Date: Saturday, June 2, 2018
Session Time: 5:30pm-7:30pm
Presentation Time: 5:30pm-7:30pm
Location: Hall 4EF
OBJECTIVE: Kidney Transplantation (KT) demands navigation of a complex healthcare system and adherence to lifelong immunosuppression therapy. Cultural and linguistic discordance between patients and providers has been identified as a barrier to successful KT. We studied KT outcomes among the Somali population at our institution.
METHODS: From 1995-2015, 2385 patients underwent KT at our institution; 22 identified as Somali. Repeat KT patients were excluded. Overall patient, graft, and rejection-free survival were analyzed. Utilization of interpreter services and ease of navigation of the transplant process was also evaluated.
RESULTS: Among 22 adult Somali KT recipients, 68% frequently utilized translator services in KT-related clinical encounters, compared to 2.2% in the Caucasian group (n=2636, p=<0.001). Median follow up was 4.0 and 9.2 years in the Somali and Caucasian groups, respectively. In the Somali cohort, there were 17 deceased and 5 living donor KT. Living donors were significantly younger (29 y.o.), compared to the Caucasian group (43 y.o.; p=0.03). Overall patient survival for the Somali vs Caucasian cohort was 100% vs 97.2% at 1 year, 95.5% vs 93.4% at 3 years, and 95.5% vs 89.1% at 5 years. Death-censored graft survival was 100% vs 94.8% at 1 year, 95.5% vs 88.5% at 3 years, and 95.5% vs 81.6% at 5 years. Rejection-free survival was 100% and 86.2% at 1 year, 100% and 83.6% at 3 years, and 100% and 82.1% at 5 years.
CONCLUSION: In this cohort of Somali KT recipients, cultural and linguistic discordance does not appear to affect KT outcomes with comparable results to the Caucasian cohort.
CITATION INFORMATION: Peterson K., Serrano O., Odegard M., Mongin S., Berglund D., Vock D., Chinnakotla S., Dunn T., Finger E., Kandaswamy R., Pruett T., Matas A. Challenges in Cultural and Linguistic Discordance in Caring for Somali Kidney Transplant Recipients at a Large-Volume Transplant Center Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:Peterson K, Serrano O, Odegard M, Mongin S, Berglund D, Vock D, Chinnakotla S, Dunn T, Finger E, Kandaswamy R, Pruett T, Matas A. Challenges in Cultural and Linguistic Discordance in Caring for Somali Kidney Transplant Recipients at a Large-Volume Transplant Center [abstract]. https://atcmeetingabstracts.com/abstract/challenges-in-cultural-and-linguistic-discordance-in-caring-for-somali-kidney-transplant-recipients-at-a-large-volume-transplant-center/. Accessed November 17, 2019.
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