Bénédicte Driollet|Florian Bayer|Valérie Châtelet|MA Macher|Rémi Salomon|Bruno Ranchin|G. Roussey|Annie Lahoche|Florentine Garaix|Stéphane Decramer|Elodie Mérieau|Marc Fila|Ariane Zaloszyc|G. Deschenes|L Valeri|Ludivine Launay|Cécile Couchoud|Karen Leffondré|Jérôme Harambat
Social deprivation is associated with poor kidney transplantation outcome in children
Bordeaux Population Health|Bordeaux Population Health|Bordeaux Population Health
socioeconomic status important determinant health impact kidney transplantation outcome studied among adults data children scarce especially europe investigate association level social deprivation determined continuous score european deprivation index graft failure risk pediatric kidney transplant recipients patients listed 18 years age received first kidney transplant 2002 2014 france included 1050 kidney transplant recipients males 59 median age transplantation 132 years preemptive transplantation 23 211 graft failures occurred within median followup 59 years thirtyseven percent patients belong deprived quintile suggesting deprivation frequent pediatric patients endstage kidney disease eskd general population five tenyear graft survival 85 69 respectively deprived quintile vs 90 83 respectively least deprived quintile time transplantation patients deprived quintile almost twofold higher hazard graft failure compared least deprived quintile adjustment age renal replacement therapy duration dialysis primary kidney disease ruralurban living environment hazard ratio 199 95 confidence interval 120328 hazard graft failure differ significantly girls boys thus findings suggest lower socioeconomic status independently associated poor graft outcome pediatric kidney transplantation