Priority 16 from the Kidney Transplant PSP

UNCERTAINTY: How can we ensure fair and equal access to transplantation across the UK?
Overall ranking Priority questions agreed on but not put in ranked order
JLA question ID 0037/16
Explanatory note Not available for this PSP

Existing Randomised Controlled Trials: R Ravanan, U Udayaraj, D Ansell et al. Variation between centres in access to renal transplantation in UK: longitudinal cohort study. BMJ 2010; 341  ~
Goldfarb-Rumyantzev AS, Sandhu GS, Baird B et al. Effect of education on racial disparities in access to kidney transplantation. Clinical transplantation, 2012, 26(1), 74 PMID: 21198857

Health Research Classification System category Renal and Urogenital
Extra information provided by this PSP
Original uncertainty examples

Is it possible for a patient refused a transplant at the pre assessment to appeal to an independent body What factors influence transplant surgeons decisions to list/refuse listing?
 - significant consultant-consultant variation. How can all potential patients be given equal access to transplantation? How should we objectively assess who should and should not receive a kidney transplant Should patients with impaired cardiac function (EF 30-40%) have a kidney transplant?


Comparison Surgery
Submitted by

Patient x 1 Clinicians x 5

Outcomes to be measured Patient and graft survival, graft function, adverse events
PSP information
PSP unique ID 0037
PSP name Kidney Transplant
Total number of uncertainties identified by this PSP. 90  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 3 February 2016