Pathways to Equitable Access to Kidney Transplantation in Spain: A Transformative Mixed-methods Study Protocol
NCT07208994 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 3000
Last updated 2025-10-06
Summary
Introduction. Chronic kidney disease (CKD) affects 10%-15% of the global population and is projected to become the fifth leading cause of years of life lost by 2040. Despite the benefits of kidney transplantation (KT), access remains inequitable. In Spain, which leads the world in KT rates per million population, disparities may persist due to structural, territorial, and professional barriers. This study aims to explore the mechanisms underlying treatment deprivation and inequity in KT access using a mixed-methods approach.
Methods and analysis. A transformative mixed-methods design will be implemented in four phases: (1) systematic reviews on instruments assessing treatment deprivation and inequalities in CKD and KT; (2) a multicenter quantitative study and qualitative interviews with professionals and patients; (3) a pre-experimental evaluation of a training program on KT; and (4) triangulation and translation of findings to inform national policy. The protocol adheres to GRAMMS and PRISMA guidelines.
Ethics and dissemination. Approved by the Hospital del Mar Research Institute Ethics Committee (ID: XX), the study complies with EU data protection laws. Informed consent will be obtained. Findings will be disseminated via peer-reviewed publications, conferences, social media, and patient forums to support equity-focused strategies in KT.
Conditions
- Chronic Kidney Disease
- Kidney Transplant
Interventions
- OTHER
-
Description
No intervention
Sponsors & Collaborators
-
Organización Nacional de Trasplantes (ONT)
collaborator UNKNOWN -
Hospital del Mar
lead OTHER
Principal Investigators
-
Montserrat Sanclemente Dalmau, Dr · Escola Superior d'Infermeria Hospital del Mar
-
Laura Rota Musoll, Dr · Universitat de Vic
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-01-01
- Primary Completion
- 2026-12-31
- Completion
- 2027-12-31
Countries
- Spain
Study Locations
More Related Trials
-
Improved Selection of Elderly (> 65 Years) for Kidney Transplantation
NCT01760733 ·Status: ACTIVE_NOT_RECRUITING
-
Reducing Disparities in Living Donor Transplant Among African Americans
NCT03819686 ·Status: COMPLETED ·Phase: NA
-
Multidimensional System to Dynamically Predict Graft Survival After Kidney Transplantation
NCT04258891 ·Status: COMPLETED
-
Access to Kidney Transplant of Obese Patients Beginning Dialysis
NCT04748770 ·Status: UNKNOWN
-
Precision Risk Stratification in Kidney Transplant Patients - EU-TRAIN
NCT03652402 ·Status: COMPLETED
-
Rejection Diagnosis in Kidney Transplants Patients
NCT03582436 ·Status: COMPLETED
-
Using Preimplantation Genetic Diagnosis in Autosomal Dominant Polycystic Kidney Disease Patients: a Multicenter Clinical Trial
NCT02948179 ·Status: COMPLETED ·Phase: NA
-
Access to Kidney Transplantation in Minority Populations
NCT04615819 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Implementing "Explore Transplant"- A Pilot Study
NCT03046732 ·Status: COMPLETED ·Phase: NA
-
Contribution of Renal Function to Endothelial Dysfunction in Living Kidney Donors and Transplant Recipients
NCT02515643 ·Status: UNKNOWN
-
MRI in Renal Transplantation
NCT03705091 ·Status: UNKNOWN
-
KTRSensor Scotland Study: An Observational Study Into Predictors and Diagnosis of Kidney Transplant Rejection
NCT06830473 ·Status: RECRUITING
-
Estimating Glomerular Filtration Rate in Kidney Transplant Recipients
NCT05229939 ·Status: COMPLETED
-
LONGitudinal Multi-omics Phenotyping of KIDney Function Alteration
NCT05570929 ·Status: RECRUITING
-
Providing Resources to Enhance African American Patients' Readiness to Make Decisions About Kidney Disease (PREPARED) Study
NCT01439516 ·Status: COMPLETED ·Phase: NA
-
The Outcomes of Living Donor Robotic Assisted Kidney Transplantation
NCT06577805 ·Status: RECRUITING
-
Impact of Preemptive Living Donor Renal Transplantation on Quality of Life , Occupational Rehabilitation and Societal Participation of Transplant Recipients
NCT02893475 ·Status: COMPLETED
-
The Effects of Pre-transplant Dialysis Modality on Post-transplant Events
NCT01513707 ·Status: UNKNOWN
-
Exercise and Prediabetes After Renal Transplantation
NCT06576531 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Ex Vivo Normothermic Perfusion in Kidney Transplantation.
NCT05175885 ·Status: RECRUITING ·Phase: NA
-
CRISPR-Edited HLA Donor Kidney Transplant to Reduce Rejection Risk
NCT07053462 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Interventions for Promoting Kidney Transplant Empowerment
NCT06655857 ·Status: RECRUITING ·Phase: NA
-
Exercise, Prediabetes and Diabetes After Renal Transplantation.
NCT04489043 ·Status: UNKNOWN ·Phase: NA
-
Reducing Disparities in Access to Kidney Transplantation (RaDIANT) Regional Study
NCT02389387 ·Status: COMPLETED
-
Cardiovascular Remodeling in Living Kidney Donors With Reduced Glomerular Filtration Rate
NCT03729557 ·Status: ACTIVE_NOT_RECRUITING