ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 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
    • 2021 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
  • Search

Impact of Educational Attainment On Kidney Transplant Outcomes By Race

A. Aguirre-Alarcon,1 P. Friedmann,1 A. Gregg,2 L. Kayler.3

1Albert Einstein College of Medicine, Bronx, NY
2University of Florida, Gainesville, FL
3Department of Surgery, Montefiore Medical Center, Bronx, NY.

Meeting: 2015 American Transplant Congress

Abstract number: D47

Keywords: Graft survival, Kidney, Kidney transplantation, Patient education

Session Information

Session Name: Poster Session D: Disparities in Healthcare Outcomes

Session Type: Poster Session

Date: Tuesday, May 5, 2015

Session Time: 5:30pm-6:30pm

 Presentation Time: 5:30pm-6:30pm

Location: Exhibit Hall E

Educational attainment is associated with disparities in graft and recipient survival in kidney transplant (KTX) candidates; however, the impact of educational status within racial groups remains unclear.

We examined SRTR data from 2000 to 2012 of adult, first-time, deceased-donor kidney-only recipients by four educational attainment levels (lowest: none/ through 8th grade; middle: high school or GED; high: some college/ technical school; highest: associate/ bachelor/ graduate degree) within race groups (white, black, Hispanic, and Asian).

Univariate analysis demonstrated significant associations (p < 0.01) of low educational attainment and reduced overall death-censored graft survival (DCGS) and patient survival amongst whites and blacks but not Hispanics or Asians. On multivariate analysis of black KTX recipients, those with the lowest education level were associated with significantly worse DCGS (aHR 1.27 95%CI 1.10-1.46) compared to those with the highest level; however, no significant association was seen amongst those with middle (aHR 1.06, 95%CI 0.98-1.15) or high education levels (aHR 1.03, 95%CI 1.03 (0.94-1.12). Educational attainment was not consistently associated with DCGS in other race groups. Educational attainment was significantly associated with overall patient survival in a dose dependent fashion amongst whites (lowest level, aHR 1.23 95%CI 1.12-1.36; middle level, aHR 1.24 95%CI 1.18-13.0; high level, aHR 1.12, 95%CI 1.05-1.18) and blacks (lowest level, aHR 1.33 95%CI 1.17-1.51; middle level, aHR 1.19, 95%CI 1.10-1.28; highest level, aHR 1.08, 95%CI 0.99-1.18) with incremental improvements seen with increasing educational level; however, no association was seen in other race groups.

Low educational attainment correlates with poor graft outcomes amongst blacks and decreased patient survival amongst blacks and whites; but, neither outcome appears to be associated amongst Asian or Hispanic KTX recipients.

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Aguirre-Alarcon A, Friedmann P, Gregg A, Kayler L. Impact of Educational Attainment On Kidney Transplant Outcomes By Race [abstract]. Am J Transplant. 2015; 15 (suppl 3). https://atcmeetingabstracts.com/abstract/impact-of-educational-attainment-on-kidney-transplant-outcomes-by-race/. Accessed May 9, 2025.

« Back to 2015 American Transplant Congress

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 © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences