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

Yeates, Karen E., Cass, Alan, Sequist, Thomas D., McDonald, Stephen P., Jardine, Mg J., Trpeski, Lilyanna and Ayanian, John Z. (2009). Indigenous people in Australia, Canada, New Zealand and the United States are less likely to receive renal transplantation. Kidney International,76(6):659-664.

Document type: Journal Article

IRMA ID 84473293xPUB59
Title Indigenous people in Australia, Canada, New Zealand and the United States are less likely to receive renal transplantation
Author Yeates, Karen E.
Cass, Alan
Sequist, Thomas D.
McDonald, Stephen P.
Jardine, Mg J.
Trpeski, Lilyanna
Ayanian, John Z.
Journal Name Kidney International
Publication Date 2009
Volume Number 76
Issue Number 6
ISSN 0085-2538   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-69549114429
Start Page 659
End Page 664
Total Pages 5
Place of Publication United States
Publisher Elsevier Inc.
HERDC Category C1 - Journal Article (DIISR)
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.
DOI http://dx.doi.org/10.1038/ki.2009.236   (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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