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Education is associated with reduction in racial disparities in kidney transplant outcome
Author(s) -
GoldfarbRumyantzev Alexander S.,
Sandhu Gurprataap S.,
Barenbaum Anna,
Baird Bradley C.,
Patibandla Bhanu K.,
Narra Akshita,
Koford James K.,
Barenbaum Lev
Publication year - 2012
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/j.1399-0012.2012.01662.x
Subject(s) - medicine , college education , demography , sociology , demographic economics , economics
In this study, we hypothesized that higher level of education might be associated with reduced racial disparities in renal transplantation outcomes. We used data from the United States Renal Data System (September 1, 1990–September 1, 2007) (n = 79 223) and analyzed two outcomes, graft loss and recipient mortality, using C ox models. Compared with w hites, A frican A mericans had increased risk of graft failure ( HR , 1.48; p < 0.001) and recipient mortality ( HR , 1.06; p = 0.004). Compared with recipients who graduated from college, all other education groups had inferior graft survival. Specifically, compared with college‐graduated individuals, A frican A mericans who never finished high school had the highest risk of graft failure ( HR , 1.45; p < 0.001), followed by high school graduates ( HR , 1.27; p < 0.001) and those with some college education ( HR , 1.18; p < 0.001). A similar trend was observed in w hites. In A frican A mericans (compared with w hites), the highest risk of graft failure was associated with individuals who did not complete high school ( HR , 1.96; p < 0.001) followed by high school graduates ( HR , 1.47; p < 0.001), individuals with some college education ( HR , 1.45; p < 0.001), and college graduates ( HR , 1.39; p < 0.001). A similar trend was observed with recipient mortality. In sum, higher education was associated with reduced racial disparities in graft and recipient survival.