Amy D. Waterman|John Devin Peipert|Shelley S. Hyland|Melanie McCabe|Emily Schenk|Jingxia Liu
Modifiable Patient Characteristics and Racial Disparities in Evaluation Completion and Living Donor Transplant
Washington University in St. Louis
reduce racial disparities transplant modifiable patient characteristics associated completion transplant evaluation receipt living donor kidney transplant must identifiedfrom 2004 2007 695 black white patients surveyed 15 lessmodifiable 10 moremodifiable characteristics evaluation onset whether completed evaluation within 1 year received living donor kidney transplants 2010 determined logistic regression competing risks timetoevent analysis conducted determine variables predicted evaluation completion living donor kidney transplant receiptnot adjusting covariates blacks less likely whites complete evaluation 262 versus 518 p0001 receive living donor kidney transplants 87 versus 219 p0001 moremodifiable variables associated completing evaluation included willing waiting list odds ratio34 95 confidence interval21 57 willing pursue living donor kidney transplant odds ratio27 95 confidence interval18 40 access transplant education resources odds ratio22 95 confidence interval15 32 greater transplant knowledge odds ratio18 95 confidence interval12 27 patients started evaluation willing pursue living donor kidney transplant hazard ratio43 95 confidence interval27 68 greater transplant knowledge hazard ratio12 95 confidence interval11 13 likely receive living donor kidney transplantsbecause patients began transplant evaluation greater transplant knowledge motivation ultimately successful receiving transplants years later behavioral educational interventions may successful strategies reduce overcome racial disparities transplant