Acesso à lista de espera para o transplante renal

Juliana Dall’Agnol, Eda Schwartz, Fernanda Lise

Resumo

Descrever os fatores que dificultam o acesso dos indivíduos em terapia de substituição renal à lista de espera para o transplante renal à nível mundial por meio da revisão bibliográfica sistemática. Atende as diretrizes do Preferred Reporting Items for Systematic Reviews and Meta-Analyses. A qualidade metodológica dos artigos foi avaliada de acordo com o Strengthening the Reporting of Observational Studies in Epidemiology. A estratégia PICO foi utilizada para busca das evidências que foram analisadas de forma descritiva e apresentadas em categorias temáticas. Os dez artigos apontam fatores demográficos, clínicos, socioeconômicos, geográficos, motivos referidos e de características do serviço como fatores que dificultam o acesso à lista de espera para o transplante renal. A decisão do indivíduo e sua família deve ser respeitada, entretanto, os serviços de terapia de substituição renal necessitam promover a qualificação dos profissionais e investir na estrutura destes serviços.

Descritores: Transplante de Rim, Enfermagem, Listas de Espera, Acesso à Informação.

 

Access to the kidney transplant waiting list

Abstract: To describe the factors that make it difficult for individuals on renal replacement therapy to access the kidney transplantation waiting list worldwide through a systematic literature review. It attends the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes guidelines. The methodological quality of the articles was assessed according to the Strengthening the Reporting of Observational Studies in Epidemiology. The PICO strategy was used and the evidence was analyzed descriptively and presented in thematic categories. The ten papers point to demographic, clinical, socioeconomic, geographic factors, reasons mentioned and service characteristics as factors that hinder access to the waiting list for kidney transplantation. The decision of the individual and the family must be respected, however, renal replacement therapy services need to promote the qualification of professionals and invest in the structure of these services.

Descriptors: Kidney Transplantation, Nursing, Waiting Lists, Access to Information.

 

Acceso a la lista de espera de trasplante de riñón

Resumen: Describir los factores que dificultan el acceso de los individuos en tratamiento sustitutivo renal a la lista de espera para trasplante renal en todo el mundo mediante una revisión sistemática de la literatura. Cumple con los elementos Preferred Reporting Items for Systematic Reviews and Meta-Analyzes. La calidad metodológica de los artículos se evaluó de acuerdo con Strengthening the Reporting of Observational Studies in Epidemiology. Se utilizó la estrategia PICO para la búsqueda de evidencias que se analizaron descriptivamente y se presentaron en categorías temáticas. Los diez artículos apuntan a factores demográficos, clínicos, socioeconómicos, geográficos, razones mencionadas y características del servicio como factores que dificultan el acceso a la lista de espera para trasplante renal. Se debe respetar la decisión del individuo y su familia, sin embargo, los servicios de terapia sustitutiva renal deben promover la calificación de los profesionales e invertir en la estructura de estos servicios.

Descriptores: Transplante de Riñon, Enfermería, Listas de Espera, Acceso a la Información.

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Referências

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