Table 4.
Percentage (95% CI) of race-ethnicity effect attributed to adjustment for patient and area-level determinants of live-donor kidney transplantation among adults aged 18–70 years who initiated treatment for ESKD during 2005–2008
| Race-ethnicity |
||||||
|---|---|---|---|---|---|---|
| White (N = 94 316) | Black (N = 69 761) | Asian (N = 6674) | Hispanic (N = 33 456) | Pacific Islander (N = 1953) | American Indian/Alaska Native (N = 2576) | |
| Race-ethnicity effect attributed to adjustment for Zip code/contextual poverty | ||||||
| Percent (95% CI) | — | 15.7 (13.8, 17.5) | –7.0 (–8.2, –5.8) | 3.7 (2.6, 4.7) | 6.2 (4.1, 8.4) | 18.1 (17.2, 19.1) |
| Health insurance coverage | ||||||
| Percent (95% CI) | — | 10.2 (9.1, 11.6) | 1.3 (0.4, 3.5) | 17.1 (15.7, 19.9) | –0.2 (–4.0, 2.9) | 8.3 (3.5, 14.5) |
| Predialysis care measures (receipt of nephrology care and/or ESA, hypoalbuminemia, anemia) | ||||||
| Percent (95% CI) | — | 20.4 (19.5, 22.9) | 7.6 (4.5, 9.7) | 14.4 (12.2, 16.4) | 12.2 (5.3, 18.6) | 28.7 (21.1, 35.2) |
| Differences in body size and diabetes status | ||||||
| Percent (95% CI) | — | 0.3 (–0.3, 1.0) | –9.3 (-–0.7, –8.3) | –1.9 (–3.2, –1.1) | –2.1 (–4.4, 1.6) | 1.4 (–0.7, 2.4) |
| Household linguistic isolation | ||||||
| Percent (95% CI) | — | –1.0 (–1.8, 0.1) | –5.5 (–7.7, –2.4) | 3.6 (0.8, 6.5) | 1.9 (–1.8, 6.1) | 2.6 (0.7, 3.7) |
| Underlying comorbid conditions (cardiovascular disease, chronic lung disease, functional status) | ||||||
| Percent (95% CI) | — | –2.2 (–2.8, –1.6) | –4.5 (–5.4, –3.5) | –3.4 (–4.1, –2.7) | –1.6 (–3.3, 1.1) | –3.4 (–5.1, –1.3) |
| Unhealthy behaviors (alcohol dependence, tobacco or drug use) | ||||||
| Percent (95% CI) | — | –1.4 (–1.8, –0.9) | –3.8 (–4.4, –3.1) | –3.7 (–4.2, –3.2) | –2.9 (–3.9, –1.4) | 0.7 (–0.4, 2.5) |
Negative values indicate that, after adjustment for the specific factors, differences in time to LDKT compared with whites were larger than observed in the age-, sex- and race-adjusted models.