Geographic Variation in End-Stage Renal Disease Incidence and Access to Deceased Donor Kidney Transplantation
dc.contributor.author | Mathur, Amit K. | en_US |
dc.contributor.author | Ashby, Valarie B. | en_US |
dc.contributor.author | Sands, R. L. | en_US |
dc.contributor.author | Wolfe, Robert A. | en_US |
dc.date.accessioned | 2011-01-31T17:59:43Z | |
dc.date.available | 2011-06-09T15:09:40Z | en_US |
dc.date.issued | 2010-04 | en_US |
dc.identifier.citation | Mathur, A. K.; Ashby, V. B.; Sands, R. L.; Wolfe, R. A.; (2010). "Geographic Variation in End-Stage Renal Disease Incidence and Access to Deceased Donor Kidney Transplantation." American Journal of Transplantation 10(4p2 The 2009 SRTR Report on the State of Transplantation ): 1069-1080. <http://hdl.handle.net/2027.42/79376> | en_US |
dc.identifier.issn | 1600-6135 | en_US |
dc.identifier.issn | 1600-6143 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/79376 | |
dc.description.abstract | The effect of demand for kidney transplantation, measured by end-stage renal disease (ESRD) incidence, on access to transplantation is unknown. Using data from the U.S. Census Bureau, Centers for Medicare & Medicaid Services (CMS) and the Organ Procurement and Transplantation Network/Scientific Registry of Transplant Recipients (OPTN/SRTR) from 2000 to 2008, we performed donation service area (DSA) and patient-level regression analyses to assess the effect of ESRD incidence on access to the kidney waiting list and deceased donor kidney transplantation. In DSAs, ESRD incidence increased with greater density of high ESRD incidence racial groups (African Americans and Native Americans). Wait-list and transplant rates were relatively lower in high ESRD incidence DSAs, but wait-list rates were not drastically affected by ESRD incidence at the patient level. Compared to low ESRD areas, high ESRD areas were associated with lower adjusted transplant rates among all ESRD patients (RR 0.68, 95% CI 0.66–0.70). Patients living in medium and high ESRD areas had lower transplant rates from the waiting list compared to those in low ESRD areas (medium: RR 0.68, 95% CI 0.66–0.69; high: RR 0.63, 95% CI 0.61–0.65). Geographic variation in access to kidney transplant is in part mediated by local ESRD incidence, which has implications for allocation policy development. | en_US |
dc.format.extent | 315087 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 to Care | en_US |
dc.subject.other | Geography | en_US |
dc.subject.other | Kidney Transplantation | en_US |
dc.subject.other | SRTR | en_US |
dc.title | Geographic Variation in End-Stage Renal Disease Incidence and Access to Deceased Donor Kidney Transplantation | 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 | Department of Surgery, University of Michigan | en_US |
dc.contributor.affiliationum | Scientific Registry of Transplant Recipients, University of Michigan, Ann Arbor, MI | en_US |
dc.contributor.affiliationother | Scientific Registry of Transplant Recipients, Arbor Research Collaborative for Health, Ann Arbor, MI | en_US |
dc.identifier.pmid | 20420653 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/79376/1/j.1600-6143.2010.03043.x.pdf | |
dc.identifier.doi | 10.1111/j.1600-6143.2010.03043.x | en_US |
dc.identifier.source | American Journal of Transplantation | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
Files in this item
Remediation of Harmful Language
The University of Michigan Library aims to describe library materials in a way that respects the people and communities who create, use, and are represented in our collections. Report harmful or offensive language in catalog records, finding aids, or elsewhere in our collections anonymously through our metadata feedback form. More information at Remediation of Harmful Language.
Accessibility
If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.