Study reveals details behind transplant disparities experienced by patients of colour
Oct 26, 2020
Washington [US], October 26 : Studies have observed that patients of colour are less likely to receive kidney transplants than white patients, but it's not clear when during the transplant evaluation process this disparity occurs.
Research that was presented online during ASN Kidney Week 2020 Reimagined October 19-October 25 indicated that the disparity arises after physicians refer patients for transplantation.
The analysis included 60,229 patients (23,499 patients of colour and 36,730 white) who started dialysis between 2015 and 2018 at a large dialysis organization.
Compared with whites, the patients of colour were 23% more likely to be referred for transplantation. Among referred patients, the patients of colour were 19% less likely to be placed on a waitlist than whites. Among wait-listed patients, patients of colour were 52% less likely to receive a transplant than whites. Overall, patients of colour were 54% less likely to receive transplants than white patients.
"We found that Black patients were actually more likely to be referred to a transplant centre after starting dialysis, compared with white patients; however, they were less likely to be waitlisted for a transplant after referral, and less likely to receive a transplant once waitlisted," said lead author Steven M. Brunelli, MD, MSCE (DaVita Clinical Research). "Racial disparities seem to emerge beginning at the listing stage and carry through the organ allocation stage."
