Social Adaptability Index predicts access to kidney transplantation.
作者： Alexander S. Goldfarb-Rumyantzev , Gurprataap S. Sandhu , Bradley C. Baird , Muhammad Khattak , Anna Barenbaum
DOI: 10.1111/J.1399-0012.2010.01391.X
关键词: Hazard ratio 、 Internal medicine 、 Diabetes mellitus 、 Marital status 、 Survival rate 、 Medicine 、 Transplantation 、 Substance abuse 、 Young adult 、 Gerontology 、 Kidney transplantation
摘要: Identifying the group of subjects prone to disparities in access kidney transplantation is important for developing potential interventions. Data from United States Renal System (January 1, 1990-September 2007; n = 3407) were used study association between Social Adaptability Index (SAI; based upon employment, marital status, education, income, and substance abuse) outcomes (time being placed on waiting list time transplanted once listed). Patients 56.9 ± 16.1 yr old, 54.2% men, 64.2% white, 50.4% had diabetes. SAI was higher whites (7.4 2.4) than African Americans (6.5 2.6) [ANOVA, p < 0.001] greater men women (6.7 2.5) [T-test, 0.001]. In multivariate model, (range 0-12) associated with increased likelihood (hazard ratio [HR] 1.19 [95% CI 1.15-1.23] per each point increase SAI, 0.001) receiving a transplant listed (HR 1.06 1.03-1.09] 0.001). Similar trends observed most subgroups (based race, sex, diabetic age, comorbidities, donor type). renal patients end-stage disease; it may be indentify individuals at risk healthcare disparities.
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