The role of the economic environment in kidney transplant outcomes
: The relationship between global economic indicators and kidney allograft and patient survival is unknown. To investigate possible relationships between the two, we analyzed kidney transplant recipients receiving transplants between January of 1995 and December of 2002 (n = 105 181) in the USA usi...
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| Veröffentlicht in: | Clinical transplantation 2009-09, Vol.23 (5), p.643-652 |
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| container_title | Clinical transplantation |
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| creator | Gueye, Abdou S. Baird, Bradley C. Shihab, Fuad Koford, James K. Barenbaum, Anna L. Leviatov, Alexander Goldfarb-Rumyantzev, Alexander S. |
| description | : The relationship between global economic indicators and kidney allograft and patient survival is unknown. To investigate possible relationships between the two, we analyzed kidney transplant recipients receiving transplants between January of 1995 and December of 2002 (n = 105 181) in the USA using Cox regression models. We found that: The Dow Jones Industrial Average had a negative association with outcome at one year post‐transplant (HR 1.03 and 1.06, p |
| doi_str_mv | 10.1111/j.1399-0012.2009.01024.x |
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To investigate possible relationships between the two, we analyzed kidney transplant recipients receiving transplants between January of 1995 and December of 2002 (n = 105 181) in the USA using Cox regression models. We found that: The Dow Jones Industrial Average had a negative association with outcome at one year post‐transplant (HR 1.03 and 1.06, p < 0.001 for graft and recipient survival, respectively) but changed to a protective effect in the late period (HR 0.77, p < 0.001, and HR 0.83, p < 0.001 for graft and recipient survival, respectively, five yr after transplantation). Unemployment rate had a protective effect at the time of transplantation (HR 0.97, p < 0.005) and at one year after transplantation (HR 0.95, p < 0.005) but changed to the opposite in the late period at the fifth post‐transplant year (HR 1.35, p < 0.001, and HR 1.20, p < 0.001, for graft and recipient survival respectively). The Consumer Price Index measured at different post‐transplant time points seems to have had a protective effect on the graft (HR 0.77, p < 0.001 at five yr) and recipient (HR 0.83, p < 0.001 at five yr) survival. Beyond three yr after transplantation, when some of the recipients lose Medicare benefits, economic downturns might have a negative association with the kidney graft and recipient survival.]]></description><identifier>ISSN: 0902-0063</identifier><identifier>EISSN: 1399-0012</identifier><identifier>DOI: 10.1111/j.1399-0012.2009.01024.x</identifier><identifier>PMID: 19659673</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adult ; Biological and medical sciences ; consumer price index ; Dow Jones ; economic Indicator ; Female ; Follow-Up Studies ; Fundamental and applied biological sciences. Psychology ; Fundamental immunology ; Graft Rejection - economics ; Graft Rejection - epidemiology ; Graft Survival ; Humans ; kidney ; Kidney Failure, Chronic - economics ; Kidney Failure, Chronic - mortality ; Kidney Failure, Chronic - therapy ; Kidney Transplantation ; Male ; Medical sciences ; Miscellaneous ; outcome ; Prognosis ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; recipient survival ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Survival Rate ; Tissue, organ and graft immunology ; transplantation ; Treatment Outcome ; unemployment rate</subject><ispartof>Clinical transplantation, 2009-09, Vol.23 (5), p.643-652</ispartof><rights>2009 John Wiley & Sons A/S</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4364-7211dcf87a0494fad0b5a3192118373812487e8d2de7471d75059aceb4d1e3e63</citedby><cites>FETCH-LOGICAL-c4364-7211dcf87a0494fad0b5a3192118373812487e8d2de7471d75059aceb4d1e3e63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1399-0012.2009.01024.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1399-0012.2009.01024.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21984660$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19659673$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gueye, Abdou S.</creatorcontrib><creatorcontrib>Baird, Bradley C.