Racial Disparities in Pediatric Access to Kidney Transplantation: Does Socioeconomic Status Play a Role?
Racial disparities persist in access to renal transplantation in the United States, but the degree to which patient and neighborhood socioeconomic status (SES) impacts racial disparities in deceased donor renal transplantation access has not been examined in the pediatric and adolescent end‐stage re...
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| Veröffentlicht in: | American journal of transplantation 2012-02, Vol.12 (2), p.369-378 |
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| container_title | American journal of transplantation |
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| creator | Patzer, R. E. Amaral, S. Klein, M. Kutner, N. Perryman, J. P. Gazmararian, J. A. McClellan, W. M. |
| description | Racial disparities persist in access to renal transplantation in the United States, but the degree to which patient and neighborhood socioeconomic status (SES) impacts racial disparities in deceased donor renal transplantation access has not been examined in the pediatric and adolescent end‐stage renal disease (ESRD) population. We examined the interplay of race and SES in a population‐based cohort of all incident pediatric ESRD patients |
| doi_str_mv | 10.1111/j.1600-6143.2011.03888.x |
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Findings from this national cohort of pediatric end‐stage renal disease patients suggest that racial disparities exist in access to kidney transplantation that are not entirely explained by socioeconomic status, and are more pronounced among patients transitioning into young adulthood. See AJT Report (page 269) and article by Patzer et al on page 358.</description><identifier>ISSN: 1600-6135</identifier><identifier>EISSN: 1600-6143</identifier><identifier>DOI: 10.1111/j.1600-6143.2011.03888.x</identifier><identifier>PMID: 22226039</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Access to transplantation ; Adolescent ; Biological and medical sciences ; Child ; Child, Preschool ; Female ; General aspects ; health insurance ; Health Services Accessibility - statistics & numerical data ; Health Status Disparities ; Healthcare Disparities ; Humans ; Infant ; Kidney Failure, Chronic - ethnology ; Kidney Failure, Chronic - surgery ; kidney transplant waiting list ; Kidney Transplantation - ethnology ; Male ; Medical sciences ; Miscellaneous ; neighborhood poverty ; pediatric kidney transplantation ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; racial and ethnic disparities ; Racial Groups ; Retrospective Studies ; Social Class ; Socioeconomic Factors ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the urinary system ; United States - epidemiology ; United States Renal Data System ; Waiting Lists ; Young Adult</subject><ispartof>American journal of transplantation, 2012-02, Vol.12 (2), p.369-378</ispartof><rights>2012 The American Society of Transplantation and the American Society of Transplant Surgeons</rights><rights>2015 INIST-CNRS</rights><rights>2012 The American Society of Transplantation and the American Society of Transplant Surgeons.</rights><rights>Copyright 2012 The American Society of Transplantation and the American Society of Transplant Surgeons 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5368-9edc7ac0a5688ed17c56949d8ec93792788a6534dcedc36cb7e85dded3f3f66d3</citedby><cites>FETCH-LOGICAL-c5368-9edc7ac0a5688ed17c56949d8ec93792788a6534dcedc36cb7e85dded3f3f66d3</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.1600-6143.2011.03888.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-6143.2011.03888.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25579621$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22226039$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Patzer, R. E.</creatorcontrib><creatorcontrib>Amaral, S.</creatorcontrib><creatorcontrib>Klein, M.</creatorcontrib><creatorcontrib>Kutner, N.</creatorcontrib><creatorcontrib>Perryman, J. P.</creatorcontrib><creatorcontrib>Gazmararian, J. A.</creatorcontrib><creatorcontrib>McClellan, W. M.</creatorcontrib><title>Racial Disparities in Pediatric Access to Kidney Transplantation: Does Socioeconomic Status Play a Role?</title><title>American journal of transplantation</title><addtitle>Am J Transplant</addtitle><description>Racial disparities persist in access to renal transplantation in the United States, but the degree to which patient and neighborhood socioeconomic status (SES) impacts racial disparities in deceased donor renal transplantation access has not been examined in the pediatric and adolescent end‐stage renal disease (ESRD) population. We examined the interplay of race and SES in a population‐based cohort of all incident pediatric ESRD patients <21 years from the United States Renal Data System from 2000 to 2008, followed through September 2009. Of 8 452 patients included, 30.8% were black, 27.6% white‐Hispanic, 44.3% female and 28.0% lived in poor neighborhoods. A total of 63.4% of the study population was placed on the waiting list and 32.5% received a deceased donor transplant. Racial disparities persisted in transplant even after adjustment for SES, where minorities were less likely to receive a transplant compared to whites, and this disparity was more pronounced among patients 18–20 years. Disparities in access to the waiting list were mitigated in Hispanic patients with private health insurance. Our study suggests that racial disparities in transplant access worsen as pediatric patients transition into young adulthood, and that SES does not explain all of the racial differences in access to kidney transplantation.
