Access to living donor transplantation for Aboriginal recipients: a study of living donor presentation and exclusion
Dunsmore S, Karpinski M, Young A, Storsley L. Access to living donor transplantation for Aboriginal recipients: a study of living donor presentation and exclusion. Clin Transplant 2011: 25: E617–E621. © 2011 John Wiley & Sons A/S. : Aboriginals experience high rates of end‐stage renal disease...
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| Veröffentlicht in: | Clinical transplantation 2011-11, Vol.25 (6), p.E617-E621 |
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| creator | Dunsmore, S. Karpinski, M. Young, A. Storsley, L. |
| description | Dunsmore S, Karpinski M, Young A, Storsley L. Access to living donor transplantation for Aboriginal recipients: a study of living donor presentation and exclusion.
Clin Transplant 2011: 25: E617–E621. © 2011 John Wiley & Sons A/S.
: Aboriginals experience high rates of end‐stage renal disease (ESRD) and are less likely to receive a kidney transplant from a living donor. We hypothesized that higher rates of hypertension and diabetes in Aboriginal communities would result in fewer potential living donors coming forward and more exclusions for medical reasons.
We performed a retrospective study to examine the frequency of potential donor presentation and the reasons for donor exclusion among Aboriginal and Caucasian wait‐listed ESRD patients at our center.
Three hundred and eighty‐five wait‐listed patients were studied, including 174 Aboriginals and 211 Caucasians. Time on the waiting list was similar between groups. A similar proportion of Aboriginals and Caucasians had at least one potential donor (40% vs. 46%), and the rate of donor exclusion for medical reasons was also similar (23% vs. 21%). Potential donors to Aboriginals were more likely to be excluded for non‐medical reasons (50% vs. 30%; p |
| doi_str_mv | 10.1111/j.1399-0012.2011.01491.x |
| format | Article |
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Clin Transplant 2011: 25: E617–E621. © 2011 John Wiley & Sons A/S.
: Aboriginals experience high rates of end‐stage renal disease (ESRD) and are less likely to receive a kidney transplant from a living donor. We hypothesized that higher rates of hypertension and diabetes in Aboriginal communities would result in fewer potential living donors coming forward and more exclusions for medical reasons.
We performed a retrospective study to examine the frequency of potential donor presentation and the reasons for donor exclusion among Aboriginal and Caucasian wait‐listed ESRD patients at our center.
Three hundred and eighty‐five wait‐listed patients were studied, including 174 Aboriginals and 211 Caucasians. Time on the waiting list was similar between groups. A similar proportion of Aboriginals and Caucasians had at least one potential donor (40% vs. 46%), and the rate of donor exclusion for medical reasons was also similar (23% vs. 21%). Potential donors to Aboriginals were more likely to be excluded for non‐medical reasons (50% vs. 30%; p < 0.0001), of which 96% were because of loss of contact.
Waitlisted Aboriginal ESRD patients appear just as likely as Caucasians to have potential living donors initiate evaluation and have a similar rate of donor exclusion because of medical reasons. Further work is required to identify why donors to Aboriginals are more likely to withdraw from the evaluation process.</description><identifier>ISSN: 0902-0063</identifier><identifier>EISSN: 1399-0012</identifier><identifier>DOI: 10.1111/j.1399-0012.2011.01491.x</identifier><identifier>PMID: 21919960</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Aboriginal ; Adult ; African Continental Ancestry Group ; Diabetes Mellitus - physiopathology ; European Continental Ancestry Group ; Female ; Graft Rejection - prevention & control ; Humans ; Hypertension - physiopathology ; Kidney Failure, Chronic - mortality ; Kidney Failure, Chronic - surgery ; Kidney Transplantation ; living donation ; Living Donors ; Male ; Middle Aged ; Native Americans ; Retrospective Studies ; Survival Rate ; Waiting Lists</subject><ispartof>Clinical transplantation, 2011-11, Vol.25 (6), p.E617-E621</ispartof><rights>2011 John Wiley & Sons A/S</rights><rights>2011 John Wiley & Sons A/S.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3571-53d3c6df935fcafcaaa8f8396197a90e381a649bae6e7eb4e5b82c0cff437c363</citedby></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.1399-0012.2011.01491.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1399-0012.2011.01491.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21919960$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dunsmore, S.</creatorcontrib><creatorcontrib>Karpinski, M.</creatorcontrib><creatorcontrib>Young, A.</creatorcontrib><creatorcontrib>Storsley, L.</creatorcontrib><title>Access to living donor transplantation for Aboriginal recipients: a study of living donor presentation and exclusion</title><title>Clinical transplantation</title><addtitle>Clin Transplant</addtitle><description>Dunsmore S, Karpinski M, Young A, Storsley L. Access to living donor transplantation for Aboriginal recipients: a study of living donor presentation and exclusion.
