike Smith7 , Leo Roels7 , Teskrat, Fewzi, O’Toole, Chris, Funk, Markus, Golubić Ćepulić, Branka, Nikolac, Vanja, Mareri, Maura, Porta, Eliana, Ghirardini, Angelo, di Ciaccio, Paola, Noel, Luc, and Nanni Costa, Alessandro

Subjects
Vigilance, tissues, cells, serious adverse events, serious adverse reactions, reporting, detection, communication
Abstract

SOHO V&S (Vigilance and Surveillance of Substances of Human Origin) was a project co-funded by the European Union Public Health Programme. The project ran from March 2010 to February 2013. Its scope included tissues and cells for transplantation and gametes and embryos for assisted reproduction. The broad aim of the project was to support European Union Member States in the establishment of effective vigilance and surveillance (V&S) systems for tissues and cells used for human applications, including transplantation and assisted reproduction, ensuring the adoption of a common approach that would allow sharing of data and didactic information for the improvement of safety and quality. To achieve this broad objective, a number of key activities were carried out, including the development of guidance to EU Competent Authorities on the investigation and management of severe adverse reactions and events associated with tissues and cells for transplantation and for assisted reproduction. Equivalent guidance was developed for professionals in European Union hospitals and clinics who apply human tissues and cells to their patients. The latter guidance addressed the roles and responsibilities of clinical users in relation to supporting traceability and vigilance of tissues and cells for transplantation and assisted reproduction. This article, and its sister article (due to in March 2014), describe the key issues that arose and the conclusions reached in the development of these two guidance documents. This article describes the key points of guidance developed on reporting and communication of serious adverse events and reactions

Published
2013

9. From the EU Legislation to the Application of the Single European Code: Support to the Implementation.

Author

Caramia, Valentina, Ghirardini, Angelo, Di Ciaccio, Paola, Vespasiano, Francesca, Mareri, Maura, and Nanni Costa, Alessandro

Abstract

The Italian National Transplant Centre (CNT) is coordinating with the Italian National Blood Centre (CNS) the Joint Action 'VISTART" (EU Grant Agreement n. 676969), which has received funding from the European Union's Health Programme (2014-2020). CNT is also the leader of the Joint Action's Work Package 10 aimed at providing technical support and guidance to European tissue- and cell-competent authorities and to tissue establishments across the European Union in the implementation of the Single European Code (SEC). A consortium of three organizations, built by CNT, the International Council for Commonality in Blood Banking Automation (ICCBBA) and Artman Technologies under the European Commission funded service contract 'Eurocet128' (www.eurocet128. eu), already built the European Tissue Establishment and Tissue and Cell Product Compendia between 2011 and 2014 in order to provide European Member States with a tool which would grant traceability of tissues and cells at human transplant purpose across the European Union. The two compendia are available on an online platform hosted and managed by the European Commission. [ABSTRACT FROM AUTHOR]

Published
2017
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10. The effect of differing kidney disease treatment modalities and organ donation and transplantation practices on health expenditure and patient outcomes.

Author

Jager, Kitty J., Stel, Vianda S., Branger, Peter, Guijt, Marja, Busic, Mirela, Dragović, Marijana, Diekmann, Fritz, Manyalich, Martí, Di Ciaccio, Paola, Costa, Alessandro Nanni, Collett, Dave, Mumford, Lisa, Haase, Bernadette, Hemke, Aline, Deme, Orsolya, Mihály, Sándor, Murphy, Mark, Couchoud, Cécile, Massy, Ziad, and Lingemann, Marie

Subjects
KIDNEY disease treatments, KIDNEY transplantation, ORGAN donation, MEDICAL care costs, KIDNEY function tests
Abstract

The Effect of Differing Kidney Disease Treatment Modalities and Organ Donation and Transplantation Practices on Health Expenditure and Patient Outcomes (EDITH) aims to obtain information on long-term kidney transplant outcomes, long-term health outcomes of living kidney donors and detailed outcomes and costs related to the different treatment modalities of end-stage kidney disease. Nine partners from seven European Union countries will participate in this project. [ABSTRACT FROM AUTHOR]

Published
2018
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11. The EUROCET Network: Support for Coding, Vigilance and Surveillance.

