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Indigenous people in Australia, Canada, New Zealand and the United States are less likely to receive renal transplantation.

Abstract：

:In Australia, Canada, New Zealand, and the United States indigenous people have high rates of chronic kidney disease but poor access to effective therapies. To more fully define these issues, we compared the demographics of renal transplantation of indigenous patients in these 4 countries. Data encompassing 312,507 indigenous and white patients (18-64 years of age) who initiated dialysis within an 11-year period ending in 2005 were obtained from each country's end-stage kidney disease registry. By the study's end, 88,173 patients had received a renal transplant and 130,261 had died without receiving such. Compared with white patients, the adjusted likelihood of receiving a transplant for indigenous patients was significantly lower in Australia (hazard ratio (HR) 0.23), Canada (HR 0.34), New Zealand (HR 0.23), and the United States (HR 0.44). In all four countries, indigenous patients had significantly longer overall median waiting times compared to white patients. Our study shows that despite marked differences in health care delivery systems, indigenous patients are less likely than white patients to receive a renal transplant in these countries. Understanding and addressing barriers to renal transplantation of indigenous patients remains an important concern.

journal_name

Kidney Int

journal_title

Kidney international

authors

Yeates KE,Cass A,Sequist TD,McDonald SP,Jardine MJ,Trpeski L,Ayanian JZ

doi

10.1038/ki.2009.236

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

659-64

issue

6

eissn

0085-2538

issn

1523-1755

pii

S0085-2538(15)54029-5

journal_volume

76

pub_type

杂志文章

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