Modifiable Patient Characteristics and Racial Disparities in Evaluation Completion and Living Donor Transplant

To reduce racial disparities in transplant, modifiable patient characteristics associated with completion of transplant evaluation and receipt of living donor kidney transplant must be identified. From 2004 to 2007, 695 black and white patients were surveyed about 15 less-modifiable and 10 more-modi...

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Bibliographic Details
Published in:Clinical journal of the American Society of Nephrology 2013-06, Vol.8 (6), p.995-1002
Main Authors: Waterman, Amy D, Peipert, John D, Hyland, Shelley S, McCabe, Melanie S, Schenk, Emily A, Liu, Jingxia
Format: Article
Language:English
Subjects:
Adult
African Americans - statistics & numerical data
Chi-Square Distribution
European Continental Ancestry Group - statistics & numerical data
Female
Health Behavior - ethnology
Health Knowledge, Attitudes, Practice - ethnology
Healthcare Disparities - ethnology
Humans
Kidney Transplantation - adverse effects
Kidney Transplantation - statistics & numerical data
Living Donors - statistics & numerical data
Logistic Models
Male
Middle Aged
Missouri - epidemiology
Motivation
Multivariate Analysis
Odds Ratio
Original
Patient Acceptance of Health Care - ethnology
Patient Education as Topic - statistics & numerical data
Patient Selection
Prospective Studies
Risk Factors
Time Factors
Tissue and Organ Procurement - statistics & numerical data
Waiting Lists
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Summary:To reduce racial disparities in transplant, modifiable patient characteristics associated with completion of transplant evaluation and receipt of living donor kidney transplant must be identified. From 2004 to 2007, 695 black and white patients were surveyed about 15 less-modifiable and 10 more-modifiable characteristics at evaluation onset; whether they had completed evaluation within 1 year and received living donor kidney transplants by 2010 was determined. Logistic regression and competing risks time-to-event analysis were conducted to determine the variables that predicted evaluation completion and living donor kidney transplant receipt. Not adjusting for covariates, blacks were less likely than whites to complete evaluation (26.2% versus 51.8%, P
ISSN:1555-9041
1555-905X
DOI:10.2215/CJN.08880812