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Racial disparities in kidney transplant waitlist appearance in Chicago: Is it race or place?

dc.contributor.authorPeng, Robert B.
dc.contributor.authorLee, Haena
dc.contributor.authorKe, Zheng T.
dc.contributor.authorSaunders, Milda R.
dc.date.accessioned2018-06-11T17:59:25Z
dc.date.available2019-07-01T14:52:17Zen
dc.date.issued2018-05
dc.identifier.citationPeng, Robert B.; Lee, Haena; Ke, Zheng T.; Saunders, Milda R. (2018). "Racial disparities in kidney transplant waitlist appearance in Chicago: Is it race or place?." Clinical Transplantation (5): n/a-n/a.
dc.identifier.issn0902-0063
dc.identifier.issn1399-0012
dc.identifier.urihttps://hdl.handle.net/2027.42/144246
dc.description.abstractBackgroundPrior work has demonstrated how neighborhood poverty and racial composition impact racial disparities in access to the deceased donor kidney transplant waitlist, both nationally and regionally. We examined the association between neighborhood characteristics and racial disparities in time to transplant waitlist in Chicago, a diverse city with continued neighborhood segregation.MethodsUsing data from the United States Renal Data System (USRDS) and the US Census, we investigated time from dialysis initiation to kidney transplant waitlisting for African American and white patients in Chicago using cause‐specific proportional hazards analyses, adjusting for individual sociodemographic and clinical characteristics, as well as neighborhood poverty and racial composition.ResultsIn Chicago, African Americans are significantly less likely than whites to appear on the renal transplant waitlist (HR 0.73, P < .05). Compared to whites in nonpoor neighborhoods, African Americans in poor neighborhoods are significantly less likely to appear on the transplant waitlist (HR 0.61, P < .05). Over 69% of African Americans with ESRD live in these neighborhoods.ConclusionsConsistent with national data, African Americans in Chicago have a lower likelihood of waitlisting than whites. This disparity is explained in part by neighborhood poverty, which impacts the majority of African American ESRD patients in Chicago.
dc.publisherWiley Periodicals, Inc.
dc.subject.othergeographic factors
dc.subject.otherhealthcare disparity
dc.subject.otherkidney transplant
dc.subject.otherurban health
dc.titleRacial disparities in kidney transplant waitlist appearance in Chicago: Is it race or place?
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelMedicine (General)
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/144246/1/ctr13195_am.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/144246/2/ctr13195.pdf
dc.identifier.doi10.1111/ctr.13195
dc.identifier.sourceClinical Transplantation
dc.identifier.citedreferenceSchold JD, Heaphy ELG, Buccini LD, et al. Prominent impact of community risk factors on kidney transplant candidate processes and outcomes. Am J Transplant. 2013; 13: 2374 ‐ 2383.
dc.identifier.citedreferencePoverty Areas. 1995. https://www.census.gov/population/socdemo/statbriefs/povarea.html 2017. Accessed April 14, 2017.
dc.identifier.citedreferenceAustin PC, Lee DS, Fine JP. Introduction to the analysis of survival data in the presence of competing risks. Circulation. 2016; 133: 601 ‐ 609.
dc.identifier.citedreferencePatzer RE, Perryman JP, Schrager JD, et al. The role of race and poverty on steps to kidney transplantation in the southeastern United States. Am J Transplant. 2012; 12: 358 ‐ 368.
dc.identifier.citedreferenceWeng FL, Reese PP, Mulgaonkar S, Patel AM. Barriers to living donor kidney transplantation among black or older transplant candidates. Clin J Am Soc Nephrol. 2010; 5: 2338 ‐ 2347.
dc.identifier.citedreferenceRhee CM, Lertdumrongluk P, Streja E, et al. Impact of age, race and ethnicity on dialysis patient survival and kidney transplantation disparities. Am J Nephrol. 2014; 39: 183 ‐ 194.
