Retrospective cohort study reveals improved survival for kidney transplant recipients compared to those on dialysis in South Africa, indicating a need for expanded services.
Key Points
This research aims to evaluate the outcomes of kidney replacement therapy allocation and its impact on patient survival, especially focusing on those undergoing transplantation.
Retrospective cohort study of patients referred for kidney replacement therapy from 2012 to 2020
Cohort followed until death, transplantation, or continued waitlisting as of December 31, 2023
Descriptive analyses and comparisons of KRT allocation and outcomes
Time-to-event analyses using competing risk models and Kaplan-Meier methods for survival probabilities.
761 patients were referred for kidney failure, with 79% untreated and presumed deceased
48% of presented patients were accepted for dialysis and waitlisted for transplantation
Only 21% of those on dialysis were transplanted, showing a clear survival disparity
5-year post-KRT shows a higher probability of dying on the waitlist versus receiving a transplant (35% vs. 18%)