Study co-authors include Rebecca Zhang, Yijian Huang, PhD (Emory University); and Kirsten Johansen, MD (Emory University and San Francisco VA Medical Center, University of California, San Francisco).
Disclosures: Dr. Johansen receives grants/research support from Amgen and Abbott Laboratories and is a scientific advisor for the Amgen Nephrology Advisory Board. All other authors reported no other financial disclosures.
The study abstract, "Race, Predialysis Transplant Discussion, and Preemptive Wait Listing in a National Cohort," [SA-FC452] will be presented on Saturday, November 20 at 4:42 PM MT in Room 712 of the Colorado Convention Center in Denver, CO.
3. Black Race and Neighborhood Poverty Affect Kidney Transplant Success in Children Better Access to Care May Address Inequalities
Racial and socioeconomic disparities exist in every aspect of kidney transplantation, from placement on a waiting list to living without organ rejection. Because little is known about the effects of race and socioeconomic status on organ rejection in children, Rachel Patzer, Sandra Amaral, MD (Emory University) and colleagues studied 4,320 patients under 21 who received a kidney transplant between 2000 and 2006; 18.4% experienced organ rejection within an average 3.6 years. Blacks demonstrated nearly twice the risk of organ rejection at any given time versus white non-Hispanics. In contrast, Hispanic whites had a 23% reduced risk of organ rejection versus non-Hispanic whites. After taking into account demographic, clinical, and socioeconomic factors, racial disparity remained high, with blacks at a 50% increased risk for organ rejection versus white non-Hispanics. Poverty also increased patients' chances of organ rejection: those from the poorest neighborhoods had a 20% greater risk of organ rejection than patients in the wealthiest neighborhoods. "Our findings suggest that among children with ESRD, black patients and
|Contact: Shari Leventhal|
American Society of Nephrology