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Does socioeconomic status or geographic location play a role in access to nephrology services for UK children with chronic kidney disease?

Safe People

Organisation name

University of Bristol and UK Renal Registry

Safe Projects

Project ID

ILD10

Lay summary

In children whose kidneys have failed, renal replacement therapy (RRT) is life-saving, either as dialysis or a kidney transplant. Kidney transplantation is the first choice of RRT for children. It offers the best chance for near-normal growth and development. In an ideal situation, a child whose kidneys are failing would receive a transplant before their kidneys stop working altogether: this is called a pre-emptive transplant (PET). Currently, about one in four UK children starting RRT receive a PET. There are many possible reasons why PET numbers are not higher. Being very young (less than 2 years) and finding out about a kidney problem at a late stage of the disease means you are less likely to get a PET (late presentation). Studies have found that females and non-white patients are also less likely to benefit, although reasons are unclear. In the UK, it is not known whether being deprived or living far away from a kidney centre affects 1) how early/late a child's kidney problem is identified or 2) their chances of receiving a PET. We aim to explore these issues using information from the UK Renal Registry.

Latest approval date

13/12/2017

Safe Data

Dataset(s) name