Impact of geographic location on access to liver transplantation among ethnic minorities

Transplantation
N KemmerG W Neff

Abstract

Recent reports have documented ethnic disparity in access to health care. This disparity appears to exist in organ transplantation and the contributing factors include lack of insurance as well as poor socioeconomic status. The role of geographic location and ethnic composition on accessibility to liver transplantation (LT) is unclear. Therefore, the aim of this study was to determine ethnic transplantation trends based on United Network for Organ Sharing (UNOS) regions. Using the UNOS database, we identified all adults (> or =18 years) that received LT between 2000 and 2005. We excluded multiorgan transplants and living donor transplantation. The data collected included ethnicity, transplantation rate, and UNOS region. Data were analyzed using the chi test. A total of 30,311 patients received a LT during the study period. Of these, 22,673 (74.8%) were white, 3621 (12%) were Hispanic, 2490 (8.2%) were African Americans, and the rest of other ethnic groups (5%). Liver transplantation based on ethnicity was region specific, with the lowest for African Americans in region 6 (2.7%), for Hispanics in region 11 (2.2%), and for whites in region 5 (57.6%), respectively. There was no consistent correlation between the ethnicity of the r...Continue Reading

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Citations

Aug 31, 2011·Digestive Diseases and Sciences·Nyingi M Kemmer, Kenneth E Sherman
Aug 28, 2010·Clinical Journal of the American Society of Nephrology : CJASN·David A AxelrodKrista L Lentine
Mar 22, 2014·Transplantation·Amit K MathurJohn Kalbfleisch
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