ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Advanced Search

Geographic Differences in Racial Disparity Reduction in Kidney Transplant Rates Before and After the New Kidney Allocation System.

R. Patzer,1 T. Melanson,1 M. Basu,1 L. Plantinga,1 L. McPherson,1 S. Mohan,2 J. Gander,1 D. Howard,1 S. Pastan.1

1Emory University, Atlanta
2Columbia University, New York.

Meeting: 2016 American Transplant Congress

Abstract number: 513

Keywords: African-American, Allocation, Public policy, Waiting lists

Session Information

Date: Tuesday, June 14, 2016

Session Name: Concurrent Session: Kidney Waitlist Management and KAS Initial Results

Session Time: 4:30pm-6:00pm

 Presentation Time: 5:06pm-5:18pm

Location: Veterans Auditorium

Related Abstracts
  • U.S. Dialysis Facility Characteristics Associated with Racial Disparities in Access to the Kidney Deceased Donor Transplant Waiting List.
  • Super Regions Can Reduce Geographic Disparities in Liver Transplantation

Background: Prior to the new kidney allocation system (KAS) implemented 12/4/2014, significant African American (AA) vs. white racial disparities existed in access to kidney transplantation (KTx) among waitlisted patients. While preliminary results show that the proportion of AA transplanted patients has increased, it is unknown whether this increase has eliminated racial disparities. In addition, it is unknown whether this disparity reduction is consistent across geographic region.

Methods: We examined data from 173,639 patients waitlisted for KTx from the United Network for Organ Sharing (UNOS) standard analytic file from June 2013-June 2015, and divided the cohort into those waitlisted pre- and post-KAS eras. We calculated the proportion of waitlisted patients who received a deceased donor KTx by race as the number of transplants per 100 waitlisted patients; the difference in the proportion of transplants by race (AA vs. white) was mapped by UNOS region using ArcGIS.

Results: Prior to Dec. 4, 2014, a smaller proportion of KTx patients were AAs vs. white (31.5% vs. 42.2%) and all 11 UNOS regions had a racial disparity in KTx; following KAS, the proportion of transplanted patients who were AAs increased to 37.7%. All UNOS regions had a racial disparity reduction in transplant rate from pre- to post-KAS but disparity reduction was not consistent across UNOS region (Figure). Following KAS, regions 5 and 9 still had a racial disparity, where white patients were transplanted at a higher rate than AAs.

Conclusions: Following implementation of KAS, racial disparities were significantly reduced among AA vs. Caucasians, although disparity reduction varied by geographic region. Longer term follow-up is needed to determine whether greater equality in KTx access is sustained.

CITATION INFORMATION: Patzer R, Melanson T, Basu M, Plantinga L, McPherson L, Mohan S, Gander J, Howard D, Pastan S. Geographic Differences in Racial Disparity Reduction in Kidney Transplant Rates Before and After the New Kidney Allocation System. Am J Transplant. 2016;16 (suppl 3).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Patzer R, Melanson T, Basu M, Plantinga L, McPherson L, Mohan S, Gander J, Howard D, Pastan S. Geographic Differences in Racial Disparity Reduction in Kidney Transplant Rates Before and After the New Kidney Allocation System. [abstract]. Am J Transplant. 2016; 16 (suppl 3). https://atcmeetingabstracts.com/abstract/geographic-differences-in-racial-disparity-reduction-in-kidney-transplant-rates-before-and-after-the-new-kidney-allocation-system/. Accessed March 6, 2021.

« Back to 2016 American Transplant Congress

Most Viewed Abstracts

  • This Week
  • This Month
  • All Time
  • Role of Mitochondria, Metabolism and Inflammation: Pathways Influencing Short Term Outcomes Post-Renal Transplantation
    • Factors Influencing Creatinine Rise Following Donor Nephrectomy

    Visit Our Partner Sites

    American Transplant Congress (ATC)

    Visit the official site for the American Transplant Congress »

    American Journal of Transplantation

    The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

    American Society of Transplantation (AST)

    An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

    American Society of Transplant Surgeons (ASTS)

    The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

    Copyright © 2013-2021 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

    Privacy Policy

    loading Cancel
    Post was not sent - check your email addresses!
    Email check failed, please try again
    Sorry, your blog cannot share posts by email.
    This site uses cookies: Find out more.