Academic Journal
The weekend effect in kidney transplantation outcomes: a French cohort‐based study
| العنوان: | The weekend effect in kidney transplantation outcomes: a French cohort‐based study |
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| المؤلفون: | Ville, Simon, Branchereau, Julien, Cornuaud, Adeline, Dantal, Jacques, Legendre, Christophe, Buron, Fanny, Morelon, Emmanuel, Garrigue, Valérie, Lequentrec, Moglie, Albano, Laetitia, Cassuto, Elisabeth, Girerd, Sophie, Ladrière, Marc, Glotz, Denis, Lefaucher, Carmen, Kerleau, Clarisse, Foucher, Yohann, Giral, Magali |
| المساهمون: | Centre de Recherche en Transplantation et Immunologie (U1064 Inserm - CRTI), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Nantes - UFR de Médecine et des Techniques Médicales (UFR MEDECINE), Université de Nantes (UN)-Université de Nantes (UN), MethodS in Patients-centered outcomes and HEalth ResEarch (SPHERE), Université de Tours (UT)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Nantes - UFR des Sciences Pharmaceutiques et Biologiques, Centre Hospitalier Universitaire de Nantes = Nantes University Hospital (CHU Nantes), Département de Néphrologie CHU Necker, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Necker - Enfants Malades AP-HP, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Hôpital Necker - Enfants Malades AP-HP, Service de Transplantation, Néphrologie et Immunologie Clinique Hôpital Edouard Herriot, HCL, Hospices Civils de Lyon (HCL)-Hôpital Edouard Herriot CHU - HCL, Hospices Civils de Lyon (HCL), Centre Hospitalier Régional Universitaire Montpellier (CHRU Montpellier), Centre Hospitalier Universitaire de Nice (CHU Nice), Service de Néphrologie CHRU Nancy, Centre Hospitalier Régional Universitaire de Nancy (CHRU Nancy), Service de Néphrologie Saint-Louis, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Groupe Hospitalier Saint Louis - Lariboisière - Fernand Widal Paris, Réseau CENTAURE CHU Nantes (Fondation, Centre d’Investigation Clinique en Biothérapie), Université de Nantes (UN)-Centre Hospitalier Universitaire de Nantes = Nantes University Hospital (CHU Nantes)-Institut de Transplantation et de Recherche en Transplantation (ITUN - Institut Transplantation Urologie Néphroplogie*), DIVAT consortium: Lionel Badet, Maria Brunet, Fanny Buron, Rémi Cahen, Sameh Daoud, Coralie Fournie, Arnaud Grégoire, Alice Koenig, Charlène Lévi, Emmanuel Morelon, Claire Pouteil-Noble, Thomas Rimmelé, Olivier Thaunat, Sylvie Delmas, Valérie Garrigue, Moglie Le Quintrec, Vincent Pernin, Jean-Emmanuel Serre, Pascal Eschwege, Luc Frimat, Sophie Girerd, Jacques Hubert, Marc Ladriere, Emmanuelle Laurain, Louis Leblanc, Pierre Lecoanet, Jean-Louis Lemelle, Gilles Blancho, Julien Branchereau, Diego Cantarovich, Agnès Chapelet, Jacques Dantal, Clément Deltombe, Lucile Figueres, Claire Garandeau, Magali Giral, Caroline Gourraud-Vercel, Maryvonne Hourmant, Georges Karam, Clarisse Kerleau, Aurélie Meurette, Simon Ville, Christine Kandell, Anne Moreau, Karine Renaudin, Anne Cesbron, Florent Delbos, Alexandre Walencik, Anne Devis, Laeticia Albano, Elisabeth Cassuto, Denis Glotz, Carmen Lefaucheur, Lucile Amrouche, Dany Anglicheau, Olivier Aubert, Lynda Bererhi, Christophe Legendre, Alexandre Loupy, Frank Martinez, Rébecca Sberro-Soussan, Anne Scemla, Claire Tinel, Julien Zuber |
| المصدر: | ISSN: 0934-0874. |
| بيانات النشر: | HAL CCSD Frontiers Media |
| سنة النشر: | 2020 |
| المجموعة: | Université François-Rabelais de Tours: HAL |
| مصطلحات موضوعية: | Kidney transplantation, cohort-based analysis, weekend effect, [SDV]Life Sciences [q-bio] |
| الوصف: | International audience ; Background: Numerous studies have reported a weekend effect on outcomes for diseases treated at hospitals. No study has been conducted in France for kidney transplantation. We therefore performed a cohort-based study to evaluate whether outcomes of kidney transplant recipients display a weekend effect.Methods: Data were extracted from the French DIVAT cohort. Patients aged 18 years and older, transplanted with a single kidney from deceased donors between 2005 and 2017 were studied. Linear regression, logistic regression and cause specific Cox model were used.Results: Among the 6652 studied patients, 4653 patients were transplanted during weekdays (69.9%) versus 1999 during weekends (30.1%). The only statistically significant difference was the percentage of patients with vascular surgical complication(s) at 30 days: 13.3% in the weekend group versus 16.2% in the weekday group 0.79 (95% CI: 0.68; 0.92). We did not observe other significant differences for the other outcomes: patient or graft survival, the risk of acute rejection episodes, the 30-day percentage of urological complications, and the 1-year estimated glomerular filtration rate.Conclusion: Our study highlights a small protective weekend effect with less post-surgery vascular complications compared to weekdays. This paradox might be explained by a different handling of weekend transplantations. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/32428980; inserm-02626392; https://inserm.hal.science/inserm-02626392; PUBMED: 32428980 |
| DOI: | 10.1111/tri.13653 |
| الاتاحة: | https://inserm.hal.science/inserm-02626392 https://doi.org/10.1111/tri.13653 |
| رقم الانضمام: | edsbas.6B864DC3 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1111/tri.13653 |
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