Author

Mareri, Maura, Filippetti, Marzia, Ghirardini, Angelo, Vespasiano, Francesca, Di Ciaccio, Paola, and Nanni Costa, Alessandro

Abstract

Background: In the last years, there have been increasing concerns about the safety and traceability of human tissues and cells in Europe. In order to regulate this part of medical practice, the European Commission issued 3 directives between 2004 and 2006 and endorsed EUROCET to support member states in fulfilling some of their obligations. Methods: EUROCET created a connection with the European Union (EU) Competent Authorities (CAs) and set up a website where lists of the CAs, the authorized Tissue Establishments (TEs) and the activity data are published and updated. Moreover, EUROCET is involved within the Vigilance and Surveillance of Substances of Human Origin (SOHO V&S) project, aiming to support the EU member states in the establishment of vigilance and surveillance systems for tissues and cells. EUROCET is also working with EU stakeholders to develop a common coding system concerning donation and products. Results: There are 33 countries in EUROCET and 57 CAs. 3,974 TEs are recorded: 1,108 for tissues, 1,480 for haematopoietic progenitor cells and 1,386 for assisted reproduction. On the website, it is possible to find the 2010 activity data report. Conclusion: Based on its cooperation with the CAs, EUROCET represents them in the European network. Nowadays, the EU member states can rely on a web portal and database in order to put the tissue and cell directives into practice. Copyright © 2011 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

Published
2011
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12. Infections in liver and lung transplant recipients. A national prospective cohort