dc.identifier.citedreferenceHall YN, Choi AI, Xu P, O’Hare AM, Chertow GM. Racial ethnic differences in rates and determinants of deceased donor kidney transplantation. J Am Soc Nephrol. 2011; 22: 743 ‐ 751.
dc.identifier.citedreferencePatzer R, Amaral S, Klein M, et al. Racial disparities in pediatric access to kidney transplantation: does socioeconomic status play a role? Am J Transplant. 2012; 12: 369 ‐ 378.
dc.identifier.citedreferenceMeier‐Kriesche HU, Schold JD. The impact of pretransplant dialysis on outcomes in renal transplantation. Semin Dial. 2005; 18: 499 ‐ 504.
dc.identifier.citedreferenceThe New Kidney Allocation System (KAS) Frequently Asked Questions. [Webpage]. 2017. https://optn.transplant.hrsa.gov/media/1235/kas_faqs.pdf. Accessed November 28, 2017.
dc.identifier.citedreferenceMelanson TA, Hockenberry JM, Plantinga L, et al. New kidney allocation system associated with increased rates of transplants among black and Hispanic patients. Health Aff. 2017; 36: 1078 ‐ 1085.
dc.identifier.citedreference2016 USRDS annual data report: Epidemiology of kidney disease in the United States. Bethesda, MD. 2016.
dc.identifier.citedreferenceLongnecker JC, Coresh J, Klag MJ, et al. Validation of comorbid conditions on the end‐stage renal disease medical evidence report the CHOICE study. J Am Soc Nephrol. 2000; 11: 520 ‐ 529.
dc.identifier.citedreferenceSaunders MR, Lee H, Maene C, Schuble T, Cagney KA. Proximity does not equal access: racial disparities in access to high quality dialysis facilities. J Racial Ethn Health Disparities. 2014; 1: 291 ‐ 299.
dc.identifier.citedreferencePlantinga LC, Pastan SO, Wilk AS, et al. Referral for kidney transplantation and indicators of quality of dialysis care: a cross‐sectional study. Am J Kidney Dis. 2017; 69: 257 ‐ 265.
dc.identifier.citedreferenceClark CR, Hicks LS, Keogh JH, Epstein AM, Ayanian JZ. Promoting access to renal transplantation: the role of social support networks in completing pre‐transplant evaluations. J Gen Intern Med. 2008; 23: 1187.
dc.identifier.citedreferenceLockwood MB, Saunders MR, Nass R, et al. Patient‐reported barriers to the prekidney transplant evaluation in an at‐risk population in the United States. Prog Transplant. 2017; 27: 131 ‐ 138.
dc.identifier.citedreferenceSullivan C, Leon JB, Sayre SS, et al. Impact of navigators on completion of steps in the kidney transplant process: a randomized, controlled trial. Clin J Am Soc Nephrol. 2012; 7: 1639 ‐ 1645.
dc.identifier.citedreferenceWaterman AD, McSorley AM, Goalby CJ, et al. Explore transplant at home: a randomized control trial of an educational intervention to increase transplant knowledge for black and white socioeconomically disadvantaged dialysis patients. BMC Nephrol. 2015; 16: 150.
dc.identifier.citedreferencePatzer RE, Perryman JP, Pastan S, et al. Impact of a patient education program on disparities in kidney transplant evaluation. Clin J Am Soc Nephrol. 2012; 7: 648 ‐ 655.
dc.identifier.citedreferencePatzer RE, Paul S, Plantinga L, et al. A randomized trial to reduce disparities in referral for transplant evaluation. J Am Soc Nephrol. 2017; 28: 935 ‐ 942.
dc.identifier.citedreferenceFirebaugh G, Farrell CR. Still large, but narrowing: the sizable decline in racial neighborhood inequality in metropolitan America, 1980–2010. Demography. 2016; 53: 139 ‐ 164.
dc.identifier.citedreferenceTonelli M, Wiebe N, Knoll G, et al. Systematic review: kidney transplantation compared with dialysis in clinically relevant outcomes. Am J Transplant. 2011; 11: 2093 ‐ 2109.
