2018
DOI: 10.1001/jama.2017.19152
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Abstract: Among adult first-time kidney transplantation candidates in the United States who were added to the deceased donor kidney transplantation waiting list between 1995 and 2014, disparities in the receipt of live donor kidney transplantation increased from 1995-1999 to 2010-2014. These findings suggest that national strategies for addressing disparities in receipt of live donor kidney transplantation should be revisited.

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Cited by 218 publications
(212 citation statements)
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“…African Americans have been persistently less likely to receive live donor kidney transplantation (LDKT), an optimal therapy for kidney failure, compared to those in other racial groups . African Americans' suboptimal LDKT rates may be related to a number of factors, including their poor perceived knowledge or information adequacy regarding LDKT.…”
Section: Introductionmentioning
confidence: 99%
“…African Americans have been persistently less likely to receive live donor kidney transplantation (LDKT), an optimal therapy for kidney failure, compared to those in other racial groups . African Americans' suboptimal LDKT rates may be related to a number of factors, including their poor perceived knowledge or information adequacy regarding LDKT.…”
Section: Introductionmentioning
confidence: 99%
“…While it is known that kidneys from deceased donors with two APOL1 risk alleles do worse than other deceased donor kidney grafts,47 48 it is unknown whether living donor kidney grafts with two APOL1 risk alleles have worse survival than other living donor grafts and whether donation increases the risk of kidney failure in living donors with two APOL1 risk alleles. Given the lack of data and the current disparity of living donation in the African American community,49 the transplant community is divided about universal screening of African American living donors, and, if screened, whether to just inform the donors of their APOL1 status or to exclude those with two high-risk variants50–54 A survey of transplant programmes in 2015 found one-third of respondents would disqualify a 30-year-old potential living donor with two risk alleles although <10% would disqualify a 55-year-old potential living donor with two APOL1 risk alleles, despite the absence of data quantifying the risk to donors of any age 54. We have argued in favour of exploring uncertainty with potential donors, but allowing the donors to decide whether or not to get tested and whether or not to donate if found to have two high-risk alleles 53.…”
Section: Special Relationships Entail Special Responsibilitiesmentioning
confidence: 99%
“…Further, racial disparities in LDKT in the United States have heightened over time. After adjustment for baseline clinical factors, the relative likelihood of LDKT in Hispanic compared to white candidates declined from 17% lower access in 1995‐1999 to 48% lower access in 2010‐2014 . Among Asian versus white candidates, LDKT was 44% less likely in 1995‐1999 and 58% less likely in 2010‐2014 .…”
Section: Introductionmentioning
confidence: 96%
“…After adjustment for baseline clinical factors, the relative likelihood of LDKT in Hispanic compared to white candidates declined from 17% lower access in 1995‐1999 to 48% lower access in 2010‐2014 . Among Asian versus white candidates, LDKT was 44% less likely in 1995‐1999 and 58% less likely in 2010‐2014 . In 2014, the American Society of Transplantation (AST) Live Donor Community of Practice (LDCOP) “Consensus Conference on Best Practices in Live Kidney Donation” issued a recommendation to create a mechanism to remove barriers to donation by US non‐residents …”
Section: Introductionmentioning
confidence: 99%