Health disparities in transplantation: focus on the complexity and challenge of renal transplantation in African Americans.
The field of renal transplantation has grown exponentially as a result of a greater understanding of the immune system and the advent of numerous immunosuppressive agents. Although African Americans and whites have benefited from these advances, equivalent long-term success eludes African Americans who are disadvantaged in gaining access to renal transplantation. This review summarizes the obstacles for African Americans to end-stage renal disease(ESRD) care, focusing on transplantation. Factors that predispose African Americans for ESRD, impede this ethnic group from timely transplantation, and negatively influence graft survival are examined. Possible solutions to these persistent problems are offered.
Young
Carlton J
CJ
Division of Transplantation, Department of Surgery, University of Alabama at Birmingham, Lyons-Harrison Research Building, LHRB 728, Birmingham, AL 35294-0007, USA. cjyoung@uab.edu
Kew
Clifton
C
D001741:Black or African American; D001291:Attitude of Health Personnel; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000208:ethnology; D046148:Donor Selection; D006085:Graft Survival; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000208:ethnology; D007676:Kidney Failure, Chronic / Q000208:ethnology / Q000209:etiology / Q000628:therapy*; D016030:Kidney Transplantation / Q000208:ethnology*; D017063:Outcome Assessment, Health Care; D010349:Patient Compliance / Q000208:ethnology; D010353:Patient Education as Topic; D012959:Socioeconomic Factors; D014481:United States / Q000453:epidemiology