Findings from this national cohort of pediatric end‐stage renal disease patients suggest that racial disparities exist in access to kidney transplantation that are not entirely explained by socioeconomic status, and are more pronounced among patients transitioning into young adulthood. See AJT Report (page 269) and article by Patzer et al on page 358.</description><subject>Access to transplantation</subject><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>General aspects</subject><subject>health insurance</subject><subject>Health Services Accessibility - statistics & numerical data</subject><subject>Health Status Disparities</subject><subject>Healthcare Disparities</subject><subject>Humans</subject><subject>Infant</subject><subject>Kidney Failure, Chronic - ethnology</subject><subject>Kidney Failure, Chronic - surgery</subject><subject>kidney transplant waiting list</subject><subject>Kidney Transplantation - ethnology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>neighborhood poverty</subject><subject>pediatric kidney transplantation</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>racial and ethnic disparities</subject><subject>Racial Groups</subject><subject>Retrospective Studies</subject><subject>Social Class</subject><subject>Socioeconomic Factors</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>United States - epidemiology</subject><subject>United States Renal Data System</subject><subject>Waiting Lists</subject><subject>Young Adult</subject><issn>1600-6135</issn><issn>1600-6143</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU1vEzEQhi0EoqXwF5AvCC5Z7HX8hURR1PJdiaoNZ2tqe6kjZx3sTdv8e7wkBLgg5mJL87yjGT0IYUoaWuvloqGCkImgU9a0hNKGMKVUc3cPHe4b9_d_xg_Qo1IWhFDZqvYhOmhrCcL0Ibq-ABsg4tNQVpDDEHzBocfn3gUYcrB4Zq0vBQ8Jfw6u9xs8z9CXVYR-gCGk_hU-TTVzmWxI3qY-LWvosvbWBZ9H2GDAFyn6N4_Rgw5i8U927xH6-u7t_OTD5OzL-48ns7OJ5UyoifbOSrAEuFDKOyotF3qqnfJWM6lbqRQIzqbOVpAJeyW94s55xzrWCeHYETrezl2tr5aV8f2QIZpVDkvIG5MgmL87fbg239KNYZpTQnQd8Hw3IKfva18GswzF-lgv9mldjKZKM8IZqeSLf5JUKt4y2QpRUbVFbU6lZN_tF6LEjErNwoy2zGjOjErNT6Xmrkaf_nnQPvjLYQWe7QAoFmJX_dhQfnOcSy1aWrnXW-42RL_57wXM7NN8_LEfGJi-NQ</recordid><startdate>201202</startdate><enddate>201202</enddate><creator>Patzer, R. E.</creator><creator>Amaral, S.</creator><creator>Klein, M.</creator><creator>Kutner, N.</creator><creator>Perryman, J. P.</creator><creator>Gazmararian, J. A.</creator><creator>McClellan, W. M.</creator><general>Blackwell Publishing Inc</general><general>Wiley</general><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>7T5</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201202</creationdate><title>Racial Disparities in Pediatric Access to Kidney Transplantation: Does Socioeconomic Status Play a Role?</title><author>Patzer, R. E. ; Amaral, S. ; Klein, M. ; Kutner, N. ; Perryman, J. P. ; Gazmararian, J. A. ; McClellan, W. 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Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>racial and ethnic disparities</topic><topic>Racial Groups</topic><topic>Retrospective Studies</topic><topic>Social Class</topic><topic>Socioeconomic Factors</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>United States - epidemiology</topic><topic>United States Renal Data System</topic><topic>Waiting Lists</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Patzer, R. E.</creatorcontrib><creatorcontrib>Amaral, S.</creatorcontrib><creatorcontrib>Klein, M.</creatorcontrib><creatorcontrib>Kutner, N.</creatorcontrib><creatorcontrib>Perryman, J. P.</creatorcontrib><creatorcontrib>Gazmararian, J. A.