Renal transplantation for ethnic minorities in Canada: inequity in access and outcomes?
Among Canadians starting dialysis, patients of East Asian and Indo Asian background are less likely than whites to receive a renal allograft. Although the reasons for such variation are complex, less living donation may contribute significantly. More studies are needed to confirm these differences and to evaluate strategies for improving live kidney donation rates in communities at risk for low transplantation rates.
University of Toronto, Division of Nephrology, St. Michael's Hospital, Toronto, Ontario, Canada. prasadr@smh.totonto.on.ca
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D044466:Asian People / Q000706:statistics & numerical data*; D002170:Canada / Q000453:epidemiology; D004641:Emigration and Immigration; D005202:Asia, Eastern / Q000208:ethnology; D005500:Follow-Up Studies; D006085:Graft Survival; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D007194:India / Q000208:ethnology; D007676:Kidney Failure, Chronic / Q000208:ethnology* / Q000401:mortality / Q000601:surgery / Q000628:therapy*; D016030:Kidney Transplantation / Q000401:mortality*; D019520:Living Donors / Q000706:statistics & numerical data; D012042:Registries / Q000706:statistics & numerical data; D006435:Renal Dialysis / Q000401:mortality*; D018570:Risk Assessment; D013997:Time Factors; D014184:Transplantation, Homologous / Q000706:statistics & numerical data; D016896:Treatment Outcome; D019472:Universal Health Insurance; D044465:White People / Q000706:statistics & numerical data*