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Barriers to Organ Transplantation among Underrepresented Racial and Ethnic Groups

M. Parra

Duke Clinical Research Institute, Durham, NC

Meeting: 2020 American Transplant Congress

Abstract number: B-226

Keywords: African-American, Heart transplant patients, Kidney transplantation, Liver transplantation

Session Information

Date: Saturday, May 30, 2020

Session Name: Poster Session B: Non-Organ Specific: Disparities to Outcome and Access to Healthcare

Session Time: 3:15pm-4:00pm

 Presentation Time: 3:30pm-4:00pm

Location: Virtual

Related Abstracts
  • Racial/Ethnic Differences in Deceased Organ Donor Rates Over Time in the United States
  • Worsening Racial/Ethnic Disparities in Pediatric Kidney Transplant Outcomes in the US

*Purpose: To understand how known patient, provider, and system-level barriers to organ transplantation differ by race and ethnicity.

*Methods: We searched Pubmed and Scopus for articles from 2009-2019 using the following medical subject headings (MeSH): transplantation, transplants, barriers, disparity, difference, obstacles, ethnicity, ethnic, race, racial, African American, black, Hispanic, Latino, and LatinX. Of the initial 1,886 records, 31 articles were included in the final review.

*Results: Of the 31 articles included in the final review, studies reporting barriers to kidney transplantation were most prevalent (25/31), followed by liver (4/31) and heart (2/31). Studies focusing on black race were more common than other racial and ethnic groups (77.4%). Barriers at the patient level accounted for the majority, 7/12 (58.3%), a finding that was consistent across the three racial and ethnic groups. Across organs, 12 principle barriers were identified. Common barriers to kidney transplantation includes lack of knowledge about organ transplantation, patient preference, and lower family income. Common barriers to liver transplantation were insurance and patient preference.

*Conclusions: The published data on barriers to organ transplantation is overwhelmingly focused on kidney transplantation in black patients. Patient-level factors, specifically patient preference and knowledge of organ transplantation represent targets for intervention. More data on barriers to organ transplantation are needed for Hispanic individuals.

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To cite this abstract in AMA style:

Parra M. Barriers to Organ Transplantation among Underrepresented Racial and Ethnic Groups [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/barriers-to-organ-transplantation-among-underrepresented-racial-and-ethnic-groups/. Accessed March 6, 2021.

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