ArticleJournal of nephrology2025
Migrants on hemodialysis (HD): clinical characteristics, outcome and quality of life.
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.
What it found
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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.
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Who cites it
3 citing papers in PubMed.
- At Europe's migration crossroads: dialysis outcomes and transplant access in patients immigrating to Belgium.Clinical kidney journal · 2026Article
- Kidney Health Considerations for Patients with a Forced Migration History.Journal of immigrant and minority health · 2026Review
- CKD in Migrants: From Epidemiology to Challenges.Kidney international reports · 2026Review
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Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMigrants who live on hemodialysis (HD) face unique challenges due to social, linguistic and cultural barriers. This study aimed to describe the demographic and clinical profile of migrants on HD, and compare these findings with the national dialysis population.
methodsA retrospective study was conducted on the HD population at the University Hospital of Modena, Italy. Migrants were defined as adults who entered the country legally or illegally for employment, family reunification and/or to seek asylum.
resultsMigrants accounted for 18.2% (55 patients) of the HD population (302 patients) at our center. This group included individuals who came from Africa (61.8%), Europe (20%), Asia (16.4%), and Latin America (1.8%). About one-third (37.5%) arrived in Italy illegally. Most of the migrants (78.1%) were unaware of their kidney condition upon arrival in Italy. Migrants began dialysis at a younger age compared to Italian HD patients (P < 0.001). A higher rate of late referral (P < 0.001) and use of temporary vascular access (P = 0.015) was observed among migrants. No differences were found in the prevalence of hypertension (P = 0.19), diabetes (P = 0.27), and cardiovascular comorbidities (P = 0.055). Only 34.7% of potentially eligible kidney transplant recipients were evaluated for transplantation. Migrants had a significantly higher total EuroQol 5-Dimension 5-Level (EQ-5D-5L) score index (P = 0.046) and reported fewer problems with anxiety/depression (-29.4%; P = 0.03).
conclusionMigrants started HD at a younger age and had a higher rate of late referral compared to Italian patients. Consequently, dialysis initiation often occurred with temporary vascular access. Despite these issues and limited access to the kidney transplant waiting list, migrants overall reported a better quality of life.
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