Pediatric obesity at renal transplantation: A single center experience

Omoloja, Abiodun Aderogba; Stolfi, Adrienne; Mitsnefes, Mark

doi:10.1111/j.1399-3046.2005.00378.x

Cited by 36 publications

(37 citation statements)

References 16 publications

(20 reference statements)

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“…organ transplantation. [12][13][14][15] However, these inequalities in the prevalence and treatment of OM in children in the United States have not been thoroughly explored. The objective of this study was to systematically review published studies that report on racial/ethnic or socioeconomic disparities involving the diagnosis or treatment of otitis media within the United States.…”

Section: Introductionmentioning

confidence: 99%

Racial/Ethnic and socioeconomic disparities in the prevalence and treatment of otitis media in children in the United States

Boss

2010

The Laryngoscope

111

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Racial/ethnic and socioeconomic disparities exist for the prevalence and treatment of children with OM. Socioeconomic deprivation increases the risk of OM in children. Despite the frequency of tympanostomy tube insertion in children in the United States, few studies have addressed inequalities in access or utilization of surgical therapy. Given the changing healthcare climate and the social and economic impact of OM in children, further investigation of racial/ethnic and socioeconomic disparities targeting access to surgical treatment of OM should take precedence in health services research.

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Section: Introductionmentioning

confidence: 99%

Racial/Ethnic and socioeconomic disparities in the prevalence and treatment of otitis media in children in the United States

Boss

2010

The Laryngoscope

111

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“…Racial differences in a range of practices and outcomes, such as predialysis care, choice of dialysis modality, access to kidney transplant, and survival, have been well described among patients with ESRD (1,(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Compared with these other outcomes and care practices, racial differences in patterns of end-of-life care among patients with ESRD have received much less attention (21)(22)(23)(24).…”

Section: Introductionmentioning

confidence: 99%

Geographic Variation in Black–White Differences in End-of-Life Care for Patients with ESRD

Thomas¹,

Rodriguez

Robinson‐Cohen

et al. 2013

Clinical Journal of the American Society of Nephrology

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SummaryBackground and objectives Patterns of end-of-life care among patients with ESRD differ by race. Whether the magnitude of racial differences in end-of-life care varies across regions is not known.Design, setting, participants, & measurements This observational cohort study used data from the US Renal Data System and regional health care spending patterns from the Dartmouth Atlas of Healthcare. The cohort included 101,331 black and white patients 18 years and older who initiated chronic dialysis or received a kidney transplant between June 1, 2005, and September 31, 2008, and died before October 1, 2009. Black-white differences in the odds of in-hospital death, dialysis discontinuation, and hospice referral by quintile of end-of-life expenditure index (EOL-EI) were examined.Results In adjusted analyses, the odds ratios for dialysis discontinuation for black versus white patients ranged from 0.47 (95% confidence interval=0.43 to 0.51) in the highest quintile of EOL-EI to 0.63 (95% confidence interval=0.54 to 0.74) in the lowest quintile (P for interaction,0.001). Hospice referral ranged from 0.55 (95% confidence interval=0.50 to 0.60) in the highest quintile of EOL-EI to 0.82 (95% confidence interval=0.69 to 0.96) in the lowest quintile (P for interaction,0.001). The association of race with in-hospital death also differed in magnitude across quintiles of EOL-EI, ranging from 1.21 (95% confidence interval=1.08 to 1.35) in the highest quintile of EOL-EI to 1.47 (95% confidence interval=1.27 to 1.71) in the second quintile (P for interaction,0.001).Conclusions There are pronounced black-white differences in patterns of hospice referral and dialysis discontinuation among patients with ESRD that vary substantially across regions of the United States.

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“…Some of the factors that have been thought to play a role include decreased rates of living-donor (LD) kidneys and pre-emptive transplantation, greater histocompatibility mismatches, and lower socioeconomic status (SES) among black versus white pediatric ESRD patients. 3,[8][9][10][11] Little information has been reported on transplant access in Hispanic children with ESRD; however, the work by Leonard et al 4 found a reduced rate of transplantation among Hispanic versus white pediatric incident dialysis patients. The work by Patzer et al 8 recently reported reduced access to deceased-donor kidney transplantation (DDKT) for both black and Hispanic pediatric incident ESRD patients compared with whites, even after adjusting for individual and neighborhoodlevel measures of SES.…”

mentioning

confidence: 99%

Racial Disparities in Access to Pediatric Kidney Transplantation Since Share 35

Amaral

Patzer

Kutner

et al. 2012

Journal of the American Society of Nephrology

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Share 35 was enacted in 2005 to shorten transplant wait times and provide high-quality donors to children with ESRD. To investigate the possible effect of this policy on racial disparities in access to pediatric transplantation, we analyzed data from the US Renal Data System before and after Share 35. Among 4766 pediatric patients with incident ESRD, the probability of receiving a deceased-donor kidney transplant increased 46% after Share 35, with Hispanics experiencing the greatest improvements (increases of 81% for Hispanics, 45% for blacks, and 37% for whites). On average, patients received a deceased-donor kidney transplant earlier after Share 35, but this finding varied by race: 63 days earlier for whites, 90 days earlier for blacks, and 201 days earlier for Hispanics. Furthermore, a shift from living-to deceased-donor sources occurred with Share 35 for all races, with a 25% reduction in living donors for whites compared with 48% and 46% reductions for Hispanics and blacks, respectively. In summary, Share 35 seems to have attenuated racial disparities in the time to and probability of children receiving a deceased-donor kidney transplant. These changes coincided with changes in the rates of living-donor sources, which vary by race. Future studies should explore how these changes may impact racial differences in long-term graft outcomes.

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Pediatric obesity at renal transplantation: A single center experience

Cited by 36 publications

References 16 publications

Racial/Ethnic and socioeconomic disparities in the prevalence and treatment of otitis media in children in the United States

Racial/Ethnic and socioeconomic disparities in the prevalence and treatment of otitis media in children in the United States

Geographic Variation in Black–White Differences in End-of-Life Care for Patients with ESRD

Racial Disparities in Access to Pediatric Kidney Transplantation Since Share 35

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