Potential to Mitigate Disparities in Access to Kidney Transplant in the Hispanic/Latino Population With a Specialized Clinic: Single Center Study Representing Single State Data
Potential to Mitigate Disparities in Access to Kidney Transplant in the Hispanic/Latino Population With a Specialized Clinic: Single Center Study Representing Single State Data
复制标题
DOI：
10.1016/j.transproceed.2021.03.039
复制
发表时间：
2021-08-19
影响因子：
0.9
通讯作者：
Desai, Chirag S.
中科院分区：
文献类型：
--
作者：
Rodriguez, Pablo Serrano;Szempruch, Kristen R.;Desai, Chirag S.
背景。我们试图评估美国单个州肾移植率的潜在差异。我们研究了用一个专门的诊所作为模型来缓解差异的潜力。方法。根据美国肾脏数据系统和器官获取与移植网络的数据，我们估计了2000年至2018年期间按种族/民族分层的年度终末期肾脏疾病和候补名单的增加情况。机构率也进行了类似的分析，并评估了重点拉丁裔诊所的实施情况。结果。从2000年到2017年，加入全国移植等待名单的非拉丁裔白人患者数量增加了40%，拉丁裔患者增加了160%。与北卡罗来纳州2000年至2004年、2015年至2018年相比，拉丁裔患者的等待名单增加了482%，非拉丁裔白人增加了23%。在我们机构设立指定的拉丁裔移植诊所一年后，拉丁裔肾移植评估的转诊数量增加了125%，等待移植的拉丁裔患者数量增加了142%，肾移植数量增加了145%。结论。随着拉丁裔社区中被诊断为终末期肾病的患者数量的增加，有一个具有文化能力的项目来解决移植的问题是一个直接的好处。
Background. We sought to evaluate potential disparities in kidney transplant rates in a single state in the United States. We studied the potential to mitigate disparities with a specialized clinic using it as a model presentation. Methods. Based on data from the United States Renal Data System and Organ Procurement and Transplantation Network, we estimated the yearly end-stage renal disease and waitlist addition, stratified by race/ethnicity from 2000 to 2018. Institution rates were analyzed similarly, and the implementation of a focused Latino clinic was evaluated. Results. The number of patients added to the national transplant waitlist has increased by 40% in non-Latino whites and by 160% in Latinos from 2000 to 2017. Comparing the period from 2000 to 2004 to 2015 to 2018 in North Carolina, the waitlist increased for Latino patients by 482% and non-Latino whites by 23%. One year after a designated Latino transplant clinic at our institution, there was a 125% increase in the number of Latino referrals for kidney transplant evaluation, a 142% increase in the number of waitlisted Latino patients, and an increase in kidney transplants of 145%. Conclusion. With the increasing number of patients in the Latino community who are diagnosed with end-stage renal disease, there is a direct benefit for a culturally competent program that addresses access to transplants.