Author

Gagliotti, Carlo, Morsillo, Filomena, Moro, Maria Luisa, Masiero, Lucia, Procaccio, Francesco, Vespasiano, Francesca, Pantosti, Annalisa, Monaco, Monica, Errico, Giulia, Ricci, Andrea, Grossi, Paolo, Nanni Costa, Alessandro, Adorno, D., Ambretti, S., Amoroso, A., Arghittu, M., Berloco, P., Bertani, A., Bonizzoli, M., Cambieri, P., Canzonieri, M., Caprio, M., Carrara, E., Carrinola, R., Cibelli, E., Cillo, U., Colledan, M., Colombo, R., Coluccio, E., Conaldi, P. G., Cusi, M., D’Armini, A. M., da Riva, A., D’Auria, B., de Carlis, L., de Cillia, C., de Gasperi, A., Di Caro, A., Di Ciaccio, P., Dondossola, D., Farina, C., Feltrin, G., Finarelli, A. C., Fossati, L., Gaibani, P., Garcia Fernandez, A., Gesu, G., Giacometti, R., Gona, F., Gridelli, B., Henrici de Angelis, L., Landini, M. P., Maldarelli, F., Mancini, C., Marone, P., Mularoni, A., Paglialunga, G., Paladini, P., Palù, G., Parisi, S., Peris, A., Pinna, A. D., Platto, M., Pugliese, F., Puoti, F., Rago, C., Ravini, M., Rea, F., Rinaldi, M., Rossi, G., Rossi, L., Rossi, M., Salizzoni, M., Sangiorgi, G., Santambrogio, L., Spada, M., Sparacino, V., Stella, F., Torelli, R., Torresani, E., Tosi, D., Vailati, F., Valeri, M., Venuta, F., Vesconi, S., Viale, P., Vismara, C., Gagliotti, C, Morsillo, F, Moro, M, Masiero, L, Procaccio, F, Vespasiano, F, Pantosti, A, Monaco, M, Errico, G, Ricci, A, Grossi, P, Nanni Costa, A, Adorno, D, Ambretti, S, Amoroso, A, Arghittu, M, Berloco, P, Bertani, A, Bonizzoli, M, Cambieri, P, Canzonieri, M, Caprio, M, Carrara, E, Carrinola, R, Cibelli, E, Cillo, U, Colledan, M, Colombo, R, Coluccio, E, Conaldi, P, Cusi, M, D’Armini, A, da Riva, A, D’Auria, B, de Carlis, L, de Cillia, C, de Gasperi, A, Di Caro, A, Di Ciaccio, P, Dondossola, D, Farina, C, Feltrin, G, Finarelli, A, Fossati, L, Gaibani, P, Garcia Fernandez, A, Gesu, G, Giacometti, R, Gona, F, Gridelli, B, Henrici de Angelis, L, Landini, M, Maldarelli, F, Mancini, C, Marone, P, Mularoni, A, Paglialunga, G, Paladini, P, Palù, G, Parisi, S, Peris, A, Pinna, A, Platto, M, Pugliese, F, Puoti, F, Rago, C, Ravini, M, Rea, F, Rinaldi, M, Rossi, G, Rossi, L, Rossi, M, Salizzoni, M, Sangiorgi, G, Santambrogio, L, Spada, M, Sparacino, V, Stella, F, Torelli, R, Torresani, E, Tosi, D, Vailati, F, Valeri, M, Venuta, F, Vesconi, S, Viale, P, Vismara, C, Gagliotti, Carlo, Morsillo, Filomena, Moro, Maria Luisa, Masiero, Lucia, Procaccio, Francesco, Vespasiano, Francesca, Pantosti, Annalisa, Monaco, Monica, Errico, Giulia, Ricci, Andrea, Grossi, Paolo, Costa, Alessandro Nanni, Adorno, Domenico, Ambretti, Simone, Amoroso, Antonio, Arghittu, Milena, Berloco, Pasquale, Bertani, Alessandro, Bonizzoli, Manuela, Cambieri, Patrizia, Canzonieri, Marco, Caprio, Mario, Carrara, Elena, Carrinola, Rosaria, Cibelli, Eva, Cillo, Umberto, Colledan, Michele, Colombo, Rosaria, Coluccio, Elena, Conaldi, Pier Giulio, Cusi, Mariagrazia, D’Armini, Andrea Maria, Da Riva, Adelaide, D'Auria, Bianca, De Carlis, Luciano, De Cillia, Carlo, De Gasperi, Andrea, Di Caro, Antonino, Di Ciaccio, Paola, Dondossola, Daniele, Farina, Claudio, Feltrin, Giuseppe, Finarelli, Alba Carola, Fossati, Lucina, Gaibani, Paolo, Fernandez, Aurora Garcia, Gesu, Giovanni, Giacometti, Raffaella, Gona, Floriana, Gridelli, Bruno, De Angelis, Lucia Henrici, Landini, Maria Paola, Maldarelli, Federica, Mancini, Carlo, Marone, Piero, Mularoni, Alessandra, Paglialunga, Giulia, Paladini, Piero, Palù, Giorgio, Parisi, Saverio, Peris, Adriano, Pinna, Antonio Daniele, Platto, Marco, Pugliese, Francesco, Puoti, Francesca, Rago, Claudio, Ravini, Mario, Rea, Federico, Rinaldi, Mauro, Rossi, Giorgio, Rossi, Lucia, Rossi, Massimo, Salizzoni, Mauro, Sangiorgi, Gabriela, Santambrogio, Luigi, Spada, Marco, Sparacino, Vito, Stella, Franco, Torelli, Rosanna, Torresani, Erminio, Tosi, Davide, Vailati, Francesca, Valeri, Maurizio, Venuta, Federico, Vesconi, Sergio, Viale, Pierluigi, and Vismara, Chiara

Subjects
Microbiology (medical), Infectious Diseases, Male, 0301 basic medicine, medicine.medical_treatment, Drug Resistance, Transplant Recipient, 030230 surgery, Liver transplantation, Postoperative Complications, 0302 clinical medicine, Drug Resistance, Multiple, Bacterial, Medicine, Cumulative incidence, Prospective Studies, Prospective cohort study, Incidence, Incidence (epidemiology), Mortality rate, Bacterial, Bacterial Infections, General Medicine, Middle Aged, lung transplant, Anti-Bacterial Agents, infectious, Italy, Female, Multiple, Adult, Bacteria, Humans, Transplant Recipients, Liver Transplantation, Lung Transplantation, Human, medicine.medical_specialty, 030106 microbiology, Bacterial Infection, Infectious Diseases, transplantation, 03 medical and health sciences, Internal medicine, Anti-Bacterial Agent, Lung transplantation, business.industry, lung transplant, liver transplant, infectious, Transplantation, Prospective Studie, liver transplant, Etiology, Postoperative Complication, business, transplantation
Abstract

