ArticlePediatric nephrology (Berlin, Germany)2012
Disparities in dialysis treatment and outcomes for Dutch and Belgian children with immigrant parents.
Article in Pediatric nephrology (Berlin, Germany), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- The global survival rate of graft and patient in kidney transplantation of children: a systematic review and meta-analysis.BMC pediatrics · 2022Pooled it
- Disparities in lung transplantation in children.Pediatric pulmonology · 2024Review
- Inequities in Organ Donation and Transplantation Among Immigrant Populations in Italy: A Narrative Review of Evidence, Gaps in Research and Potential Areas for Intervention.Transplant international : official journal of the European Society for Organ Transplantation · 2023Review
- Structural Inequities and Barriers to Accessing Kidney Healthcare Services in the United States: A Focus on Uninsured and Undocumented Children and Young Adults.Frontiers in pediatrics · 2022Article
- Policy in pediatric nephrology: successes, failures, and the impact on disparities.Pediatric nephrology (Berlin, Germany) · 2021Review
- Resident foreign patients receive adequate dialysis but fewer preemptive transplantations: data from the Italian pediatric dialysis registry.Pediatric nephrology (Berlin, Germany) · 2021Article
- Ethnic Background Is a Potential Barrier to Living Donor Kidney Transplantation in Canada: A Single-Center Retrospective Cohort Study.Transplantation · 2017Article
- Inequalities in access to pediatric ESRD care: a global health challenge.Pediatric nephrology (Berlin, Germany) · 2016Article
- Social and economic determinants of pediatric health inequalities: the model of chronic kidney disease.Pediatric research · 2016Review
- Adaptation of health care for migrants: whose responsibility?BMC health services research · 2014Article
- Psychosocial support for children and families requiring renal replacement therapy.Pediatric nephrology (Berlin, Germany) · 2014Review
- Likelihood of children with end-stage kidney disease in Europe to live with a functioning kidney transplant is mainly explained by nonmedical factors.Pediatric nephrology (Berlin, Germany) · 2014Article
- Factors influencing choice of renal replacement therapy in European paediatric nephrology units.Pediatric nephrology (Berlin, Germany) · 2013Article
- Disparities, race/ethnicity and access to pediatric kidney transplantation.Current opinion in nephrology and hypertension · 2013Review
Corrections and comments
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Authors and funding
14 authors at 10 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Belgium and the Netherlands, up to 40% of the children on dialysis are children with immigrant parents of non-Western European origin (non-Western). Concerns exist regarding whether these non-Western patients receive the same quality of care as children with parents of Western European origin (Western). We compared initial dialysis, post-initial treatment, and outcomes between non-Western and Western patients on dialysis.
methodsAll children <19 years old on chronic dialysis in the Netherlands and Belgium between September 2007 and May 2011 were included in the study. Non-Western patients were defined as children of whom one or both parents were born in non-Western countries.
resultsSeventy-nine of the 179 included patients (44%) were non-Western children. Compared to Western patients, non-Western patients more often were treated with hemodialysis (HD) instead of peritoneal dialysis (PD) as first dialysis mode (52 vs. 37%, p = 0.046). Before renal transplantation, non-Western patients were on dialysis for a median (range) of 30 (5-99) months, vs. 15 (0-66) months in Western patients (p = 0.007). Renal osteodystrophy was diagnosed in 34% of non-Western vs. 18% of Western patients (p = 0.028). The incidence rate ratio [95% confidence interval] for acute peritonitis was 2.44 [1.43-4.17] (p = 0.032) for non-Western compared to Western patients.
conclusionsThere are important disparities between children on chronic dialysis with parents from Western European origin and those from non-Western European origin in the choice of modality, duration, and outcomes of dialysis therapy.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.