The effect of racial misclassification on estimates of end-stage renal disease among American Indians and Alaska Natives in the Pacific Northwest, 1988 through 1990

American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation
J R Sugarman, L Lawson

Abstract

Although several recent studies have documented a high incidence of end-stage renal disease (ESRD) among American Indians (AI) and Alaska Natives (AN), racial misclassification of AI/AN as members of other races on disease registries has not been accounted for. We conducted a study to link the Northwest Renal Network (NRN) ESRD database, which includes persons known to have begun dialysis in Idaho, Oregon, and Washington, and the Indian Health Service (IHS) patient registration file, which includes AI/AN enrolled for health care provided or paid for by IHS in the same states, for the period January 1, 1988 to December 31, 1990. Among the 3,356 persons included on the NRN ESRD database, 68 (2.0%) were coded as AI/AN. Of the 68 listed as AI/AN, 54 (79.4%) were identified on the IHS patient registration file. In addition to the 68 cases coded on the NRN as AI/AN, we identified 12 cases that were definitively matched to the IHS patient registration file but not coded AI/AN on the NRN. The age-adjusted annual incidence of ESRD treatment initiation among AI/AN in Idaho, Oregon, and Washington was 267.5 per million according to original racial coding on the NRN, but it increased to 311.6 per million after correction for racial misclas...Continue Reading

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Citations

Apr 28, 2005·American Journal of Public Health·Emily PuukkaThomas M Becker
Apr 28, 2005·American Journal of Public Health·Dale BramleyMark Chassin
May 1, 1993·American Journal of Public Health·J R SugarmanF P Rivara
Aug 29, 2002·American Journal of Public Health·Thomas M BeckerL D Robertson
Feb 6, 2016·American Journal of Surgery·Vlad V SimianuSara H Javid
Jan 20, 2009·American Journal of Kidney Diseases : the Official Journal of the National Kidney Foundation·Diane L FrankenfieldRajiv Saran
Jul 17, 2015·American Journal of Public Health·Diane M KorngiebelDedra Buchwald
Jun 13, 2015·American Journal of Public Health·Raymond HarrisDedra Buchwald
Apr 28, 2005·Diabetes Care·Nilka Ríos BurrowsKelly J Acton
Sep 26, 2002·Public Health Reports·Todd S HarwellSteven D Helgerson
Apr 24, 2014·American Journal of Public Health·Nilka Ríos BurrowsPaul W Eggers
Aug 21, 2007·Clinical Journal of the American Society of Nephrology : CJASN·Sophia H ChouUNKNOWN Alberta Kidney Disease Network
May 24, 2007·Public Health Reports·Jeanne BertolliUNKNOWN AI/AN Race /Ethnicity Data Validation Workgroup

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