</creatorcontrib><creatorcontrib>Shihab, Fuad</creatorcontrib><creatorcontrib>Koford, James K.</creatorcontrib><creatorcontrib>Barenbaum, Anna L.</creatorcontrib><creatorcontrib>Leviatov, Alexander</creatorcontrib><creatorcontrib>Goldfarb-Rumyantzev, Alexander S.</creatorcontrib><title>The role of the economic environment in kidney transplant outcomes</title><title>Clinical transplantation</title><addtitle>Clin Transplant</addtitle><description><![CDATA[: The relationship between global economic indicators and kidney allograft and patient survival is unknown. To investigate possible relationships between the two, we analyzed kidney transplant recipients receiving transplants between January of 1995 and December of 2002 (n = 105 181) in the USA using Cox regression models. We found that: The Dow Jones Industrial Average had a negative association with outcome at one year post‐transplant (HR 1.03 and 1.06, p < 0.001 for graft and recipient survival, respectively) but changed to a protective effect in the late period (HR 0.77, p < 0.001, and HR 0.83, p < 0.001 for graft and recipient survival, respectively, five yr after transplantation). Unemployment rate had a protective effect at the time of transplantation (HR 0.97, p < 0.005) and at one year after transplantation (HR 0.95, p < 0.005) but changed to the opposite in the late period at the fifth post‐transplant year (HR 1.35, p < 0.001, and HR 1.20, p < 0.001, for graft and recipient survival respectively). The Consumer Price Index measured at different post‐transplant time points seems to have had a protective effect on the graft (HR 0.77, p < 0.001 at five yr) and recipient (HR 0.83, p < 0.001 at five yr) survival. Beyond three yr after transplantation, when some of the recipients lose Medicare benefits, economic downturns might have a negative association with the kidney graft and recipient survival.]]></description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>consumer price index</subject><subject>Dow Jones</subject><subject>economic Indicator</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Fundamental immunology</subject><subject>Graft Rejection - economics</subject><subject>Graft Rejection - epidemiology</subject><subject>Graft Survival</subject><subject>Humans</subject><subject>kidney</subject><subject>Kidney Failure, Chronic - economics</subject><subject>Kidney Failure, Chronic - mortality</subject><subject>Kidney Failure, Chronic - therapy</subject><subject>Kidney Transplantation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>outcome</subject><subject>Prognosis</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>recipient survival</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Survival Rate</subject><subject>Tissue, organ and graft immunology</subject><subject>transplantation</subject><subject>Treatment Outcome</subject><subject>unemployment rate</subject><issn>0902-0063</issn><issn>1399-0012</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkE1P3DAQhq2qVVlo_0KVS8UpwV-x40MPsAWKhAqqAj1aXmeieknirZ2F3X9fh10t1_ri0fh5x6MHoYzggqRztiwIUyrHmNCCYqwKTDDlxeYdmh0e3qMZVpimWrAjdBzjMnUFEeVHdESUKJWQbIYu6j-QBd9B5ttsTDVYP_je2QyGZxf80MMwZm7InlwzwDYbgxniqjOp6dej9T3ET-hDa7oIn_f3CXq4uqznP_Lbu-ub-fltbjkTPJeUkMa2lTSYK96aBi9Kw4hK7YpJVhHKKwlVQxuQXJJGlrhUxsKCNwQYCHaCTndzV8H_XUMcde-ihS4tA34dtWQcS6IUTWS1I23wMQZo9Sq43oStJlhPAvVST5705ElPAvWrQL1J0S_7T9aLHpq34N5YAr7uAROt6drkw7p44ChRFRcCJ-7bjntxHWz_ewE9r39NVcrnu7yLI2wOeROedFpDlvr3z2s9vy_r748104z9A3CRmZ4</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>Gueye, Abdou S.</creator><creator>Baird, Bradley C.</creator><creator>Shihab, Fuad</creator><creator>Koford, James K.</creator><creator>Barenbaum, Anna L.</creator><creator>Leviatov, Alexander</creator><creator>Goldfarb-Rumyantzev, Alexander S.