Disparities in Completion Rates of the Medical Prerenal Transplant Evaluation by Race or Ethnicity and Gender
Disparities in Completion Rates of the Medical Prerenal Transplant Evaluation by Race or Ethnicity and Gender
复制标题
DOI：
10.1097/tp.0000000000000271
复制
发表时间：
2015-01-15
期刊：
影响因子：
6.2
通讯作者：
Danielson, Kirstie K.
中科院分区：
文献类型：
--
作者：
Monson, Rebecca S.;Kemerley, Patricia;Danielson, Kirstie K.
背景相当数量的潜在肾移植候选人在转诊到移植计划后没有完成所需的医学评估。方法.采用回顾性图表分析2009年10月1日至2010年9月30日首次就诊的患者（n=256），分析与肾移植评估完成率相关的因素。主要终点是在12个月内完成。自变量包括社会经济、人口统计学和医疗因素。结果平均年龄为50.7岁; 49.6%为黑人，28.5%为西班牙裔，21.9%为白色和其他; 26.3%不需要透析。随访期间，23.4%的患者未完成评估。多变量分析表明，完成率较低与需要更多的医学检查（与0-2：3-5次检查相比，风险比[HR]=0.65，P=0.02; >= 6次检查，HR=0.47，P=0.0005）和需要一次以上的住院治疗（与无检查相比：HR=0.37，P=0.0008）有关。种族或民族与性别之间的显著交互作用被发现：与黑人男性相比，西班牙裔男性（HR=2.75，P
Background. A significant number of potential kidney transplant candidates do not complete the required medical evaluation after referral to a transplant program. Methods. Factors associated with rate of completion of the renal transplant evaluation were analyzed using a retrospective chart review of patients first seen between October 1, 2009, and September 30, 2010 (n=256). The primary endpoint was completion in 12 months. Independent variables included socioeconomic, demographic, and medical factors. Results. Mean age was 50.7 years; 49.6% were black, 28.5% Hispanic, and 21.9% white and other; 26.3% did not require dialysis. During follow-up, 23.4% did not complete the evaluation. Multivariable analysis indicated that slower rates of completion were associated with needing a greater number of medical tests (compared to 0-2: 3-5 tests, hazard ratio [HR]=0.65, P=0.02; >= 6 tests, HR=0.47, P=0.0005) and requiring more than one hospitalization (compared to none: HR=0.37, P=0.0008). A significant interaction between race or ethnicity and gender on completion was found: compared to black men, Hispanic men (HR=2.75, P