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Barriers to access by Indigenous Australians to kidney transplantation: The IMPAKT study

Cass, Alan, Devitt, Jeannie, Preece, Cilla, Cunningham, Joan, Anderson, Kate, Snelling, Paul L., Eris, Josette and Ayanian, John (2004). Barriers to access by Indigenous Australians to kidney transplantation: The IMPAKT study. Nephrology,9(s4):S144-S146.

Document type: Journal Article
Citation counts: Scopus Citation Count Cited 20 times in Scopus Article | Citations

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Title Barriers to access by Indigenous Australians to kidney transplantation: The IMPAKT study
Author Cass, Alan
Devitt, Jeannie
Preece, Cilla
Cunningham, Joan
Anderson, Kate
Snelling, Paul L.
Eris, Josette
Ayanian, John
Journal Name Nephrology
Publication Date 2004
Volume Number 9
Issue Number s4
ISSN 1320-5358   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-12344314075
Start Page S144
End Page S146
Total Pages 3
Place of Publication Australia
Publisher Blackwell Publishing
Field of Research 1103 - Clinical Sciences
HERDC Category C1 - Journal Article (DEST)
Abstract SUMMARY: Although Indigenous Australians represent less than 2% of the national population, they account for 8–10% of new patients commencing treatment for end-stage renal disease (ESRD). Almost half come from remote regions lacking renal disease treatment services. In those regions, their incidence of ESRD is up to 30 times the incidence for all Australians. Kidney transplantation is the optimal treatment for ESRD. Compared with long-term dialysis, it results in better quality of life, longer life expectancy and lower costs of health care. Indigenous Australians with ESRD receive transplants at approximately one-third the rate of non-Indigenous patients. There are similar disparities in access to kidney transplants for Native Americans, Aboriginal Canadians and New Zealander Maori. The reasons for such disparities have not been studied in any detail. IMPAKT (Improving Patient Access to Kidney Transplantation) is an NHMRC-funded study, involving eight major renal units. It aims to identify the reasons for Indigenous Australians' poor access to transplantation. It will systematically examine each of the steps a new dialysis patient must negotiate in order to receive a transplant. Each of these steps can become a barrier.
DOI http://dx.doi.org/10.1111/j.1440-1797.2004.00352.x   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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