Disparities Among Blacks, Hispanics, and Whites in Time From Starting Dialysis to Kidney Transplant Waitlisting

Abstract

Black and Hispanic patients had significantly longer times from starting dialysis to waitlisting, in large part related to their lower socioeconomic status and less preemptive waitlisting. A greater focus on earlier nephrology care may help to erase much of these disparities.

Differences in Access to Kidney Transplantation between Hispanic and Non-Hispanic Whites by Geographic Location in the United States

“…Among ESRD patients in the United States, the proportion of Hispanics newly added to the transplant waiting list has increased from 11.3% to 16.7% within the last 10 years, whereas the proportions of newly listed Caucasians, African Americans, and Asians have remained the same or started to slightly decline (26). Prior observational studies have found that Hispanics were less likely to be placed on the transplant waiting list (11,14), experienced longer waiting times (27), or were less likely to receive a transplant compared with non-Hispanic whites (11,14). However, few studies have analyzed the effect of competing risks (e.g., death) and geographic residence in potentially perpetuating the disparate access to kidney transplantation among Hispanics.…”

Home-Based Family Intervention Increases Knowledge, Communication and Living Donation Rates: A Randomized Controlled Trial

“…Several studies have reported on factors contributing to access to LDKT. A number of unmodifiable factors such as medical, socioeconomic and ethnic factors have shown to be independently related to the chance of receiving an LDKT (5)(6)(7). A number of modifiable factors, such as knowledge, attitudes, risk perception, communication and cultural sensitivity, are also independently related to the chance of receiving an LDKT (8)(9)(10)(11).…”

Simulating the New Kidney Allocation Policy in the United States

“…There were no marked differences in the total number of transplants or racial composition of recipients despite numerous studies that indicate that minority groups have longer durations of dialysis before listing compared with Caucasians. 5,6 Cumulatively, the net results of the simulation of the new policy indicate a slight increase in the total number of graft-years associated with transplants and a shift in the composition of candidates who are most likely to receive these organs.…”