Health Disparities in Kidney Transplantation for African Americans

Kimberly Harding; Tesfaye B. Mersha; Phuong Thu Pham; Amy D. Waterman; Fern J. Webb; Joseph A. Vassalotti; Susanne B. Nicholas

doi:10.1159/000479480

Health Disparities in Kidney Transplantation for African Americans

Kimberly Harding, Tesfaye B. Mersha, Phuong Thu Pham, Amy D. Waterman, Fern J. Webb, Joseph A. Vassalotti, Susanne B. Nicholas

Research output: Contribution to journal › Review article › peer-review

59 Scopus citations

Abstract

Background: The persistent challenges of bridging healthcare disparities for African Americans (AAs) in need of kidney transplantation continue to be unresolved at the national level. This healthcare disparity is multifactorial: stemming from limited kidney donors suitable for AAs; inconsistent care coordination and suboptimal risk factor control; social determinants, low socioeconomic status, reduced access to care; and mistrust of clinicians and the healthcare system. Summary: There are numerous opportunities to significantly lessen the disparities in kidney transplantation for AAs through the following measures: the adoption of new care and patient engagement models that include education, enhanced practice-level cultural sensitivity, and timely referral as well as increased research on the impact of the environment on genetic risk, and implementation of new transplantation-related policies. Key Messages: This systematic review describes pretransplant concerns related to access to kidney transplantation, posttransplant complications, and policy interventions to address the challenging issues associated with kidney transplantation in AAs.

Original language	English (US)
Pages (from-to)	165-175
Number of pages	11
Journal	American Journal of Nephrology
Volume	46
Issue number	2
DOIs	https://doi.org/10.1159/000479480
State	Published - Aug 1 2017

Keywords

African American
Call to action
Donor
Education
Gene variants
Health disparities
Kidney transplantation
Outcome

ASJC Scopus subject areas

Nephrology

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10.1159/000479480

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title = "Health Disparities in Kidney Transplantation for African Americans",

abstract = "Background: The persistent challenges of bridging healthcare disparities for African Americans (AAs) in need of kidney transplantation continue to be unresolved at the national level. This healthcare disparity is multifactorial: stemming from limited kidney donors suitable for AAs; inconsistent care coordination and suboptimal risk factor control; social determinants, low socioeconomic status, reduced access to care; and mistrust of clinicians and the healthcare system. Summary: There are numerous opportunities to significantly lessen the disparities in kidney transplantation for AAs through the following measures: the adoption of new care and patient engagement models that include education, enhanced practice-level cultural sensitivity, and timely referral as well as increased research on the impact of the environment on genetic risk, and implementation of new transplantation-related policies. Key Messages: This systematic review describes pretransplant concerns related to access to kidney transplantation, posttransplant complications, and policy interventions to address the challenging issues associated with kidney transplantation in AAs.",

keywords = "African American, Call to action, Donor, Education, Gene variants, Health disparities, Kidney transplantation, Outcome",

author = "Kimberly Harding and Mersha, {Tesfaye B.} and Pham, {Phuong Thu} and Waterman, {Amy D.} and Webb, {Fern J.} and Vassalotti, {Joseph A.} and Nicholas, {Susanne B.}",

note = "Funding Information: This work was supported by NIH grant R01HL132344 to TBM; and NIH grants 1DP3 DK094311 and UL1TR000124 to SBN. The authors would also like to acknowledge Beverly Bobbitt for her contribution. Publisher Copyright: {\textcopyright} 2017 S. Karger AG, Basel.",

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AU - Harding, Kimberly

AU - Mersha, Tesfaye B.

AU - Pham, Phuong Thu

AU - Waterman, Amy D.

AU - Webb, Fern J.

AU - Vassalotti, Joseph A.

AU - Nicholas, Susanne B.

N1 - Funding Information: This work was supported by NIH grant R01HL132344 to TBM; and NIH grants 1DP3 DK094311 and UL1TR000124 to SBN. The authors would also like to acknowledge Beverly Bobbitt for her contribution. Publisher Copyright: © 2017 S. Karger AG, Basel.

PY - 2017/8/1

Y1 - 2017/8/1

N2 - Background: The persistent challenges of bridging healthcare disparities for African Americans (AAs) in need of kidney transplantation continue to be unresolved at the national level. This healthcare disparity is multifactorial: stemming from limited kidney donors suitable for AAs; inconsistent care coordination and suboptimal risk factor control; social determinants, low socioeconomic status, reduced access to care; and mistrust of clinicians and the healthcare system. Summary: There are numerous opportunities to significantly lessen the disparities in kidney transplantation for AAs through the following measures: the adoption of new care and patient engagement models that include education, enhanced practice-level cultural sensitivity, and timely referral as well as increased research on the impact of the environment on genetic risk, and implementation of new transplantation-related policies. Key Messages: This systematic review describes pretransplant concerns related to access to kidney transplantation, posttransplant complications, and policy interventions to address the challenging issues associated with kidney transplantation in AAs.

AB - Background: The persistent challenges of bridging healthcare disparities for African Americans (AAs) in need of kidney transplantation continue to be unresolved at the national level. This healthcare disparity is multifactorial: stemming from limited kidney donors suitable for AAs; inconsistent care coordination and suboptimal risk factor control; social determinants, low socioeconomic status, reduced access to care; and mistrust of clinicians and the healthcare system. Summary: There are numerous opportunities to significantly lessen the disparities in kidney transplantation for AAs through the following measures: the adoption of new care and patient engagement models that include education, enhanced practice-level cultural sensitivity, and timely referral as well as increased research on the impact of the environment on genetic risk, and implementation of new transplantation-related policies. Key Messages: This systematic review describes pretransplant concerns related to access to kidney transplantation, posttransplant complications, and policy interventions to address the challenging issues associated with kidney transplantation in AAs.

KW - African American

KW - Call to action

KW - Donor

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KW - Gene variants

KW - Health disparities

KW - Kidney transplantation

KW - Outcome

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Health Disparities in Kidney Transplantation for African Americans

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