Racial disparities exist in access to kidney transplantation
A new study published in the American Journal of Transplantation reveals that racial disparities exist in both the early and late steps in access to kidney transplantation. This study is part of the February special themed issue of the journal on racial disparity.
Led by Rachel E. Patzer, PhD, MPH, of the Emory Transplant Center in Atlanta, Georgia, researchers examined 2,291 adult patients referred for renal transplant evaluation at a single transplant center in the Southeastern U.S. from 2005-2007, followed through May 2010. Demographic and clinical data were assessed and Cox models were used to examine the effect of race on referral, evaluation, waitlisting, and organ receipt.
Of the 2,291 patients, 64.9% were black, the mean age was 49.4 years, and 33.6% lived in poor neighborhoods.
Racial disparities were observed in access to referral, transplant evaluation, waitlisting, and organ receipt. Socioeconomic factors, including health insurance and access to care, explained almost 1/3 of the lower rate of transplant among black vs. white patients.
However, even after adjusting for demographic, clinical, and socioeconomic factors, blacks had a 59% lower rate of transplant than whites.
"Despite near-universal health care coverage for end stage renal disease (ESRD) patients through the Medicare ESRD program, black ESRD patients are at a disadvantage to receive a kidney transplantation," Patzer notes. "Socioeconomic status really accounts for about 30% of this observed racial disparity in transplant access. Further research is needed to identify what may be explaining the racial disparities that still exist in access to kidney transplantation."
Journal reference: American Journal of Transplantation
Provided by Wiley
- Making the list -- disparities in kidney transplant waiting lists Apr 01, 2009 | not rated yet | 0
- Racial inequalities exist for kids with kidney disease Nov 10, 2011 | not rated yet | 0
- Younger black patients undergoing dialysis have higher risk of death compared to white patients Aug 09, 2011 | not rated yet | 0
- Not everyone treated equally when it comes to kidney transplantation Mar 03, 2011 | not rated yet | 0
- African-American Canadians who receive kidney transplants fare better than those in US Oct 29, 2008 | not rated yet | 0
- Motion perception revisited: High Phi effect challenges established motion perception assumptions Apr 23, 2013 | 3 / 5 (2) | 2
- Anything you can do I can do better: Neuromolecular foundations of the superiority illusion (Update) Apr 02, 2013 | 4.5 / 5 (11) | 5
- The visual system as economist: Neural resource allocation in visual adaptation Mar 30, 2013 | 5 / 5 (2) | 9
- Separate lives: Neuronal and organismal lifespans decoupled Mar 27, 2013 | 4.9 / 5 (8) | 0
- Sizing things up: The evolutionary neurobiology of scale invariance Feb 28, 2013 | 4.8 / 5 (10) | 14
Classical and Quantum Mechanics via Lie algebras
Apr 15, 2011 I'd like to open a discussion thread for version 2 of the draft of my book ''Classical and Quantum Mechanics via Lie algebras'', available online at http://lanl.arxiv.org/abs/0810.1019 , and for the...
- More from Physics Forums - Independent Research
More news stories
Two out of five medical students have an unconscious bias against obese people, according to a new study by researchers at Wake Forest Baptist Medical Center. The study is published online ahead of print in the Journal of ...
Other 3 hours ago | not rated yet | 0
Nanyang Technological University's (NTU) new medical school will be pioneering the use of plastinated bodies for medical education in Singapore.
Other 12 hours ago | not rated yet | 0
A 2012 survey of internal medicine residents at Massachusetts General Hospital (MGH) – one of the nation's leading teaching hospitals – found that more than half rated the training they had received in addiction and other ...
Other May 22, 2013 | 5 / 5 (1) | 0
Early use of tracheostomy for mechanically ventilated patients not associated with improved survival
For critically ill patients receiving mechanical ventilation, early tracheostomy (within the first 4 days after admission) was not associated with an improvement in the risk of death within 30 days compared to patients who ...
Other May 21, 2013 | not rated yet | 0
The decision to limit life support in patients in the intensive care unit (ICU) appears to be significantly influenced by physician practices and/or the culture of the hospital, suggests new findings from researchers at the ...
Other May 21, 2013 | not rated yet | 0
(HealthDay)—Type 2 diabetes is more aggressive in children than adults, with signs of serious complications seen just a few years after diagnosis, new research finds.
58 minutes ago | not rated yet | 0
(Medical Xpress)—Regulating the distribution of power in neurons is done by a system that makes the national electric grid look simple by comparison. Each neuron has several thousand mitochondria confined ...
3 hours ago | 4.7 / 5 (3) | 0 |
Scientists at the National Institutes of Health report they have discovered in mouse studies that a small molecule released in the spinal cord triggers a process that is later experienced in the brain as ...
7 hours ago | 5 / 5 (2) | 0 |
Teams of highly respected Alzheimer's researchers failed to replicate what appeared to be breakthrough results for the treatment of this brain disease when they were published last year in the journal Science.
7 hours ago | 5 / 5 (1) | 2 |
A brief visual task can predict IQ, according to a new study. This surprisingly simple exercise measures the brain's unconscious ability to filter out visual movement. The study shows that individuals whose ...
9 hours ago | 4.9 / 5 (7) | 0 |
Little is known about why asthma develops, how it constricts the airway or why response to treatments varies between patients. Now, a team of researchers at Weill Cornell Medical College, Columbia University Medical Center ...
7 hours ago | not rated yet | 0 |