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Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 2002 Jan;94(1):15–20.

A trend analysis of organ transplantation among ethnic groups.

Hong Xiao 1, Ellen S Campbell 1, Kai-Sheng Song 1
PMCID: PMC2594081  PMID: 11837347

Abstract

PURPOSE: This research provides public policy implications regarding organ resource allocation and increases public awareness of the current status of transplant use in various ethnic populations. PROCEDURES: Healthcare Cost and Utilization Project (HCUP), National Inpatient Sample (NIS) data were used to obtain a yearly estimate of the number of organ transplants by organ and by ethnic origin for 1988-1997. ICD-9-CM codes identified lung, heart, liver, and kidney organ-transplantation procedures. Each record in the sample was weighted by its respective discharge weight in order to extrapolate a national estimate. To assess whether there are significant differences among ethnic groups in organ transplantation rates over time, regression models were estimated for heart, liver, and kidney transplants. Transplantation rates were modeled as a function of time, ethnic origin, and interaction variables. FINDINGS: Examination of time trend graphs and regression analyses indicates that transplantation rates have not varied substantially across ethnic groups between 1988 and 1997. Rates for all groups, with the exception of Asians, exhibited similar time trends with little systematic variation. CONCLUSIONS: Further research is needed to determine whether variations exist due to organ availability versus prevalence of the disease.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alexander G. C., Sehgal A. R. Barriers to cadaveric renal transplantation among blacks, women, and the poor. JAMA. 1998 Oct 7;280(13):1148–1152. doi: 10.1001/jama.280.13.1148. [DOI] [PubMed] [Google Scholar]
  2. Ayanian J. Z., Cleary P. D., Weissman J. S., Epstein A. M. The effect of patients' preferences on racial differences in access to renal transplantation. N Engl J Med. 1999 Nov 25;341(22):1661–1669. doi: 10.1056/NEJM199911253412206. [DOI] [PubMed] [Google Scholar]
  3. Bleyer A. J., Tell G. S., Evans G. W., Ettinger W. H., Jr, Burkart J. M. Survival of patients undergoing renal replacement therapy in one center with special emphasis on racial differences. Am J Kidney Dis. 1996 Jul;28(1):72–81. doi: 10.1016/s0272-6386(96)90133-x. [DOI] [PubMed] [Google Scholar]
  4. Delano B. G., Macey L., Friedman E. A. Gender and racial disparity in peritoneal dialysis patients undergoing kidney transplantation. ASAIO J. 1997 Sep-Oct;43(5):M861–M864. [PubMed] [Google Scholar]
  5. Eggers P. W. Racial differences in access to kidney transplantation. Health Care Financ Rev. 1995 Winter;17(2):89–103. [PMC free article] [PubMed] [Google Scholar]
  6. Gaylin D. S., Held P. J., Port F. K., Hunsicker L. G., Wolfe R. A., Kahan B. D., Jones C. A., Agodoa L. Y. The impact of comorbid and sociodemographic factors on access to renal transplantation. JAMA. 1993 Feb 3;269(5):603–608. [PubMed] [Google Scholar]
  7. Giacomini M. K. Gender and ethnic differences in hospital-based procedure utilization in California. Arch Intern Med. 1996 Jun 10;156(11):1217–1224. [PubMed] [Google Scholar]
  8. Held P. J., Pauly M. V., Bovbjerg R. R., Newmann J., Salvatierra O., Jr Access to kidney transplantation. Has the United States eliminated income and racial differences? Arch Intern Med. 1988 Dec;148(12):2594–2600. doi: 10.1001/archinte.148.12.2594. [DOI] [PubMed] [Google Scholar]
  9. Helderman J. H., Goral S. The allocation of cadaveric kidneys. N Engl J Med. 1999 Nov 4;341(19):1468–1469. doi: 10.1056/NEJM199911043411911. [DOI] [PubMed] [Google Scholar]
  10. Kjellstrand C. M. Age, sex, and race inequality in renal transplantation. Arch Intern Med. 1988 Jun;148(6):1305–1309. [PubMed] [Google Scholar]
  11. Levinsky N. G. Quality and equity in dialysis and renal transplantation. N Engl J Med. 1999 Nov 25;341(22):1691–1693. doi: 10.1056/NEJM199911253412212. [DOI] [PubMed] [Google Scholar]
  12. Ojo A., Port F. K. Influence of race and gender on related donor renal transplantation rates. Am J Kidney Dis. 1993 Dec;22(6):835–841. doi: 10.1016/s0272-6386(12)70343-8. [DOI] [PubMed] [Google Scholar]
  13. Plawecki H. M., Freiberg G., Plawecki J. A. Increasing organ donation in the black community. ANNA J. 1989 Aug;16(5):321–324. [PubMed] [Google Scholar]
  14. Sanfilippo F. P., Vaughn W. K., Peters T. G., Shield C. F., 3rd, Adams P. L., Lorber M. I., Williams G. M. Factors affecting the waiting time of cadaveric kidney transplant candidates in the United States. JAMA. 1992 Jan 8;267(2):247–252. [PubMed] [Google Scholar]
  15. Soucie J. M., Neylan J. F., McClellan W. Race and sex differences in the identification of candidates for renal transplantation. Am J Kidney Dis. 1992 May;19(5):414–419. doi: 10.1016/s0272-6386(12)80947-4. [DOI] [PubMed] [Google Scholar]

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