Evidence map›Paper›PMID 40232649›Full record

ArticleJournal of nephrology2025

Kidney failure care for migrants: a European survey.

Cédric Rafat, Ewa Pawlowicz-Szlarska, Gaetano Alfano, Alice Doreille, Amaryllis H Van Craenenbroeck, Liz Lightstone, Valérie Luyckx, Silvia Salaro, Maria Jose Soler, Dominique Tudor and 2 more

Abstract read
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In one paragraph

Article in Journal of nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. CKD in Migrants: From Epidemiology to Challenges.Kidney international reports · 2026
    Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Cédric RafatRenal Intensive Care Unit, Department of Nephrology, Hôpital Tenon, Paris, France. cedric.rafat@aphp.fr.ORCID http://orcid.org/0000-0002-1093-0514
Ewa Pawlowicz-SzlarskaDepartment of Nephrology, Hypertension and Kidney Transplantation, Medical University of Lodz, Lodz, Poland.
Gaetano AlfanoNephrology Dialysis and Transplant Unit, University Hospital of Modena, Modena, Italy.
Alice DoreilleRenal Intensive Care Unit, Department of Nephrology, Hôpital Tenon, Paris, France.
Amaryllis H Van CraenenbroeckDepartment of Microbiology, Immunology and Transplantation, Nephrology and Renal Transplantation Research Group, KU Leuven, Louvain, Belgium.
Liz LightstoneCentre for Inflammatory Disease, Dept of Immunology and Inflammation, Imperial College London, London, UK.
Valérie LuyckxInternational Society of Nephrology (ISN), Brussels, Belgium.
Silvia SalaroInternational Society of Nephrology (ISN), Brussels, Belgium.
Maria Jose SolerNephrology Department, Vall d'Hebron University Hospital, Barcelona, Spain.
Dominique TudorInternational Society of Nephrology (ISN), Brussels, Belgium.
Andreas KronbichlerDepartment of Internal Medicine IV, Nephrology and Hypertension, Medical University of Innsbruck, Innsbruck, Austria.
Safak MiriogluDivision of Nephrology, Bezmialem Vakif University School of Medicine, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe management of migrants with kidney failure and no medical insurance raises complex medical, social, financial, and ethical issues. The survey aimed to investigate (i) current practices in managing these patients, and (ii) the perspective of European nephrologists on ethical dilemmas and optimal care.

methodsThe survey was piloted by the ISN Western Europe Regional Board, with members of the Young Nephrologists' Platform (YNP) of the European Renal Association (ERA), and disseminated to European nephrologists in the ISN and YNP networks. Responses were collected anonymously via SurveyMonkey.

resultsA total of 378 responses were collected from 29 European countries. Most (57%) managed fewer than 3 migrant patients with kidney failure per week, while 10% managed more than 11. Most respondents indicated that access to dialysis was unrestricted (59%), although only 25% said migrant patients were systematically eligible for kidney transplantation. Many nephrologists (38%) were unaware of the directives of governmental bodies or hospital protocols regarding migrant patients. The most common obstacles to patient management included language non concordance (64%), uncertainty about the future (56%), and lack of knowledge of medical history (49%). Two-thirds felt managing migrant patients was a moral duty, though 52% reported stress within the clinical caregiving team.

conclusionDespite strong commitment from European nephrologists, a fragmented legal framework, remaining barriers, and uneven case distribution hinder optimal care for migrant patients with kidney disease.

Indexed as

NephrologistsNephrologyPractice Patterns, Physicians'Renal InsufficiencyTransients and MigrantsAttitude of Health PersonnelEuropeHealth Care SurveysHealth Services AccessibilityHumansKidney TransplantationRenal DialysisSurveys and QuestionnairesEnd-stage kidney diseaseHemodialysisKidney transplantationMigrant patientsPeritoneal dialysis

Identifiers

PMID40232649

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.