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:2/17/2017)... BEAVER CREEK, CO (PRWEB) , ... February 17, 2017 , ... ... the second annual International Healing NET Foundation Summit from February 21 - 23 in ... Healing NET Foundation (HNF). This marks the Summit’s second year in Beaver Creek, hosting ...
(Date:2/17/2017)... ... February 17, 2017 , ... Dillon Ruxton Insurance, a Florida-based ... owners in the greater Fort Lauderdale metropolitan region, is embarking on a cooperative ... 30 years, LifeNet 4 Families has provided a broad range of food provision ...
(Date:2/16/2017)... ... February 17, 2017 , ... For some cancer survivors, ... final treatments. Physician researchers at The Marcus Institute of Integrative Health at ... efficacy in reducing symptoms of traumatic stress in cancer patients and published ...
(Date:2/16/2017)... ... February 17, 2017 , ... ... financial planning services to families and entrepreneurs in the Birmingham area, is announcing ... mother who needs assistance with her medically challenged son, Anius. , Anius is ...
(Date:2/16/2017)... ... 16, 2017 , ... Doctors on Liens is proud to ... network through his work at BKP Chiropractic in Lancaster . After ... from Canada’s prestigious International Baccalaureate Program, Dr. Raj went on to open successful ...
Breaking Medicine News(10 mins):
(Date:2/17/2017)... -- Research and Markets has announced the addition of the ... their offering. ... separate comprehensive analytics for the US, Canada , ... , and Rest of World. Annual estimates and forecasts are provided ... provided for these markets. Market data and analytics are derived from primary ...
(Date:2/17/2017)... Feb. 17, 2017  Featuring new ... at the  2017 HIMSS Conference & Exhibition (HIMSS17 ),  ... a global leader in health ... of population health management, acute healthcare ... integrated in a highly secure, cloud-based ...
(Date:2/16/2017)... , Feb. 16, 2017 Research and ... for Emerging Medical Device Technologies" report to their offering. ... ... open procedures, general instruments, non-drug coated implantables, large endoscopes, needle ... in use over the last two to three decades for ...
Breaking Medicine Technology: