title: UK Renal Registry 13th Annual Report (December 2010): Chapter 13: centre variation in access to renal transplantation in the UK (2004-2006).
abstract: BACKGROUND
  Renal transplantation is recognised as being the optimal treatment modality for many patients with end stage renal disease. This analysis aimed to explore the equity of access to renal transplantation in the UK.
  
  
  METHODS
  Transplant activity and waiting list data were obtained from NHS Blood and Transplant, demographic and laboratory data were obtained from the UK Renal Registry. All incident RRT patients starting treatment between 1st January 2004 and 31st December 2006 from 65 renal centres were considered for inclusion. The cohort was followed until 31st December 2008 (or until transplantation or death, whichever was earliest).
  
  
  RESULTS
  Age, ethnicity and primary renal diagnosis were associated with both accessing the kidney transplant waiting list and receiving an organ. A patient starting dialysis in a non-transplanting renal centre was less likely to be registered for transplantation (OR 0.90, 95% CI 0.82-0.99) or receive a transplant from a donor after cardiac death or a living kidney donor (OR 0.69, 95% CI 0.60-0.79) compared with patients cared for in transplanting renal centres. Once registered for kidney transplantation, patients in both transplanting and nontransplanting renal centres had an equal chance of receiving a transplant from a donor after brain stem death (OR 0.92, 95% CI 0.78-1.08).
  
  
  CONCLUSIONS
  There is wide variation in access to kidney transplantation between UK renal centres which cannot be explained by differences in case mix.
authors: UK Renal Registry, Southmead Hospital, Bristol, UK. Rommel.ravanan@nbt.nhs.uk
authors: Rommel
authors: R
authors: Ravanan
authors: John
authors: J
authors: O'Neill
authors: Lynsey
authors: L
authors: Webb
authors: Anna
authors: A
authors: Casula
authors: Rachel
authors: R
authors: Johnson
authors: Terry
authors: T
authors: Feest
mesh_terms: D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities / Q000592:standards / Q000639:trends*; D000847:Annual Reports as Topic; D015331:Cohort Studies; D005260:Female; D006297:Health Services Accessibility / Q000592:standards / Q000639:trends*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000601:surgery; D016030:Kidney Transplantation / Q000592:standards / Q000639:trends*; D008297:Male; D008875:Middle Aged; D012042:Registries; D006113:United Kingdom / Q000453:epidemiology; D014850:Waiting Lists; D055815:Young Adult