04 May 2010 ~ Comments Off on Health disparities in transplantation: focus on the complexity and challenge of renal transplantation in African Americans

Health disparities in transplantation: focus on the complexity and challenge of renal transplantation in African Americans

The field of renal transplantation has grown exponentially as a result of a greater understanding of the immune system and the advent of numerous immunosuppressive agents. Although African Americans and whites have benefited from these advances, equivalent long-term success eludes African Americans who are disadvantaged in gaining access to renal transplantation. This review summarizes the […]

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04 May 2010 ~ Comments Off on Achieving equity in referrals for renal transplant evaluations with African-American patients: the role of nephrology social workers

Achieving equity in referrals for renal transplant evaluations with African-American patients: the role of nephrology social workers

Research over the last 12 years has repeatedly shown that African-American ESRD patients are less likely than white patients to be referred for a transplant evaluation. This article takes an exploratory look at issues surrounding this racial disparity. Among the issues focused on are: (a) the multiple ramifications from this racial disparity; (b) neglected factors […]

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04 May 2010 ~ Comments Off on An evolving strategy to increase the number of minority and low-income patients referred for transplantation

An evolving strategy to increase the number of minority and low-income patients referred for transplantation

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04 May 2010 ~ Comments Off on Death and renal transplantation among Aboriginal people undergoing dialysis.[see comment]

Death and renal transplantation among Aboriginal people undergoing dialysis.[see comment]

BACKGROUND: Despite the increase in the number of Aboriginal people with end-stage renal disease around the world, little is known about their health outcomes when undergoing renal replacement therapy. We evaluated differences in survival and rate of renal transplantation among Aboriginal and white patients after initiation of dialysis. METHODS: Adult patients who were Aboriginal or […]

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04 May 2010 ~ Comments Off on The challenge of kidney transplantation among minority ethnic groups in the UK

The challenge of kidney transplantation among minority ethnic groups in the UK

The increased rate of renal failure secondary to diabetes among minority ethnic groups compared to Caucasians in the UK has been well documented. However, the impact of this phenomenon on kidney transplant services has been relatively unexplored. The Government has recently published its ‘Tackling Health Inequalities: A Programme for Action’ report which emphasises the importance […]

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04 May 2010 ~ Comments Off on Is there racial disparity in outcomes after solid organ transplantation?

Is there racial disparity in outcomes after solid organ transplantation?

BACKGROUND: We sought to determine if disparities in survival and health-related quality of life (HRQOL) occurred after solid organ transplantation at our institution. METHODS: Data were extracted from a database including information regarding transplants that took place from 1990 to 2002. The HRQOL was assessed in patients by using the Karnofsky functional performance (FP) index […]

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04 May 2010 ~ Comments Off on Ethical implications of ethnic disparities in chronic kidney disease and kidney transplantation

Ethical implications of ethnic disparities in chronic kidney disease and kidney transplantation

Chronic kidney disease (CKD) is a major epidemic in underserved and minority populations largely due to excess rates of hypertensive and diabetic kidney disease. Multiple complex socioeconomic barriers to early diagnosis and optimal therapies as well as delayed referral for kidney transplantation have created disparities in CKD care provided to ethnic minorities. Disparities exist in […]

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04 May 2010 ~ Comments Off on Cadaver-donor renal transplantation of children in Israel (1990-2001): racial disparities in health care delivery?[see comment]

Cadaver-donor renal transplantation of children in Israel (1990-2001): racial disparities in health care delivery?[see comment]

OBJECTIVE: To evaluate the allocation and outcome of cadaver-donor renal transplantation (CDRTx) among Jewish and Arab children in Israel. METHODS: Data on CDRTxs in patients who had end-stage renal failure (ESRF), were younger than 18 years, and were on dialysis treatment were obtained for the 11-year period of January 1990 to December 2000 from the […]

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04 May 2010 ~ Comments Off on Racial and ethnic disparities in renal transplantation

Racial and ethnic disparities in renal transplantation

Racial and ethnic disparities exist in renal transplantation. The causes are multifactorial and include but are not limited to racism, socioeconomic status and class, unfavorable geographical location, lack of organ donation by minority groups, and differences in social networks, health beliefs culture and HLA typing. These disparities affect blacks, Hispanic Americans, Native Americans, Alaskan natiives […]

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04 May 2010 ~ Comments Off on Influence of race on kidney transplant outcomes within and outside the Department of Veterans Affairs

Influence of race on kidney transplant outcomes within and outside the Department of Veterans Affairs

Inferior outcomes after kidney transplantation among African Americans are poorly understood. It was hypothesized that unequal access to medical care among transplant recipients might contribute to worse posttransplantation outcomes among African Americans and that racial disparities in kidney transplant outcomes would be less pronounced among patients who receive health care within versus outside the Department […]

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