dc.identifier.citedreferenceAlexander GC, Sehgal AR. Barriers to cadaveric renal transplantation among blacks, women, and the poor. JAMA. 1998; 280: 1148 ‐ 1152.
dc.identifier.citedreferenceGoldfarb‐Rumyantzev AS, Sandhu GS, Baird B, et al. Effect of education on racial disparities in access to kidney transplantation. Clin Transplant. 2012; 26: 74 ‐ 81.
dc.identifier.citedreferenceWolfe RA, Ashby VB, Milford EL, et al. Differences in access to cadaveric renal transplantation in the United States. Am J Kidney Dis. 2000; 36: 1025 ‐ 1033.
dc.identifier.citedreferenceKucirka LM, Purnell TS, Segev DL. Improving access to kidney transplantation: referral is not enough. JAMA. 2015; 314: 565 ‐ 567.
dc.identifier.citedreferenceGarg PP, Diener‐West M, Powe NR. Reducing racial disparities in transplant activation: whom should we target? Am J Kidney Dis. 2001; 37: 921 ‐ 931.
dc.identifier.citedreferenceAyanian JZ, Cleary PD, Keogh JH, Noonan SJ, David‐Kasdan JA, Epstein AM. Physicians’ beliefs about racial differences in referral for renal transplantation. Am J Kidney Dis. 2004; 43: 350 ‐ 357.
dc.identifier.citedreferenceSaunders MR, Lee H, Alexander GC, Tak HJ, Thistlethwaite JR, Ross LF. Racial disparities in reaching the renal transplant waitlist: is geography as important as race? Clin Transplant. 2015; 29: 531 ‐ 538.
dc.identifier.citedreferenceSaunders M, Cagney K, Ross L, Alexander G. Neighborhood poverty, racial composition and renal transplant waitlist. Am J Transplant. 2010; 10: 1912 ‐ 1917.
dc.identifier.citedreferenceJoshi S, Gaynor JJ, Bayers S, et al. Disparities among Blacks, Hispanics, and Whites in time from starting dialysis to kidney transplant waitlisting. Transplantation. 2013; 95: 309 ‐ 318.
dc.identifier.citedreferenceMathur A, Ashby V, Sands R, Wolfe R. Geographic variation in end‐stage renal disease incidence and access to deceased donor kidney transplantation. Am J Transplant. 2010; 10: 1069 ‐ 1080.
dc.identifier.citedreferenceTonelli M, Klarenbach S, Manns B, et al. Residence location and likelihood of kidney transplantation. CMAJ. 2006; 175: 478 ‐ 482.
dc.identifier.citedreferencePatzer RE, Amaral S, Wasse H, Volkova N, Kleinbaum D, McClellan WM. Neighborhood poverty and racial disparities in kidney transplant waitlisting. J Am Soc Nephrol. 2009; 20: 1333 ‐ 1340.
dc.identifier.citedreferenceSandoval JO. Neighborhood diversity and segregation in the Chicago metropolitan region, 1980‐2000. Urban Geogr. 2011; 32: 609 ‐ 640.
dc.identifier.citedreference2007‐2011 American Community Survey 5‐Year Estimates. Chicago, IL. 2011.
dc.identifier.citedreferenceGrams ME, Massie AB, Schold JD, Chen B, Segev DL. Trends in the inactive kidney transplant waitlist and implications for candidate survival. Am J Transplant. 2013; 13: 1012 ‐ 1018.
dc.identifier.citedreferenceSandhu GS, Khattak M, Pavlakis M, et al. Recipient’s unemployment restricts access to renal transplantation. Clin Transplant. 2013; 27: 598 ‐ 606.
dc.identifier.citedreferenceJohansen KL, Zhang R, Huang Y, Patzer RE, Kutner NG. Association of race and insurance type with delayed assessment for kidney transplantation among patients initiating dialysis in the United States. Clin J Am Soc Nephrol. 2012; 7: 1490 ‐ 1497.
dc.owningcollnameInterdisciplinary and Peer-Reviewed


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