Renal transplantation in the United Kingdom for patients from ethnic minorities.

作者: Chris Rudge , Rachel J. Johnson , Susan V. Fuggle , John L. R. Forsythe

DOI: 10.1097/01.TP.0000259934.06233.BA

关键词: National dataEthnic groupPopulationConfidence intervalRenal transplantInternal medicineEthnic originSurgeryMedicineWaiting timeTransplantation

摘要: Background. To investigate any differences in access to transplant and post-transplant outcomes for ethnic minority patients the United Kingdom, national data on ethnicity of waiting list, those receiving a transplant, deceased donors were analyzed. Methods. Adult included. Ethnic origin was classified as white, Asian, black, or "other." National analyzed, 2001 U.K. census used comparative purposes. Median times obtained from Kaplan-Meier estimates registered 1998-2000. Transplant survival estimated transplanted 1998 2003. Results. A total 92% population compared with 77% list patients, 88% recipients, 97% donors. time transplantation white 719 days (95% confidence interval 680-758) 1368 (1131-1605) Asian 1419 (1165-1673) black patients. The degree human leukocyte antigen matching achieved inferior There is some evidence 3-year (P=0.03). Conclusions. are imbalances make up donor pool, renal recipients. significant both between different origin. Waiting influenced by allocation schemes, 2006 Kidney Allocation Scheme designed achieve greater equity all regardless geography, blood group, ethnicity.

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