TY  - JOUR
T1  - Gender and Geographic Disparities in Access to Kidney Replacement Therapy in South-Western Italy (Campania): A Population-Based Study
A1  - Carlos S. Ardila
A1  - Emmanouela Mandalaki
JF  - Bulletin of Pioneering Researches of Medical and Clinical Science
JO  - Bull Pioneer Res Med Clin Sci
SN  - 3006-2659
Y1  - 2021
VL  - 1
IS  - 1
DO  - 10.51847/eVdzhuE1bO
SP  - 35
EP  - 42
N2  - This study examined patterns of kidney replacement therapy (KRT) in Italy, emphasizing disparities linked to gender and place of residence. Using population-level administrative records from Campania between 2015 and 2018, we analyzed the use of haemodialysis, peritoneal dialysis, kidney transplantation, and associated mortality. Across the study period, 11,713 individuals in Campania were receiving KRT. Annual prevalence ranged from 1000 to 1015 patients per million (pmp) for haemodialysis, 115 to 133 pmp for peritoneal dialysis, and 2081 to 2245 pmp for kidney transplantation. New cases of haemodialysis occurred at 160–185 pmp annually, while kidney transplant incidence ranged from 59 to 191 pmp per year. Mortality rates varied by modality, with haemodialysis at 12.8–14.2%, peritoneal dialysis at 5.2–13.8%, and transplant recipients at 2.4–3.3%. Cox regression identified age, type of KRT, suburban residence, and yearly incidence of new dialysis as significant predictors of mortality. Regarding access to kidney transplantation, female sex, older age, suburban residence, and recent dialysis initiation were associated with lower transplant rates. Overall, these results highlight notable inequalities in KRT delivery, indicating that both gender and residential location influence survival and access to kidney transplantation in this population.
UR  - https://bprmcs.com/article/gender-and-geographic-disparities-in-access-to-kidney-replacement-therapy-in-south-western-italy-ca-ptwbvmwsjlu0zz0
ER  -