The impact of comorbid and sociodemographic factors on access to renal transplantation

Article Abstract:

Access to a kidney transplant among patients suffering from end-stage renal (kidney) disease (ESRD) may depend upon the presence of other underlying diseases and the patient's socioeconomic status. Among 4,118 patients who began dialysis for ESRD between 1986 and 1987, 10% had undergone a kidney transplant by an average of two years following the development of ESRD. Patients who were suffering from cardiovascular disease were less likely to undergo transplantation than those without cardiovascular disease. Individuals who were obese or had peripheral vascular disease were also less likely to undergo a transplant than other individuals. The rate of kidney transplantation was also lower among poor patients, non-white patients, older patients and women than among other patients. Patients from a higher socioeconomic group may have an advantage over those from a lower socioeconomic group because of the shortage of donor organs.

Chronic kidney failure

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Barriers to Cadaveric Renal Transplantation Among Blacks, Women, and the Poor

Article Abstract:

African Americans, the poor, and women with chronic kidney disease are less likely to enter and progress through the kidney transplant process than white people, men, and those in higher socioeconomic classes. Researchers compared 7,125 patients undergoing long-term kidney dialysis, most of whom would have benefited from transplantation of a cadaver organ. Blacks and the poor were significantly less likely to show clear interest in a transplant, receive a medical work, join the organ waiting list, or undergo transplantation. Only about 3% of patients not evaluated for surgery were medically ineligible for the procedure. The transplant system needs to address these barriers to increase transplantations among less-privileged groups.

Women, African Americans, Poor

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Deceased-donor characteristics and the survival benefit of kidney transplantation

Article Abstract:

A study aims to compare mortality after expanded criteria donor (ECD) kidney transplantation versus that in a combined standard-therapy group of non-ECD recipients and those still receiving dialysis. It is suggested that ECD kidney transplants should be offered principally to candidates older than 40 years in organ procurement organizations with long waiting times.

United States, Services information, Health aspects, Services, Organ procurement organizations, Dialysis equipment (Medical treatment)

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