Yoshio N. Hall|Andy I. Choi|Ping Xu|Ann M. O’Hare|Glenn M. Chertow
Racial Ethnic Differences in Rates and Determinants of Deceased Donor Kidney Transplantation
University of Washington|University of California, San Francisco|University of Washington|University of Washington|Stanford University
contemporary studies comprehensively compared waiting times determinants deceased donor kidney transplantation across major racial ethnic groups unites states compared relative rates determinants waitlisting deceased donor kidney transplantation among 503090 nonelderly adults different racial ethnic groups initiated hemodialysis between1995 2006 followup 2008 annual rates deceased donor transplantation time dialysis initiation lowest american indiansalaska natives 24 blacks 28 intermediate pacific islanders 31 hispanics 32 highest whites 59 asians 64 lower rates deceased donor transplantation among racial ethnic minority groups appeared primarily reflect differences time waitlisting transplantation result higher rates waitlist inactivity removal waitlist fraction reduced transplant rates attributable measured factors eg demographic clinical socioeconomic linguistic geographic factors varied 14 blacks 43 american indiansalaska natives compared whites conclusion adjusted rates deceased donor kidney transplantation remain significantly lower among racial ethnic minorities compared whites generally differences time waitlisting pronounced differences time waitlisting transplantation determinants delays time transplantation differed substantially racial ethnic group areabased efforts targeted address racial ethnicspecific delays transplantation may help reduce overall disparities deceased donor kidney transplantation united states