Table 1.
Racial differences in the probability of accessing deceased donor kidney transplantation, from incident end-stage renal disease to waitlisting to transplant, among patients <21 years of age
| Hazard ratios (95% confidence intervals) |
||
|---|---|---|
| Transplant steps | Age 0-17 | Age 18-20 |
| Steps 1 and 2: Overall time from ESRD start to deceased donor transplantationa | ||
| Black versus white | ||
| Model 1: Crude | 0.89 (0.80-0.98) | 0.51 (0.42-0.62) |
| Model 2: clinical + demographic factors | 0.88 (0.79-0.98) | 0.55 (0.45-0.68) |
| Model 3: clinical + demographic + SES factors | 0.90 (0.80-1.00) | 0.60 (0.48-0.75) |
| Hispanic versus white | ||
| Model 1: Crude | 0.94 (0.85-1.03) | 0.45 (0.37-0.56) |
| Model 2: clinical + demographic factors | 0.91 (0.82-1.01) | 0.59 (0.47-0.75) |
| Model 3: clinical + demographic + SES factors | 0.91 (0.81-1.02) | 0.62 (0.48-0.79) |
| Step 1: time from ESRD start to waitlistinga | ||
| Black versus white | ||
| Model 1: Crude | 0.94 (0.87-1.02) | 0.72 (0.65-0.81) |
| Model 2: clinical + demographic factors | 0.92 (0.85-1.01) | 0.78 (0.68-0.84) |
| Model 3: clinical + demographic + SES factors | 0.92 (0.84-1.01) | 0.84 (0.74-0.96) |
| Hispanic versus white: (pooled estimates N/A)* | ||
| Step 2: time from waitlisting to deceased donor transplantationb | ||
| Black versus white | ||
| Model 1: Crude | 0.84 (0.76-0.93) | 0.53 (0.44-0.64) |
| Model 2: clinical + demographic factors | 0.92 (0.83-1.02) | 0.60 (0.50-0.81) |
| Model 3: clinical + demographic + SES factors | 0.89 (0.80-0.99) | 0.61 (0.49-0.76) |
| Hispanic versus white | ||
| Model 1: Crude | 0.79 (0.71-0.87) | 0.52 (0.42-0.64) |
| Model 2: clinical + demographic factors | 0.98 (0.88-1.09) | 0.65 (0.50-0.85) |
| Model 3: clinical + demographic + SES factors | 0.97 (0.86-1.08) | 0.66 (0.51-0.86) |
From Ref [14]. ESRD, end-stage renal disease.
a
Model 2 adjusted for age, sex, ESRD etiology, BMI, Share35 era, OPO region, blood type, ESA albumin, hemoglobin and PPRA. Model 3 adjusted for all factors in Model 2 plus zip code poverty and insurance.
b
Model 2 adjusted for age, sex, ESRD etiology, BMI, Share35 era, OPO region, blood type, ESA, albumin and hemoglobin. Model 3 adjusted for all factors in Model 2 plus zip code poverty and insurance.
*
Multivariable P-value for interaction between race and insurance P< 0.05 for both age groups.