</creator><general>Blackwell Publishing Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200909</creationdate><title>The role of the economic environment in kidney transplant outcomes</title><author>Gueye, Abdou S. ; Baird, Bradley C. ; Shihab, Fuad ; Koford, James K. ; Barenbaum, Anna L. ; Leviatov, Alexander ; Goldfarb-Rumyantzev, Alexander S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4364-7211dcf87a0494fad0b5a3192118373812487e8d2de7471d75059aceb4d1e3e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>consumer price index</topic><topic>Dow Jones</topic><topic>economic Indicator</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Fundamental immunology</topic><topic>Graft Rejection - economics</topic><topic>Graft Rejection - epidemiology</topic><topic>Graft Survival</topic><topic>Humans</topic><topic>kidney</topic><topic>Kidney Failure, Chronic - economics</topic><topic>Kidney Failure, Chronic - mortality</topic><topic>Kidney Failure, Chronic - therapy</topic><topic>Kidney Transplantation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>outcome</topic><topic>Prognosis</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>recipient survival</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Survival Rate</topic><topic>Tissue, organ and graft immunology</topic><topic>transplantation</topic><topic>Treatment Outcome</topic><topic>unemployment rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gueye, Abdou S.</creatorcontrib><creatorcontrib>Baird, Bradley C.</creatorcontrib><creatorcontrib>Shihab, Fuad</creatorcontrib><creatorcontrib>Koford, James K.</creatorcontrib><creatorcontrib>Barenbaum, Anna L.</creatorcontrib><creatorcontrib>Leviatov, Alexander</creatorcontrib><creatorcontrib>Goldfarb-Rumyantzev, Alexander S.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gueye, Abdou S.</au><au>Baird, Bradley C.</au><au>Shihab, Fuad</au><au>Koford, James K.</au><au>Barenbaum, Anna L.</au><au>Leviatov, Alexander</au><au>Goldfarb-Rumyantzev, Alexander S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of the economic environment in kidney transplant outcomes</atitle><jtitle>Clinical transplantation</jtitle><addtitle>Clin Transplant</addtitle><date>2009-09</date><risdate>2009</risdate><volume>23</volume><issue>5</issue><spage>643</spage><epage>652</epage><pages>643-652</pages><issn>0902-0063</issn><eissn>1399-0012</eissn><abstract><![CDATA[: The relationship between global economic indicators and kidney allograft and patient survival is unknown. To investigate possible relationships between the two, we analyzed kidney transplant recipients receiving transplants between January of 1995 and December of 2002 (n = 105 181) in the USA using Cox regression models. We found that: The Dow Jones Industrial Average had a negative association with outcome at one year post‐transplant (HR 1.03 and 1.06, p < 0.001 for graft and recipient survival, respectively) but changed to a protective effect in the late period (HR 0.77, p < 0.001, and HR 0.83, p < 0.001 for graft and recipient survival, respectively, five yr after transplantation). Unemployment rate had a protective effect at the time of transplantation (HR 0.97, p < 0.005) and at one year after transplantation (HR 0.95, p < 0.005) but changed to the opposite in the late period at the fifth post‐transplant year (HR 1.35, p < 0.001, and HR 1.20, p < 0.001, for graft and recipient survival respectively). The Consumer Price Index measured at different post‐transplant time points seems to have had a protective effect on the graft (HR 0.77, p < 0.001 at five yr) and recipient (HR 0.83, p < 0.001 at five yr) survival. Beyond three yr after transplantation, when some of the recipients lose Medicare benefits, economic downturns might have a negative association with the kidney graft and recipient survival.]]></abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19659673</pmid><doi>10.1111/j.1399-0012.2009.01024.x</doi><tpages>10</tpages></addata></record> |
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| ispartof | Clinical transplantation, 2009-09, Vol.23 (5), p.643-652 |
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| subjects | Adult Biological and medical sciences consumer price index Dow Jones economic Indicator Female Follow-Up Studies Fundamental and applied biological sciences. Psychology Fundamental immunology Graft Rejection - economics Graft Rejection - epidemiology Graft Survival Humans kidney Kidney Failure, Chronic - economics Kidney Failure, Chronic - mortality Kidney Failure, Chronic - therapy Kidney Transplantation Male Medical sciences Miscellaneous outcome Prognosis Public health. Hygiene Public health. Hygiene-occupational medicine recipient survival Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Survival Rate Tissue, organ and graft immunology transplantation Treatment Outcome unemployment rate |
| title | The role of the economic environment in kidney transplant outcomes |
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