Clin Transplant 2011: 25: E617–E621. © 2011 John Wiley & Sons A/S.
: Aboriginals experience high rates of end‐stage renal disease (ESRD) and are less likely to receive a kidney transplant from a living donor. We hypothesized that higher rates of hypertension and diabetes in Aboriginal communities would result in fewer potential living donors coming forward and more exclusions for medical reasons.
We performed a retrospective study to examine the frequency of potential donor presentation and the reasons for donor exclusion among Aboriginal and Caucasian wait‐listed ESRD patients at our center.
Three hundred and eighty‐five wait‐listed patients were studied, including 174 Aboriginals and 211 Caucasians. Time on the waiting list was similar between groups. A similar proportion of Aboriginals and Caucasians had at least one potential donor (40% vs. 46%), and the rate of donor exclusion for medical reasons was also similar (23% vs. 21%). Potential donors to Aboriginals were more likely to be excluded for non‐medical reasons (50% vs. 30%; p < 0.0001), of which 96% were because of loss of contact.
Waitlisted Aboriginal ESRD patients appear just as likely as Caucasians to have potential living donors initiate evaluation and have a similar rate of donor exclusion because of medical reasons. Further work is required to identify why donors to Aboriginals are more likely to withdraw from the evaluation process.</description><subject>Aboriginal</subject><subject>Adult</subject><subject>African Continental Ancestry Group</subject><subject>Diabetes Mellitus - physiopathology</subject><subject>European Continental Ancestry Group</subject><subject>Female</subject><subject>Graft Rejection - prevention & control</subject><subject>Humans</subject><subject>Hypertension - physiopathology</subject><subject>Kidney Failure, Chronic - mortality</subject><subject>Kidney Failure, Chronic - surgery</subject><subject>Kidney Transplantation</subject><subject>living donation</subject><subject>Living Donors</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Native Americans</subject><subject>Retrospective Studies</subject><subject>Survival Rate</subject><subject>Waiting Lists</subject><issn>0902-0063</issn><issn>1399-0012</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUV1r3DAQFKWluaT9C0VvebKrtWzZKvThOHpJIKSkTUnfhCyvg64-25Hk9u7fR84lBxUL2o-ZhZ0hhAJLIb7PmxS4lAljkKUZA0gZ5BLS3RuyOA7ekgWTLIu54Cfk1PtN7AoQxXtykoEEKQVbkLA0Br2nYaCd_Wv7B9oM_eBocLr3Y6f7oIMdetrG3rIenH2wve6oQ2NHi33wX6imPkzNng7t_ytGhx5f-bpvKO5MN_lYfSDvWt15_Pjyn5Ff6293q8vk-vvF1Wp5nRhelJAUvOFGNK3kRWt0DK2rtuJSgCy1ZMgr0CKXtUaBJdY5FnWVGWbaNuel4YKfkfPD3tENjxP6oLbWG-ziWThMXkkAmVV5MSM_vSCneouNGp3dardXr0JFwNcD4J_tcH-cA1OzIWqjZt3VrLuaDVHPhqidWt39mLPITw586wPujnzt_ihR8rJQ9zcX6p7frn9nP0Fd8ieXp5By</recordid><startdate>201111</startdate><enddate>201111</enddate><creator>Dunsmore, S.</creator><creator>Karpinski, M.</creator><creator>Young, A.</creator><creator>Storsley, L.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201111</creationdate><title>Access to living donor transplantation for Aboriginal recipients: a study of living donor presentation and exclusion</title><author>Dunsmore, S. ; Karpinski, M. ; Young, A. ; Storsley, L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3571-53d3c6df935fcafcaaa8f8396197a90e381a649bae6e7eb4e5b82c0cff437c363</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aboriginal</topic><topic>Adult</topic><topic>African Continental Ancestry Group</topic><topic>Diabetes Mellitus - physiopathology</topic><topic>European Continental Ancestry Group</topic><topic>Female</topic><topic>Graft Rejection - prevention & control</topic><topic>Humans</topic><topic>Hypertension - physiopathology</topic><topic>Kidney Failure, Chronic - mortality</topic><topic>Kidney Failure, Chronic - surgery</topic><topic>Kidney Transplantation</topic><topic>living donation</topic><topic>Living Donors</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Native Americans</topic><topic>Retrospective Studies</topic><topic>Survival Rate</topic><topic>Waiting Lists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dunsmore, S.