MP79-04 NATIONAL TRENDS AND RACIAL DISPARITIES IN LIVING KIDNEY DONATION: ANALYSIS OF THE UNITED NETWORK OF ORGAN SHARING 1998-2011

Abstract

You have accessJournal of UrologyTransplantation & Vascular Surgery: Renal Transplantation & Vascular Surgery I1 Apr 2015MP79-04 NATIONAL TRENDS AND RACIAL DISPARITIES IN LIVING KIDNEY DONATION: ANALYSIS OF THE UNITED NETWORK OF ORGAN SHARING 1998-2011 Akshay Sood, Firas Abdollah, Dane Klett, Wooju Jeong, James Peabody, Quoc-Dien Trinh, Mani Menon, and Jesse Sammon Akshay SoodAkshay Sood More articles by this author , Firas AbdollahFiras Abdollah More articles by this author , Dane KlettDane Klett More articles by this author , Wooju JeongWooju Jeong More articles by this author , James PeabodyJames Peabody More articles by this author , Quoc-Dien TrinhQuoc-Dien Trinh More articles by this author , Mani MenonMani Menon More articles by this author , and Jesse SammonJesse Sammon More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.2861AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Kidney transplantation (KT) is the treatment of choice for patients with end stage renal disease (ESRD). Racial disparities exist regarding KT, living-donor KT and living kidney donation. Utilizing a nationwide organ sharing registry, we sought to evaluate whether there has been attenuation in disparities over time. METHODS The United Network of Organ Sharing (UNOS; 1998-2011) database was queried to extract patients undergoing KT, living-donor KT and living kidney donation. The incidences were normalized to ESRD incidence (obtained from freely available United States Renal Data System [USRDS] data) to derive the incidence of KT, living-donor KT and living kidney donation per 1000 ESRD patients. The trends were evaluated using the estimated annual change percent methodology (EAPC). RESULTS A total of 184,303 (living-donor=68,381) patients underwent KT over the study years. The overall rate of KT remained low with only 13.5% of the ESRD patients receiving a kidney; however, an encouraging reduction in racial disparity was noted over the study period (Fig. 1a). The rate of KT in Blacks increased over the study at an annual rate of 2.05% from 111 KT per 1000 ESRD in 1998 cases to 141 KT per 1000 ESRD cases in 2011 (p<0.001). The rate of living-donor KT in Blacks however did not change over the study period (EAPC -0.63%; p=0.519) and this was probably driven by poor living kidney donation rate in Blacks (EAPC -0.59%; p=0.578; Fig. 1a and b). CONCLUSIONS Blacks have 3-fold higher incidence of ESRD when compared to Whites. Our study for the first time shows that there is an encouraging attenuation in racial disparities in KT; nonetheless, the rates of live donation and living-donor KT remain low in Blacks and disparities persist. These findings call for initiation of more aggressive outreach programs and improvement in education, patient-physician communication and counseling of Black patients with ESRD. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e1011-e1012 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Akshay Sood More articles by this author Firas Abdollah More articles by this author Dane Klett More articles by this author Wooju Jeong More articles by this author James Peabody More articles by this author Quoc-Dien Trinh More articles by this author Mani Menon More articles by this author Jesse Sammon More articles by this author Expand All Advertisement Advertisement PDF DownloadLoading ...