{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T17:18:30Z","timestamp":1770484710366,"version":"3.49.0"},"reference-count":44,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,4,21]],"date-time":"2015-04-21T00:00:00Z","timestamp":1429574400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nephrology"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Whether socioeconomic status confers worse outcomes after kidney transplantation is unknown. Its influence on allograft and patient survival following kidney transplantation in <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>reland was examined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective, observational cohort study of adult deceased\u2010donor first kidney transplant recipients from 1990 to 2009 was performed. Those with a valid <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>rish postal address were assigned a socioeconomic status score based on the <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>obal <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>asse\u2010<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>ratschke deprivation index and compared in quartiles. Cox proportional hazards models and Kaplan\u2013Meier survival analysis were used to investigate any significant association of socioeconomic status with patient and allograft outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1944 eligible kidney transplant recipients were identified. The median follow\u2010up time was 8.2 years (interquartile range 4.4\u201313.3 years). Socioeconomic status was not associated with uncensored or death\u2010censored allograft survival (hazard ratio (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>) 1.0, 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>) 0.99\u20131.00, <jats:italic>P<\/jats:italic>\u2009=\u20090.33 and <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> 1.0, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.99\u20131.00, <jats:italic>P<\/jats:italic>\u2009=\u20090.37, respectively). Patient survival was not associated with socioeconomic status quartile (<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> 1.0, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.93\u20131.08, <jats:italic>P<\/jats:italic>\u2009=\u20090.88). There was no significant difference among quartiles for uncensored or death\u2010censored allograft survival at 5 and 10 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There was no socioeconomic disparity in allograft or patient outcomes following kidney transplantation, which may be partly attributable to the Irish healthcare model. This may give further impetus to calls in other jurisdictions for universal healthcare and medication coverage for kidney transplant recipients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/nep.12410","type":"journal-article","created":{"date-parts":[[2015,1,30]],"date-time":"2015-01-30T09:15:51Z","timestamp":1422609351000},"page":"426-433","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Influence of socioeconomic status on allograft and patient survival following kidney transplantation"],"prefix":"10.1111","volume":"20","author":[{"given":"Frank L","family":"Ward","sequence":"first","affiliation":[{"name":"Department of Transplantation and Renal Medicine Beaumont Hospital  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"O'Kelly","sequence":"additional","affiliation":[{"name":"Department of Transplantation and Renal Medicine Beaumont Hospital  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fionnuala","family":"Donohue","sequence":"additional","affiliation":[{"name":"Health Intelligence Unit Health &amp; Wellbeing Directorate Health Service Executive  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Coilin","family":"\u00d3hAiseadha","sequence":"additional","affiliation":[{"name":"Health Intelligence Unit Health &amp; Wellbeing Directorate Health Service Executive  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trutz","family":"Haase","sequence":"additional","affiliation":[{"name":"Social and Economic Consultant Health Service Executive  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Pratschke","sequence":"additional","affiliation":[{"name":"Social and Economic Consultant Health Service Executive  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Declan G","family":"deFreitas","sequence":"additional","affiliation":[{"name":"Department of Transplantation and Renal Medicine Beaumont Hospital  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Howard","family":"Johnson","sequence":"additional","affiliation":[{"name":"Health Intelligence Unit Health &amp; Wellbeing Directorate Health Service Executive  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter J","family":"Conlon","sequence":"additional","affiliation":[{"name":"Department of Transplantation and Renal Medicine Beaumont Hospital  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conall M","family":"O'Seaghdha","sequence":"additional","affiliation":[{"name":"Department of Transplantation and Renal Medicine Beaumont Hospital  Dublin Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,4,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0015538"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1681\/ASN.2012070659"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0050766"},{"key":"e_1_2_6_5_1","volume-title":"Social Determinants of Health: The Solid Facts","author":"Wilkinson R","year":"2003"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2010.03041.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2012.12.031"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2013.176"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2013.282"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0000000000000164"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2008.00803.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.00630805"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2014.05.020"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.11.041"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2010.07.003"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2011.06.017"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1053\/jlts.2002.37000"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007890-200107270-00017"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e3182708ea8"},{"key":"e_1_2_6_20_1","unstructured":"HaaseT PratschkeJ.The Pobal HP Deprivation Index. 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