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Perception of social inequities in the access to the kidney transplant waiting list by nephrology trainees: a national survey

Authors :
Lucile Paris
Eve Calvar
Rémy Morello
Angélique Lecouf
Mathilde Beaumier
Thierry Lobbedez
Valérie Châtelet
Source :
BMC Nephrology, Vol 23, Iss 1, Pp 1-7 (2022)
Publication Year :
2022
Publisher :
BMC, 2022.

Abstract

Abstract Background Social inequalities in health are responsible for disparities in access to the kidney transplant waiting list (KTWL). The perception of disparities by nephrologists has consequences for the registration on the KTWL. The purposes of our study were to assess the perception of the factors implicated in the disparities in access to the KTWL by nephrology trainees and to assess the quality of the questionnaire. Methods A questionnaire was developed to assess the perception of the determinants of the inequities in access to waitlisting. Continuous variables were described by median, 1st and 3rd quartiles. Categorical variables were described by frequencies and percentages. A principal component analysis and a hierarchical cluster analysis were performed to approach the correlation between the variables. A scree plot and a factor analysis were performed to determine the dimensions of the questionnaire. The internal consistency was estimated by Cronbach’s coefficient. Results The response rate was 98/110 (89%). The determinants of inequities in the access to KTWL not perceived by the nephrology trainees were “female sex”, “income level” and “the centre provision to adapt the information to all of the patients” (18,3%, 36,7, 47% respectively). “Age”, “being born abroad”, “place of living”, “education level”, “transplant centre”, “the health care provider” were determinants of disparities perceived by most of the trainees (85,7%, 75,5%, 82,6%, 78,6%, 73,5% et 78,5% respectively). Items related to the transplant centre were positively correlated, as well as “being born abroad”, “education level” and “income level”. The Cronbach’s coefficient was 0,60. Conclusion Social inequalities in health are partially perceived by nephrology trainees. A teaching session could raise nephrologists’ awareness of this issue and could help reduce the impact of these disparities on the course of ESKD (end-stage kidney disease) patients.

Details

Language :
English
ISSN :
14712369
Volume :
23
Issue :
1
Database :
Directory of Open Access Journals
Journal :
BMC Nephrology
Publication Type :
Academic Journal
Accession number :
edsdoj.2b2f6cda8c2a4d5abc7c6b98bd10df95
Document Type :
article
Full Text :
https://doi.org/10.1186/s12882-022-03017-w