Navigation Links
No racial differences seen in outcomes after liver transplantation
Date:11/1/2007

Minority patients do not necessarily have worse outcomes after liver transplantation. When treated at the same medical centers as Caucasians, they fare just as well. These are the results of a new study in the November issue of Hepatology, a journal published by John Wiley & Sons on behalf of the American Association for the Study of Liver Diseases (AASLD). The article is also available online at Wiley Interscience (http://www.interscience.wiley.com/journal/hepatology).

While some studies have shown that minority patients who undergo liver transplantation have outcomes similar to those of Caucasian patients, many others have revealed discrepancies based on race. A recent nationwide study of all transplant patients found that African American and Asian race were independent risk factors for poorer outcomes, however, that study did not consider the hospital or region where the transplantation was performed.

To address the possibility that discrepancies in outcomes could be explained by access (or lack of it) to the best transplant centers, researchers, led by W. Ray Kim of the Mayo Clinic, considered racial differences in survival after liver transplantation using only data from selected high volume academic liver transplant centers.

They examined data from two NIH sponsored multi-center liver transplant databases: the National Institute of Diabetes and Digestive and Kidney Disease Liver Transplantation Database, and the MELD Study Group Database. The study population included 2823 adult patients who underwent liver transplantation at the Mayo Clinic, the University of California San Francisco, the University of Nebraska, and Baylor University. Of the patients, 2448 were Caucasian, 135 were African America, and 240 were of another race, including Asian and Hispanic. The researchers analyzed the data, considering demographic, clinical and laboratory factors.

Although there were noticeable differences in baseline characteristics, such as age, gender, and diagnosis among the three groups, we found no relationship between recipient race and survival, the authors report. African American patients did just as well as recipients of other races. The observation held up in multivariable analyses and, is in direct contradiction to a report based on UNOS data, they report.

The difference might be explained by the fact that the study data was from patients at select, high-volume, academic medical centers, which may be expected to provide better outcomes than the national average, the authors suggest. Previous studies have shown that center volume has a significant impact on recipient survival.

We postulate that the difference between our data and others stems from unequal access to high-quality liver transplant centers between races, they conclude. Focused investigations to understand and eliminate barriers along the socioeconomic as well as racial boundaries are warranted.


'/>"/>

Contact: Amy Molnar
amolnar@wiley.com
John Wiley & Sons, Inc.
Source:Eurekalert

Related medicine news :

1. Death Wishes Influenced By Ethnicity and Racial Background
2. Racial Identity Dictates What We See Or Rather Whom We See
3. Racial disparities in cancer patients in U.S.
4. Racial differences show difference in blood sugar control too!!
5. Medicare Marked by Widespread Racial disparities
6. Racial Gap in Floridas Infant Mortality Rates Increasing
7. Risk of Birth Complications Varies Between Racial Groups
8. More Evidence of Racial Discrimination in the NHS
9. Social Factors Not Genetics Drive Racial Disparities in Colorectal Cancer Survival
10. Racial Discrimination Takes The Nobility Out Of Doctoring
11. Genetic differences found between Male and Female brains
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... ... June 27, 2016 , ... A revolution is ... emergency ambulance transport experience for the millions of people who require these medical ... the taxi industry through the use of technology. Now, SmartEMS has put forth ...
(Date:6/26/2016)... ... June 26, 2016 , ... PawPaws brand pet ... product that was developed to enhance the health of felines. The formula is all-natural ... two main herbs in the PawPaws Cat Kidney Support Supplement Soft Chews ...
(Date:6/25/2016)... ... ... The temporary closing of Bruton Memorial Library on June 21 due to a possible lice ... overlooked aspect of head lice: the parasite’s ability to live away from a human host, ... a necessary one in the event that lice have simply gotten out of control. , ...
(Date:6/25/2016)... ... ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department of ... recognition of their exemplary accomplishments in worksite health promotion. , The Wellness at Work ... Symposium at the BWI Marriott in Linthicum Heights. iHire was one of 42 businesses ...
(Date:6/24/2016)... PASADENA, CA (PRWEB) , ... June 24, 2016 , ... Marcy was in a crisis. ... he would lash out at his family verbally and physically. , “When something upset him, ... table, he would use it. He would throw rocks at my other children and say ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... ANGELES , June 23, 2016 ... CAPR ), a biotechnology company focused ... therapeutics, today announced that patient enrollment in its ... in Duchenne) has exceeded 50% of its 24-patient ... enrollment in the third quarter of 2016, and ...
(Date:6/23/2016)... and INDIANAPOLIS , June ... receiving a Lilly Diabetes Tomorrow,s Leaders Scholarship is any ... scholarship winners, announced today online at www.diabetesscholars.org ... type 1 diabetes stand in the way of academic ... supported the Foundation,s scholarship program since 2012, and continues ...
(Date:6/23/2016)... The vast majority of dialysis patients currently ... are usually 3 times a week, with treatment times ... time, equipment preparation and wait time.  This regimen can ... patients who are elderly and frail.  Many elderly dialysis ... centers for some duration of time. Residents ...
Breaking Medicine Technology: