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Efforts needed to address disparities in kidney transplantation
Date:11/20/2010

proved Communication and Care Can Overcome Barriers

It's a good idea for kidney disease patients to get on a transplant waiting list before beginning dialysis, because it may improve their chances of getting a kidney when needed. Previous research has shown that black patients are significantly less likely than whites to be preemptively waitlisted in this way; however, no studies have examined this issue among patients who have discussed kidney transplantation with their doctors before starting dialysis. Nancy Kutner, PhD (Emory University) and her colleagues examined whether these racial disparities exist even among patients who had discussed kidney transplant with doctors before beginning dialysis. Between 2005 and 2007, the investigators surveyed 1,634 dialysis patients; 813 (49.8%) reported that kidney transplantation had been discussed with them before starting dialysis. Only 60 (7%) of these patients were preemptively wait-listed; blacks made up a similar percentage of patients who were preemptively (29.3%) and not preemptively (26.6%) wait-listed. Preemptively wait-listed patients were more likely to be employed and have private insurance and less likely to have diabetes and heart-related conditions. These patients also had higher average hemoglobin, serum albumin, and serum creatinine, and were more likely to have received care from a kidney specialist before starting dialysis. Two-thirds of preemptively wait-listed patients reported that kidney transplantation was discussed with them 12 months or more before starting dialysis. Importantly, this study found no significant racial difference in preemptive wait-listing among patients who had discussed kidney transplantation with their doctor before starting dialysis. "Patients' early discussion of kidney transplantation as a treatment option, linked with early nephrology care, appeared to diminish barriers to black patients' placement on a kidney transplant waiting list before dialysis start," sai
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Contact: Shari Leventhal
sleventhal@asn-online.org
202-416-0658
American Society of Nephrology
Source:Eurekalert

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