</creatorcontrib><creatorcontrib>McClellan, W. M.</creatorcontrib><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>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Patzer, R. E.</au><au>Amaral, S.</au><au>Klein, M.</au><au>Kutner, N.</au><au>Perryman, J. P.</au><au>Gazmararian, J. A.</au><au>McClellan, W. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial Disparities in Pediatric Access to Kidney Transplantation: Does Socioeconomic Status Play a Role?</atitle><jtitle>American journal of transplantation</jtitle><addtitle>Am J Transplant</addtitle><date>2012-02</date><risdate>2012</risdate><volume>12</volume><issue>2</issue><spage>369</spage><epage>378</epage><pages>369-378</pages><issn>1600-6135</issn><eissn>1600-6143</eissn><abstract>Racial disparities persist in access to renal transplantation in the United States, but the degree to which patient and neighborhood socioeconomic status (SES) impacts racial disparities in deceased donor renal transplantation access has not been examined in the pediatric and adolescent end‐stage renal disease (ESRD) population. We examined the interplay of race and SES in a population‐based cohort of all incident pediatric ESRD patients <21 years from the United States Renal Data System from 2000 to 2008, followed through September 2009. Of 8 452 patients included, 30.8% were black, 27.6% white‐Hispanic, 44.3% female and 28.0% lived in poor neighborhoods. A total of 63.4% of the study population was placed on the waiting list and 32.5% received a deceased donor transplant. Racial disparities persisted in transplant even after adjustment for SES, where minorities were less likely to receive a transplant compared to whites, and this disparity was more pronounced among patients 18–20 years. Disparities in access to the waiting list were mitigated in Hispanic patients with private health insurance. Our study suggests that racial disparities in transplant access worsen as pediatric patients transition into young adulthood, and that SES does not explain all of the racial differences in access to kidney transplantation.
Findings from this national cohort of pediatric end‐stage renal disease patients suggest that racial disparities exist in access to kidney transplantation that are not entirely explained by socioeconomic status, and are more pronounced among patients transitioning into young adulthood. See AJT Report (page 269) and article by Patzer et al on page 358.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>22226039</pmid><doi>10.1111/j.1600-6143.2011.03888.x</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Access to transplantation Adolescent Biological and medical sciences Child Child, Preschool Female General aspects health insurance Health Services Accessibility - statistics & numerical data Health Status Disparities Healthcare Disparities Humans Infant Kidney Failure, Chronic - ethnology Kidney Failure, Chronic - surgery kidney transplant waiting list Kidney Transplantation - ethnology Male Medical sciences Miscellaneous neighborhood poverty pediatric kidney transplantation Public health. Hygiene Public health. Hygiene-occupational medicine racial and ethnic disparities Racial Groups Retrospective Studies Social Class Socioeconomic Factors Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system United States - epidemiology United States Renal Data System Waiting Lists Young Adult |
| title | Racial Disparities in Pediatric Access to Kidney Transplantation: Does Socioeconomic Status Play a Role? |
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