Access and Outcomes Among Minority Transplant Patients, 1999–2008, with a Focus on Determinants of Kidney Graft Survival
dc.contributor.author | Fan, P. -Y. | en_US |
dc.contributor.author | Ashby, Valarie B. | en_US |
dc.contributor.author | Fuller, D. S. | en_US |
dc.contributor.author | Boulware, L. E. | en_US |
dc.contributor.author | Kao, A. | en_US |
dc.contributor.author | Norman, Silas P. | en_US |
dc.contributor.author | Randall, H. B. | en_US |
dc.contributor.author | Young, C. | en_US |
dc.contributor.author | Kalbfleisch, John D. | en_US |
dc.contributor.author | Leichtman, Alan B. | en_US |
dc.date.accessioned | 2011-01-31T17:47:41Z | |
dc.date.available | 2011-06-09T15:09:40Z | en_US |
dc.date.issued | 2010-04 | en_US |
dc.identifier.citation | Fan, P.-Y.; Ashby, V. B.; Fuller, D. S.; Boulware, L. E.; Kao, A.; Norman, S. P.; Randall, H. B.; Young, C.; Kalbfleisch, J. D.; Leichtman, A. B.; (2010). "Access and Outcomes Among Minority Transplant Patients, 1999–2008, with a Focus on Determinants of Kidney Graft Survival." American Journal of Transplantation 10(4p2 The 2009 SRTR Report on the State of Transplantation ): 1090-1107. <http://hdl.handle.net/2027.42/79270> | en_US |
dc.identifier.issn | 1600-6135 | en_US |
dc.identifier.issn | 1600-6143 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/79270 | |
dc.description.abstract | Coincident with an increasing national interest in equitable health care, a number of studies have described disparities in access to solid organ transplantation for minority patients. In contrast, relatively little is known about differences in posttransplant outcomes between patients of specific racial and ethnic populations. In this paper, we review trends in access to solid organ transplantation and posttransplant outcomes by organ type, race and ethnicity. In addition, we present an analysis of categories of factors that contribute to the racial/ethnic variation seen in kidney transplant outcomes. Disparities in minority access to transplantation among wait-listed candidates are improving, but persist for those awaiting kidney, simultaneous kidney and pancreas and intestine transplantation. In general, graft and patient survival among recipients of solid organ transplants is highest for Asians and Hispanic/Latinos, intermediate for whites and lowest for African Americans. Although much of the difference in outcomes between racial/ethnic groups can be accounted for by adjusting for patient characteristics, important observed differences remain. Age and duration of pretransplant dialysis exposure emerge as the most important determinants of survival in an investigation of the relative impact of center-related versus patient-related variables on kidney graft outcomes. | en_US |
dc.format.extent | 168058 bytes | |
dc.format.extent | 3106 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Blackwell Publishing Inc | en_US |
dc.subject.other | Access | en_US |
dc.subject.other | Ethnicity | en_US |
dc.subject.other | Heart Transplantation | en_US |
dc.subject.other | Intestine Transplantation | en_US |
dc.subject.other | Kidney Transplantation | en_US |
dc.subject.other | Liver Transplantation | en_US |
dc.subject.other | Lung Transplantation | en_US |
dc.subject.other | Minorities | en_US |
dc.subject.other | Outcomes | en_US |
dc.subject.other | Pancreas Transplantation | en_US |
dc.subject.other | Race | en_US |
dc.subject.other | Survival | en_US |
dc.title | Access and Outcomes Among Minority Transplant Patients, 1999–2008, with a Focus on Determinants of Kidney Graft Survival | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Medicine (General) | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Scientific Registry of Transplant Recipients, University of Michigan, Ann Arbor, MI | en_US |
dc.contributor.affiliationum | Department of Internal Medicine, University of Michigan, Ann Arbor, MI | en_US |
dc.contributor.affiliationother | Division of Renal Medicine, University of Massachusetts Medical School, Worcester, MA | en_US |
dc.contributor.affiliationother | Scientific Registry of Transplant Recipients, Arbor Research Collaborative for Health, Ann Arbor, MI | en_US |
dc.contributor.affiliationother | Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD | en_US |
dc.contributor.affiliationother | Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD | en_US |
dc.contributor.affiliationother | Welch Center for Prevention, Epidemiology and Clinical Research, Baltimore, MD | en_US |
dc.contributor.affiliationother | Department of Medicine, University of Missouri-Kansas City, St Luke's Mid America Heart Institute, Kansas City, MO | en_US |
dc.contributor.affiliationother | Department of Surgery, Baylor University Medical Center, Dallas, TX | en_US |
dc.contributor.affiliationother | Department of Surgery, University of Alabama at Birmingham, Birmingham, AL | en_US |
dc.identifier.pmid | 20420655 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/79270/1/j.1600-6143.2009.03009.x.pdf | |
dc.identifier.doi | 10.1111/j.1600-6143.2009.03009.x | en_US |
dc.identifier.source | American Journal of Transplantation | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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