Association between longer travel distance for transplant care and access to kidney transplantation and graft survival in the United States
Journal of the American Society of Nephrology Mar 19, 2021
Whelan AM, Johansen KL, Brar S, et al. - Given that transplant candidates may achieve a benefit by traveling to receive care at a transplant center that may have more favorable features than their local center, and since there is lack of knowledge regarding factors related to longer travel distance for transplant care and if the excess travel distance (ETD) is related to access to transplantation or with graft failure, so, researchers addressed this topic in this analysis of adults in the US wait-listed for renal transplantation in 1995–2015 utilized ETD, defined as distance a patient traveled beyond the nearest transplant center for initial waiting list registration. Findings revealed better access to living donor but not deceased donor transplantation as well as a slightly higher risk of graft failure in patients who traveled excess distances for transplant care. There was no clear link between traveling excess distances and better results, particularly if living donors were unavailable.
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