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Review of ethnic disparities in access to renal transplantation
Author(s) -
Joshi Shivam,
J. Gaynor Jeffrey,
Ciancio Gaetano
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.1399-0012.2012.01679.x
Subject(s) - medicine , transplantation , ethnic group , dialysis , socioeconomic status , kidney transplantation , intensive care medicine , disease , end stage renal disease , health care , gerontology , population , environmental health , sociology , anthropology , economics , economic growth
Renal transplantation is the gold standard treatment for patients with end‐stage renal disease and is associated with several advantages over dialysis, including increased quality of life, reduced morbidity and mortality, and lower healthcare costs. Barring the constraints of a limited organ supply, the goals of the patient care should focus on attaining renal transplantation while minimizing, or even eliminating, time spent on dialysis. Disparities in access to renal transplantation between A frican A mericans and C aucasians have been extensively documented, with A frican A mericans having significantly poorer access. There is a growing corpus of literature examining the determinants of reduced access among other racial ethnic minority groups, including H ispanics. These determinants include patient and physician preference, socioeconomic status, insurance type, patient education, and immunologic factors. We review these determinants in access to renal transplantation in the U nited S tates among all races and ethnicities.