Women's Access to Kidney Transplantation in France: A Mixed Methods Research Protocol.
Latame AdoliMaxime RaffrayValérie ChâteletCécile VigneauThierry LobbedezFei GaoFlorian BayerArnaud CampéonElsa VabretLaëtitia LaudeJean-Philippe JaisEric DaugasClémence BechadeSahar BayatPublished in: International journal of environmental research and public health (2022)
Kidney transplantation is the best renal replacement therapy (medically and economically) for eligible patients with end-stage kidney disease. Studies in some French regions and in other countries suggest a lower access to the kidney transplant waiting listing and also to kidney transplantation, once waitlisted, for women. Using a mixed methods approach, this study aims to precisely understand these potential sex disparities and their causes. The quantitative study will explore the geographic disparities, compare the determinants of access to the waiting list and to kidney transplantation, and compare the reasons and duration of inactive status on the waiting list in women and men at different scales (national, regional, departmental, and census-block). The qualitative study will allow describing and comparing women's and men's views about their disease and transplantation, as well as nephrologists' practices relative to the French national guidelines on waiting list registration. This type of study is important in the current societal context in which the reduction of sex/gender-based inequalities is a major social expectation.
Keyphrases
- kidney transplantation
- polycystic ovary syndrome
- healthcare
- randomized controlled trial
- pregnancy outcomes
- primary care
- stem cells
- study protocol
- clinical trial
- risk assessment
- mesenchymal stem cells
- type diabetes
- pregnant women
- quality improvement
- metabolic syndrome
- climate change
- cervical cancer screening
- breast cancer risk
- middle aged
- cell therapy
- health insurance