Perfil e desfecho clínico de pacientes em lista de espera por transplante renal, Belo Horizonte (MG, Brasil), 2000-2005

Abstract

This is an observational, follow up study in order to characterize the patients profile in waiting list to kidney transplantation between 01/01/2000 and 12/31/2004 in Belo Horizonte (MG, Brazil) and their outcome in 12/31/2005. Sociodemographic and clinical characteristics of patients residents in Belo Horizonte city, 18 years of age or older was collected from State Transplantations Center of MG. Health professionals involved with transplantations answered to interviews to describe access barriers to it. Descriptive and comparative statistical analyses were performed with secondary data and qualitative analyses of the interviews were made. It was enrolled 835 patients. At the end of the study, 22.7% were transplanted, 15.6% died, 15.4% were drifted away and 46.2% remained on the waiting list. Transplanted patients were younger, professionally occupied, blood type A, have glomerulonephritis as basic ERSD cause, less diabetes prevalence and lower time between the beginning of the dialysis treatment until inclusion on the waiting list, compared with non-transplanted patients. Sociodemographic and clinical characteristics were associated with kidney transplantation access, described as a complex process which involves primary care determinants until kidney allocation.