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

Geographical Disparities in Transplantation: Exploring the Association between County Health Rankings and an Individual’s Access to Transplantation

A. J. Carter, R. D. Reed, D. Hendricks, K. N. Baldwin, A. C. Kale, J. E. Locke

Surgery, University of Alabama at Birmingham, Birmingham, AL

Meeting: 2020 American Transplant Congress

Abstract number: C-243

Keywords: Kidney, Living donor, Patient education, Renal failure

Session Information

Date: Saturday, May 30, 2020

Session Name: Poster Session C: 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
  • Enhanced Advocacy and Health Systems Training through Patient Navigation Increases Access to Living Donor Kidney Transplantation
  • Impact of County Health Rankings on Nationwide Liver Transplant Outcomes

*Purpose: Since 2004, living kidney donation has declined, with the southeastern United States disproportionately affected. Programs such as the Living Donor Navigator (LDN), designed to mitigate this decline, have been associated with increases in living donation. To date, however, likelihood of participation in these programs by socioeconomic status (SES) and population health characteristics has not been examined.

*Methods: We distributed 172 surveys to adult kidney-only candidates who initiated evaluation at our center between 8/2019-11/2019 and assessed both their interest in and access to the LDN program. Utilizing nonparametric Wilcoxon rank sums test, chi-square, and Fisher’s exact tests when applicable, we were able to assess geographical barriers, interest, and ability when compared to county health rankings.

*Results: We had a 46% response rate (79/172). The 79 survey respondents represented 6 states and 44 counties within the southeastern United States. Geography proved to be the greatest barrier among disinterested candidates, with candidates who indicated distance as a barrier to participation in the LDN program living approximately 70 miles further from our center as compared to individuals who did not indicate distance as a barrier to participation (Median (IQR) of 127.8 (86.6-169.2) vs. 57.3 (10.8-101.7), p <0.0001, respectively). Additionally, candidates who indicated they would be able to participate in the LDN sessions lived approximately 40 miles closer to our center than those reporting inability to participate (Median (IQR) 83.7 (14.6-141.7) vs. 120.6 (81.4-167.4), p=0.04, respectively). Candidates who were not interested in the program were from areas with higher rates of physical inactivity and lower rates of college education. Further comparisons showed that candidates who were not able to participate were from areas with higher rates of un-insurance and unemployment. Although not significant, the prevalence of poverty was also greater among individuals who indicated their inability to participate in the LDN program (Table 1).

*Conclusions: These data suggest that geography in combination with being from under resourced areas was negatively associated with healthcare engagement. Geography and poverty may be surrogate markers for lower health literacy and fewer healthcare interactions.

 border=

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Carter AJ, Reed RD, Hendricks D, Baldwin KN, Kale AC, Locke JE. Geographical Disparities in Transplantation: Exploring the Association between County Health Rankings and an Individual’s Access to Transplantation [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/geographical-disparities-in-transplantation-exploring-the-association-between-county-health-rankings-and-an-individuals-access-to-transplantation/. Accessed March 8, 2021.

« Back to 2020 American Transplant Congress

Most Viewed Abstracts

  • This Week
  • This Month
  • All Time
  • Home
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Search
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Home
  • Subtherapeutic Low Tacrolimus Trough Levels (≤3.5 Ng /ml) Are A Risk Factor For Acute Rejection And Creatinine Doubling.
  • Penis Transplantation: First U.S. Experience.
  • A Decade of Donor-Derived Disease: A Report of the OPTN Ad Hoc Disease Transmission Advisory Committee (DTAC).
  • Penis Transplantation: First U.S. Experience.
  • Is There a Difference Between DCD and DBD Kidney Transplantation with Similar KDPI?
  • Low GFR after Kidney Donation Is Not Chronic Kidney Disease
  • Evidence of a Clinically Significant Drug-Drug Interaction between Cannabidiol and Tacrolimus: A Case Report
  • Kidney Dialysis after Heart Transplantation: The Short and Long Term Outcomes

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.