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Open Access Publications from the University of California

Health Disparities in Kidney Transplantation for African Americans.

  • Author(s): Harding, Kimberly
  • Mersha, Tesfaye B
  • Pham, Phuong-Thu
  • Waterman, Amy D
  • Webb, Fern A
  • Vassalotti, Joseph A
  • Nicholas, Susanne B
  • et al.

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BACKGROUND:The persistent challenges of bridging healthcare disparities for African Americans (AAs) in need of kidney transplantation continue to be unresolved at the national level. This healthcare disparity is multifactorial: stemming from limited kidney donors suitable for AAs; inconsistent care coordination and suboptimal risk factor control; social determinants, low socioeconomic status, reduced access to care; and mistrust of clinicians and the healthcare system. SUMMARY:There are numerous opportunities to significantly lessen the disparities in kidney transplantation for AAs through the following measures: the adoption of new care and patient engagement models that include education, enhanced practice-level cultural sensitivity, and timely referral as well as increased research on the impact of the environment on genetic risk, and implementation of new transplantation-related policies. Key Messages: This systematic review describes pretransplant concerns related to access to kidney transplantation, posttransplant complications, and policy interventions to address the challenging issues associated with kidney transplantation in AAs.

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