Infections are a major complication of solid organ transplants (SOTs). This study aimed to describe recipients’ characteristics, and the frequency and etiology of infections and transplant outcome in liver and lung SOTs, and to investigate exposures associated to infection and death in liver transplant recipients. The study population included recipients of SOTs performed in Italy during a 1-year period in ten Italian lung transplant units and eight liver transplant units. Data on comorbidities, infections, retransplantation, and death were prospectively collected using a web-based system, with a 6-month follow-up. The cumulative incidence of infection was 31.7% and 47.8% in liver and lung transplants, respectively, with most infections occurring within the first month after transplantation. Gram-negatives, which were primarily multidrug-resistant, were the most frequent cause of infection. Death rates were 0.42 per 1000 recipient-days in liver transplants and 1.41 per 1000 recipient-days in lung transplants. Infection after SOT in adult liver recipients is associated to an increased risk of death (OR = 13.25; p-value < 0.001). Given the frequency of infection caused by multidrug-resistant microorganisms in SOT recipients in Italy and the heavy impact of infections on the transplant outcome, the reinforcement of surveillance and control activities to prevent the transmission of multidrug-resistant microorganisms in SOT recipients represents a priority. The implementation of the study protocol in liver and lung transplant units and the sharing of results have increased the awareness about the threat due to antimicrobial resistance in the country.

Published
2018

13. Kidney transplantation and withdrawal rates among wait-listed first-generation immigrants in Italy.

Author

Grossi AA, Puoti F, Fiaschetti P, Di Ciaccio P, Maggiore U, and Cardillo M

Subjects
Adult, Humans, Living Donors, Retrospective Studies, Waiting Lists, Emigrants and Immigrants, Kidney Transplantation adverse effects
Abstract

Background: Multiple barriers diminish access to kidney transplantation (KT) in immigrant compared to non-immigrant populations. It is unknown whether immigration status reduces the likelihood of KT after wait-listing despite universal healthcare coverage with uniform access to transplantation., Methods: We retrospectively collected data of all adult waiting list (WL) registrants in Italy (2010-20) followed for 5 years until death, KT in a foreign center, deceased-donor kidney transplant (DDKT), living-donor kidney transplant (LDKT) or permanent withdrawal from the WL. We calculated adjusted relative probability of DDKT, LDKT and permanent WL withdrawal in different immigrant categories using competing-risks multiple regression models., Results: Patients were European Union (EU)-born (n = 21 624), Eastern European-born (n = 606) and non-European-born (n = 1944). After controlling for age, sex, blood type, dialysis vintage, case-mix and sensitization status, non-European-born patients had lower LDKT rates compared to other immigrant categories: LDKT adjusted relative probability of non-European-born vs. Eastern European-born 0.51 (95% CI: 0.33-0.79; P = 0.002); of non-European-born vs. EU-Born: 0.65 (95% CI: 0.47-0.82; P = 0.001). Immigration status did not affect the rate of DDKT or permanent WL withdrawal., Conclusions: Among EU WL registrants, non-European immigration background is associated with reduced likelihood of LDKT but similar likelihood of DDKT and permanent WL withdrawal. Wherever not available, new national policies should enable coverage of travel and medical fees for living-donor surgery and follow-up for non-resident donors to improve uptake of LDKT in immigrant patients, and provide KT education that is culturally competent, individually tailored and easily understandable for patients and their potential living donors., (© The Author(s) 2022. Published by Oxford University Press on behalf of the European Public Health Association.)

Published
2022
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