Role of Educational Level in Kidney Transplant Outcomes
<b>Background</b>: Kidney transplantation outcomes are correlated to many factors, including the socioeconomics conditions and the educational level. <b>Methods</b>: We evaluated the role of educational level on patient and graft survival in a population of 456 kidney transpl...
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| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-04-01
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| Series: | Biomedicines |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2227-9059/13/4/916 |
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| Summary: | <b>Background</b>: Kidney transplantation outcomes are correlated to many factors, including the socioeconomics conditions and the educational level. <b>Methods</b>: We evaluated the role of educational level on patient and graft survival in a population of 456 kidney transplant recipients. Patients were divided into two groups on the basis of their pre-transplant educational status: patients with primary education (elementary or middle school, as low education) were compared with patients with a secondary school education (high school or a university degree, as high education). <b>Results</b>: Among the 456 patients considered for this analysis, 161 patients had a low educational status, and 295 had a high educational status. Patients with a low educational status were more rarely employed (66.1% vs. 32.5%, <i>p</i> < 0.001), with a high rate of retired patients compared to high-educational status patients (35.6% vs. 10.6%, <i>p</i> < 0.001). Although the educational status did not influence the graft function, the 1-year (88.1% vs. 96.2%, <i>p</i> = 0.0008), 5-year (77.6% vs. 88.8%, <i>p</i> = 0.001), and 10-year (62.1% vs. 75%, <i>p</i> = 0.003) graft survival rates were significantly lower in patients with low educational status compared with high-educational status patients, respectively. Patient survival at 1-year (94.4% vs. 97.6%, <i>p</i> = 0.073), 5-year (85% vs. 92.5%, <i>p</i> = 0.011), and 10-year (75.7% vs. 83.4%, <i>p</i> = 0.042) follow-up was significantly lower in patients with low educational status. <b>Conclusions</b>: Low socioeconomic conditions and educational level had a negative impact on kidney transplant outcomes. Improving access to education and providing targeted educational support and health literacy could enhance treatment adherence and reduce disparities in transplant outcomes. |
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| ISSN: | 2227-9059 |