Area Deprivation Index is Associated with Worse Patient Survival Following Adult Kidney Transplantation
1Division of Transplant Surgery, Department of Surgery, University of Washington, Seattle, WA, 2Clinical and Bio-Analytics Transplant Laboratory (CBATL), University of Washington, Seattle, WA, 3University of Washington School of Medicine, Seattle, WA, 4University of Washington School of Medicine Seattle, Seattle, WA
Meeting: 2022 American Transplant Congress
Abstract number: 1203
Keywords: Economics, Kidney transplantation, Outcome
Topic: Clinical Science » Organ Inclusive » 70 - Non-Organ Specific: Disparities to Outcome and Access to Healthcare
Session Information
Session Name: Non-Organ Specific: Disparities to Outcome and Access to Healthcare
Session Type: Poster Abstract
Date: Sunday, June 5, 2022
Session Time: 7:00pm-8:00pm
Presentation Time: 7:00pm-8:00pm
Location: Hynes Halls C & D
*Purpose: Area Deprivation Index (ADI) has been utilized as a granular measure of local socioeconomic status for nearly two decades. This study is the first to investigate the relationship between ADI and patient survival after adult kidney transplantation.
*Methods: We performed a retrospective study using the cohort of adult liver transplant recipients at the University of Washington Medical Center from Janurary 1, 2004 through December 31, 2020 (n = 1614). Primary exposure was ADI in a range of 1 -100 as determined by the patient’s home address. Primary outcome was patient survival.
*Results: In a multivariable Cox proportional analysis, patients from high deprivation areas (scores 76 – 100) had a 1.97 hazard ratio (95% CI: 1.10 to 3.54, p = 0.022) for post-transplant death compared to those from lower deprivation neighborhoods (scores 1 – 75). There was no significant difference in post-transplant survival in multivariable analysis based on donor or recipient gender, donor or recipient race, insurance type, days waitlisted, PRA or cold ischemia time.
*Conclusions: Adult patients from high deprivation areas have worse survival following kidney transplantation. Ongoing work is needed to understand the challenges facing transplant recipients from areas of socioeconomic deprivation.
To cite this abstract in AMA style:
Hendele J, Perkins J, Nichols J, Dick A. Area Deprivation Index is Associated with Worse Patient Survival Following Adult Kidney Transplantation [abstract]. Am J Transplant. 2022; 22 (suppl 3). https://atcmeetingabstracts.com/abstract/area-deprivation-index-is-associated-with-worse-patient-survival-following-adult-kidney-transplantation/. Accessed May 21, 2025.« Back to 2022 American Transplant Congress