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Transplantation rates for living- but not deceased-donor kidneys vary with socioeconomic status in Australia

Grace, Blair S., Clayton, Philip A., Cass, Alan and McDonald, Sstephen P. (2012). Transplantation rates for living- but not deceased-donor kidneys vary with socioeconomic status in Australia. Kidney International,83(1):138-145.

Document type: Journal Article

IRMA ID 11035xPUB66
Title Transplantation rates for living- but not deceased-donor kidneys vary with socioeconomic status in Australia
Author Grace, Blair S.
Clayton, Philip A.
Cass, Alan
McDonald, Sstephen P.
Journal Name Kidney International
Publication Date 2012
Volume Number 83
Issue Number 1
ISSN 0085-2538   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84871743836
Start Page 138
End Page 145
Total Pages 7
Place of Publication United States
Publisher Elsevier Inc.
HERDC Category C1 - Journal Article (DIISR)
Abstract Socioeconomic disadvantage has been linked to reduced access to kidney transplantation. To understand and address potential barriers to transplantation, we used the Australia and New Zealand Dialysis and Transplant Registry and examined primary kidney-only transplantation among adult non-Indigenous patients who commenced chronic renal replacement therapy in Australia during 2000–2010. Socioeconomic status was derived from residential postcodes using standard indices. Among the 21,190 patients who commenced renal replacement therapy, 4105 received a kidney transplant (2058 from living donors (660 preemptive) or 2047 from deceased donors) by the end of 2010. Compared with the most socioeconomic disadvantaged quartile, patients from the most advantaged quartile were more likely to receive a preemptive transplant (relative rate 1.93), and more likely to receive a living-donor kidney (adjusted subhazard ratio 1.34) after commencing dialysis. Socioeconomic status was not associated with deceased-donor transplantation. Thus, the association between socioeconomic status and living- but not deceased-donor transplantation suggests that potential donors (rather than recipients) from disadvantaged areas may face barriers to donation. Although the deceased-donor organ allocation process appears essentially equitable, it differs between Australian states.
DOI http://dx.doi.org/10.1038/ki.2012.304   (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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