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Patterns of end‐stage renal disease in US African‐Americans
Author(s) -
AGODOA Lawrence
Publication year - 1998
Publication title -
nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 61
eISSN - 1440-1797
pISSN - 1320-5358
DOI - 10.1111/j.1440-1797.1998.tb00464.x
Subject(s) - medicine , end stage renal disease , ethnic group , disease , incidence (geometry) , population , dialysis , demography , diabetes mellitus , gerontology , environmental health , endocrinology , physics , sociology , anthropology , optics
Summary: Although African‐Americans constitute only about 12.4% of the population of the United States of America (USA), they comprise over 30% of the end‐stage renal disease (ESRD) patient population. Diabetes mellitus (predominantly type 2) is the most frequently reported cause of ESRD in all racial and ethnic groups in the USA. However, hypertensive renal disease is reported as the dominant cause of ESRD in African‐Americans. In general, all racial and ethnic minority groups in the USA have greater incidence and prevalence rates of ESRD than Caucasians. However, survival probabilities in all ESRD patients, dialysis patients, and cadaveric renal allograft recipients are greater in African‐Americans than in Caucasians. the suggested reasons for these racial and ethnic disparities are discussed.