Presentation and outcome of chronic kidney disease in Italian and immigrant citizens: results from the Emilia-Romagna PIRP project

Gibertoni, Dino; Mammana, L; Baschieri, Erica; Minora, F.; Santoro, Armando

doi:10.1007/s40620-021-00984-5

Cited by 1 publication

(1 citation statement)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar to European data [31][32][33], a large segment of first-generation immigrants in high migratory pressure areas in Italy has ESKD (7.6%-35%) [34][35][36] and liver disease (9.2%) [37]. Studies reveal that these populations present significantly higher rates of diabetes, obesity (especially among subjects of South-east Asian and Northern African origin) and other risk factors (i.e., hypertension) for the progression toward organ failure (especially ESKD) requiring replacement therapies [27,38,39]. Italy has a universal healthcare system which guarantees organ transplantation regardless of ethnicity, immigration background, religious beliefs, gender, socio-economic status, health literacy, linguistic difficulties, or cultural diversity.…”

Section: Introductionmentioning

confidence: 99%

Inequities in Organ Donation and Transplantation Among Immigrant Populations in Italy: A Narrative Review of Evidence, Gaps in Research and Potential Areas for Intervention

Grossi¹,

Puoti²,

Masiero³

et al. 2023

Transpl Int

View full text Add to dashboard Cite

Immigrants from outside Europe have increased over the past two decades, especially in Southern European countries including Italy. This influx coincided with an increased number of immigrants with end-stage organ diseases. In this narrative review, we reviewed evidence of the gaps between native-born and immigrant populations in the Organ Donation and Transplantation (ODT) process in Italy. Consistent with prior studies, despite the availability of a publicly funded health system with universal healthcare coverage, non-European-born individuals living in Italy are less likely to receive living donor kidney transplantation and more likely to have inferior long-term kidney graft function compared with EU-born and Eastern European-born individuals. While these patients are increasingly represented among transplant recipients (especially kidney and liver transplants), refusal rates for organ donation are higher in some ethnic groups compared with native-born and other foreign-born referents, with the potential downstream effects of prolonged waiting times and inferior transplant outcomes. In the process, we identified gaps in relevant research and biases in existing studies. Given the Italian National Transplant Center’s (CNT) commitment to fighting inequities in ODT, we illustrated actions taken by CNT to tackle inequities in ODT among immigrant communities in Italy.

show abstract