Race, insurance status related to likelihood of being assessed for kidney transplantation

July 26, 2012

Young black patients and patients without private health insurance are less likely to be assessed for a kidney transplant when they start dialysis, according to a study appearing in an upcoming issue of the Clinical Journal of the American Society of Nephrology (CJASN). These patients are also less likely to be put on the transplant waiting list and to receive a transplant.

A is the best treatment for a patient with kidney failure. When patients start dialysis, they should be assessed for a kidney transplant so they can be referred to a transplant center and be placed on the transplant waiting list if they are eligible.

In 2005, Medicare began collecting data on whether patients were informed of their transplant options when they started dialysis. When Kirsten Johansen, MD (University of California, San Francisco), Rachel Patzer, PhD (Emory University School of Medicine), and their colleagues at the USRDS Rehabilitation/Quality of Life Special Studies Center analyzed these and other data from 2005 to 2009, they found that young (< 35 years) black patients and patients without private insurance were less likely to be assessed for a transplant when they started dialysis. "This is particularly important because young kidney disease patients stand to benefit the most from a kidney transplant," said Dr. Patzer.

The investigators also found that patients who were not assessed at the start of dialysis were less likely to be put on the transplant waiting list and to receive a transplant. The findings may help partially explain the racial and socioeconomic disparities in access to that are well documented.

"Disparities in the assessment of patients for transplant could be reduced with interventions designed to encourage providers to assess patients as early as possible in the course of late-stage and diagnosis of kidney failure," said Dr. Patzer.

Explore further: Patient education classes may reduce disparities in kidney transplantation

More information: The article, entitled "Association of Race and Insurance Type with Delayed Assessment for Kidney Transplantation among Patients Initiating Dialysis in the U.S.," will appear online on July 26, 2012, doi: 10.2215/CJN.13151211

Related Stories

Patient education classes may reduce disparities in kidney transplantation

February 16, 2012
Being educated about your health and your treatment options is a good thing. According to a new study, kidney failure patients who take part in an education program are more likely to get evaluated for a kidney transplant. ...

Racial disparities exist in access to kidney transplantation

February 9, 2012
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 ...

Racial inequalities exist for kids with kidney disease

November 10, 2011
Among children with kidney disease, certain races are less likely to get kidney transplants and are more likely to die than other races, according to two studies from Emory University that were presented during the American ...

Mayo Clinic makes kidney and pancreas transplant available to HIV-infected patients

December 6, 2011
Mayo Clinic in Florida is now offering kidney and pancreas transplants to HIV positive patients with advanced kidney disease and diabetes. Evidence is now solid that HIV-positive patients have the same favorable outcome in ...

Recommended for you

Pickled in 'cognac', Chopin's heart gives up its secrets

November 26, 2017
The heart of Frederic Chopin, among the world's most cherished musical virtuosos, may finally have given up the cause of his untimely death.

Sugar industry withheld evidence of sucrose's health effects nearly 50 years ago

November 21, 2017
A U.S. sugar industry trade group appears to have pulled the plug on a study that was producing animal evidence linking sucrose to disease nearly 50 years ago, researchers argue in a paper publishing on November 21 in the ...

Female researchers pay more attention to sex and gender in medicine

November 7, 2017
When women participate in a medical research paper, that research is more likely to take into account the differences between the way men and women react to diseases and treatments, according to a new study by Stanford researchers.

Drug therapy from lethal bacteria could reduce kidney transplant rejection

August 3, 2017
An experimental treatment derived from a potentially deadly microorganism may provide lifesaving help for kidney transplant patients, according to an international study led by investigators at Cedars-Sinai.

Exploring the potential of human echolocation

June 25, 2017
People who are visually impaired will often use a cane to feel out their surroundings. With training and practice, people can learn to use the pitch, loudness and timbre of echoes from the cane or other sounds to navigate ...

Team eradicates hepatitis C in 10 patients following lifesaving transplants from infected donors

April 30, 2017
Ten patients at Penn Medicine have been cured of the Hepatitis C virus (HCV) following lifesaving kidney transplants from deceased donors who were infected with the disease. The findings point to new strategies for increasing ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.