Home Nephro News Different sized slices of cake: macroeconomic impacts on access to transplantation and graft survival for children

Different sized slices of cake: macroeconomic impacts on access to transplantation and graft survival for children

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Different sized slices of cake: macroeconomic impacts on access to transplantation and graft survival for children

Transplantation for children with end-stage kidney disease confers clear survival, health, and health economic benefits. Access to transplantation and graft survival has been clearly shown to be affected by macroeconomic and patient-level factors in adults. This commentary explores the findings and implications of the “Results in the ESPN/ERA-EDTA Registry Suggest Disparities in Access to Kidney Transplantation but Little Variation in Graft Survival of Children Across Europe” study by Bonthuis et al., including key priorities in future research.

Globally, macroeconomic factors strongly influence individual access to transplantation and transplant outcomes. In 2018, there was no access to kidney transplantation in 77% of low-income countries (LICs) as compared with only 11% of high-income countries (HICs), which were mostly small countries such as Luxembourg.

  • Bello A.K.
  • Levin A.
  • Lunney M.
  • et al.
Status of care for end stage kidney disease in countries and regions worldwide: international cross sectional survey.