Am
J Kidney Dis 1997 Dec;30(6):749-59
Comment in:
Am J Kidney Dis. 1997 Dec;30(6):856-8.
Minimizing racial disparity regarding receipt of a cadaver kidney transplant.
Ozminkowski RJ, White AJ, Hassol A, Murphy M.
The MEDSTAT Group, Inc, Ann Arbor, MI 48108, USA. ron_ozminkowski@medstat.com
This report describes the impact of race on waiting list entry and receipt
of a cadaver kidney transplant, after accounting for self-reported income,
health and functional status, and patients' attitudes about dialysis and
transplantation as treatment alternatives. Previous studies did not account
for these race-related factors and therefore produced biased estimates
of the impact of race on waiting list entry and receipt of a transplant.
Data for this investigation came from a telephone survey of a national
sample of 456 end-stage renal disease patients and from files maintained
by the United Network for Organ Sharing and the Health Care Financing
Administration. Proportional hazard models were estimated with these data.
The results indicated that approximately 60% of the differences between
black and white waiting list entry rates and 52% of the black-white differences
in transplantation rates were due to race-related differences in socioeconomic
status, health and functional status, severity of illness, biological
factors, the existence of contraindications to transplantation, transplant
center characteristics, and patients' attitudes about dialysis and transplantation.
Potential ways to narrow racial differences further include better education
about treatment alternatives for black patients, more vigorous efforts
to obtain donor organs from minorities, continued research and thoughtful
policy on the access-related impacts of United Network for Organ Sharing
point system variances, and consolidation of some smaller waiting lists
into larger regional lists.
PMID: 9398117 [PubMed - indexed for MEDLINE]
Am J Kidney Dis 1997 Dec;30(6):856-8
Comment on:
Am J Kidney Dis. 1997 Dec;30(6):733-8.
Am J Kidney Dis. 1997 Dec;30(6):739-48.
Am J Kidney Dis. 1997 Dec;30(6):749-59.
Influence of gender and race on therapeutic options for ESRD patients.
Sabatini S.
Publication Types: Comment; Editorial
PMID: 9398134 [PubMed - indexed for MEDLINE]
