{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T08:54:30Z","timestamp":1780044870580,"version":"3.53.1"},"reference-count":18,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003593","name":"CNPq","doi-asserted-by":"crossref","award":["303229\/2019-5"],"award-info":[{"award-number":["303229\/2019-5"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: Apesar da relev\u00e2ncia do transplante renal, a oferta de \u00f3rg\u00e3os e o processo para inclus\u00e3o na lista de espera ainda representam entraves. O presente estudo teve como objetivo analisar o desempenho dos centros dial\u00edticos no encaminhamento para avalia\u00e7\u00e3o pr\u00e9-transplante renal e inclus\u00e3o em lista de espera de pacientes incidentes em di\u00e1lise, no per\u00edodo de 2015 a 2019, no Estado de Minas Gerais, Brasil. Trata-se de um estudo de coorte retrospectivo, que teve como amostra 23.297 registros de pacientes que realizaram terapia dial\u00edtica em institui\u00e7\u00f5es p\u00fablicas, filantr\u00f3picas ou que tiveram seu tratamento custeado pelo Sistema \u00danico de Sa\u00fade em cl\u00ednicas privadas conveniadas. Para avalia\u00e7\u00e3o do encaminhamento pr\u00e9-transplante renal, realizou-se a an\u00e1lise de sobrevida pelo m\u00e9todo Kaplan-Meier. A for\u00e7a da associa\u00e7\u00e3o entre as vari\u00e1veis de exposi\u00e7\u00e3o e a ocorr\u00eancia da inscri\u00e7\u00e3o na lista foram analisadas por meio dos modelos de regress\u00e3o de Cox. Ao analisar a inscri\u00e7\u00e3o em lista de espera pr\u00e9-transplante renal, 14,8% da amostra encontrava-se inscrita. A probabilidade acumulada de inscri\u00e7\u00e3o foi de 1,2% em 180 dias e 3,3% em um ano, entre 2016 e 2019. A macrorregi\u00e3o Norte apresentou maior probabilidade acumulada de inscri\u00e7\u00e3o em lista de espera, enquanto a Sul apresentou a menor. Assim como indiv\u00edduos adultos apresentaram maior probabilidade de inscri\u00e7\u00e3o em rela\u00e7\u00e3o aos idosos, e o ano de 2016 obteve maior probabilidade em rela\u00e7\u00e3o aos anos de 2018 e 2019. Embora estabelecido na Portaria n\u00ba 389\/2014 do Minist\u00e9rio da Sa\u00fade o percentual m\u00ednimo de pacientes aptos que devem ser inseridos em lista, n\u00e3o foi observada repercuss\u00e3o positiva na probabilidade acumulada de inscri\u00e7\u00e3o entre os incidentes em di\u00e1lise nos anos subsequentes.<\/jats:p>","DOI":"10.1590\/0102-311xpt021423","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T13:40:57Z","timestamp":1737985257000},"source":"Crossref","is-referenced-by-count":2,"title":["An\u00e1lise de desempenho dos centros dial\u00edticos no encaminhamento e inscri\u00e7\u00e3o em lista de espera pr\u00e9-transplante renal em Minas Gerais, Brasil, 2015 a 2019"],"prefix":"10.1590","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1490-3449","authenticated-orcid":false,"given":"Cl\u00e1udio Vitorino","family":"Pereira","sequence":"first","affiliation":[{"name":"Universidade Federal de Juiz de Fora,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1258-7331","authenticated-orcid":false,"given":"Isabel Cristina Gon\u00e7alves","family":"Leite","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9688-4557","authenticated-orcid":false,"given":"M\u00e1rio C\u00edrio","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Universidade Federal de Juiz de Fora,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0036-0298","authenticated-orcid":false,"given":"Gustavo Fernandes","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Santa Casa de Miseric\u00f3rdia de Juiz de Fora,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"1587","DOI":"10.2215\/CJN.03900321","article-title":"Barriers and solutions to kidney transplantation for the undocumented Latinx Community with kidney failure","volume":"16","author":"Rizzolo K","year":"2021","journal-title":"Clin J Am Soc Nephrol"},{"key":"ref2","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2015-010377","article-title":"Access to Transplantation and Transplant Outcome Measures (ATTOM) study protocol of a UK wide, in-depth, prospective cohort analysis","volume":"6","author":"Oniscu C","year":"2016","journal-title":"BMJ Open"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"282","DOI":"10.2215\/CJN.04690417","article-title":"Standardized transplantation referral ratio to assess performance of transplant referral among dialysis facilities","volume":"13","author":"Paul S","year":"2018","journal-title":"Clin J Am Soc Nephrol"},{"key":"ref4","series-title":"Censo brasileiro de di\u00e1lise 2021."},{"key":"ref5","first-page":"2175","article-title":"Differences and inequalities in relation to access to renal replacement therapy in the BRICS countries","volume":"22","author":"Ferraz FHRP","year":"2017","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"issue":"4","key":"ref6","article-title":"Dimensionamento dos transplantes no Brasil e em cada estado 2014-2021.","volume":"XXVIII","year":"2021","journal-title":"Registro Brasileiro de Transplantes"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"e342","DOI":"10.1097\/TP.0000000000003369","article-title":"Using geographic catchment areas to measure population-based access to kidney transplant in the United States","volume":"104","author":"Ross-Driscoll K","year":"2020","journal-title":"Transplantation"},{"key":"ref8","doi-asserted-by":"crossref","DOI":"10.1590\/1980-549720240002","article-title":"Spatial analysis of care for patients undergoing dialysis therapy in the state of Minas Gerais, Brazil, between 2015 and 2019","volume":"27","author":"Pereira CV","year":"2024","journal-title":"Rev Bras Epidemiol"},{"key":"ref9","article-title":"Portaria n\u00ba 389, de 13 de mar\u00e7o de 2014. 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