Race and Socioeconomic Disparities in Organ Type, Recovery and Readmission in Kidney Transplant Recipients
Glickman Urology and Nephrology, Cleveland Clinic, Cleveland.
Meeting: 2018 American Transplant Congress
Abstract number: B97
Keywords: Kidney transplantation, Renal failure
Session Information
Session Name: Poster Session B: Kidney Deceased Donor Allocation
Session Type: Poster Session
Date: Sunday, June 3, 2018
Session Time: 6:00pm-7:00pm
Presentation Time: 6:00pm-7:00pm
Location: Hall 4EF
Objectives: Racial and socioeconomic disparities are prevalent in healthcare, including for kidney transplant recipients. Post-transplant, patients are faced with many challenges that contribute to high readmission rates and long hospital stays. We aim to identify racial and socioeconomic disparities in these patients at our institution.
Methods: We retrospectively reviewed 336 adult kidney-only transplant recipients aged 18-76 from Jan 2015 to Sept 2017. Social and demographic data were obtained from the medical records. Geographic median income was obtained from the U.S. Census Bureau based on zip code. Data were analyzed using the chi-squared or Kruskal-Wallis test.
Results: 60% of patients were male and 68% of patients were Caucasian, 24% were African American (AA), and 7% were other. An equal proportion of DBD/DCD kidneys were transplanted among all races. Only 7/82 (9%) AA patients received kidneys from living related donors while 61/230 (27%) of Caucasian patients and 5/24 (21%) of patients of other races received related donor kidneys (p<0.001). Within 30 days of transplant, 76/336 patients (23%) were readmitted. The readmission rate, frequency of deceased donor kidneys transplants, and length of stay (LOS) are presented below stratified by race.
| Caucasian
N=230/336 |
African American
N=82/336 |
Other Races
N= 24/336 |
P value | |
| Deceased donor transplants | 92/230
40% |
64/82
78% |
9/24
38% |
p<0.0001 |
| LOS (days) | 5* | 6* | 6.5 | *p<0.001 |
| Readmission within 30 days | 45/230
20% |
27/82
33% |
4/24
17% |
p=0.035 |
The median income for Caucasian patients was $53,917 compared to $41,129 for AA patients (p<0.0001) and $50,104 for other races who were US residents. For reference, according to the U.S. Census Bureau, the median household income in the U.S. in 2016 was $57,617.
Conclusions: Racial and socioeconomic disparities persist throughout healthcare, including in kidney transplantation. Our data demonstrate a higher readmission rate and fewer living donor recipients in the AA population. Results from this study could inform pre-operative counseling and direct post-operative discharge planning and patient education efforts.
CITATION INFORMATION: Crane A., Coy T., Yerram N., Eltemamy M., Poggio E., Fatica R., Wee A., Modlin C., Krishnamurthi V. Race and Socioeconomic Disparities in Organ Type, Recovery and Readmission in Kidney Transplant Recipients Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:
Crane A, Coy T, Yerram N, Eltemamy M, Poggio E, Fatica R, Wee A, Modlin C, Krishnamurthi V. Race and Socioeconomic Disparities in Organ Type, Recovery and Readmission in Kidney Transplant Recipients [abstract]. https://atcmeetingabstracts.com/abstract/race-and-socioeconomic-disparities-in-organ-type-recovery-and-readmission-in-kidney-transplant-recipients/. Accessed November 24, 2024.« Back to 2018 American Transplant Congress