</creatorcontrib><creatorcontrib>Karpinski, M.</creatorcontrib><creatorcontrib>Young, A.</creatorcontrib><creatorcontrib>Storsley, L.</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dunsmore, S.</au><au>Karpinski, M.</au><au>Young, A.</au><au>Storsley, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Access to living donor transplantation for Aboriginal recipients: a study of living donor presentation and exclusion</atitle><jtitle>Clinical transplantation</jtitle><addtitle>Clin Transplant</addtitle><date>2011-11</date><risdate>2011</risdate><volume>25</volume><issue>6</issue><spage>E617</spage><epage>E621</epage><pages>E617-E621</pages><issn>0902-0063</issn><eissn>1399-0012</eissn><abstract>Dunsmore S, Karpinski M, Young A, Storsley L. Access to living donor transplantation for Aboriginal recipients: a study of living donor presentation and exclusion.
Clin Transplant 2011: 25: E617–E621. © 2011 John Wiley & Sons A/S.
: Aboriginals experience high rates of end‐stage renal disease (ESRD) and are less likely to receive a kidney transplant from a living donor. We hypothesized that higher rates of hypertension and diabetes in Aboriginal communities would result in fewer potential living donors coming forward and more exclusions for medical reasons.
We performed a retrospective study to examine the frequency of potential donor presentation and the reasons for donor exclusion among Aboriginal and Caucasian wait‐listed ESRD patients at our center.
Three hundred and eighty‐five wait‐listed patients were studied, including 174 Aboriginals and 211 Caucasians. Time on the waiting list was similar between groups. A similar proportion of Aboriginals and Caucasians had at least one potential donor (40% vs. 46%), and the rate of donor exclusion for medical reasons was also similar (23% vs. 21%). Potential donors to Aboriginals were more likely to be excluded for non‐medical reasons (50% vs. 30%; p < 0.0001), of which 96% were because of loss of contact.
Waitlisted Aboriginal ESRD patients appear just as likely as Caucasians to have potential living donors initiate evaluation and have a similar rate of donor exclusion because of medical reasons. Further work is required to identify why donors to Aboriginals are more likely to withdraw from the evaluation process.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>21919960</pmid><doi>10.1111/j.1399-0012.2011.01491.x</doi></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Aboriginal Adult African Continental Ancestry Group Diabetes Mellitus - physiopathology European Continental Ancestry Group Female Graft Rejection - prevention & control Humans Hypertension - physiopathology Kidney Failure, Chronic - mortality Kidney Failure, Chronic - surgery Kidney Transplantation living donation Living Donors Male Middle Aged Native Americans Retrospective Studies Survival Rate Waiting Lists |
| title | Access to living donor transplantation for Aboriginal recipients: a study of living donor presentation and exclusion |
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