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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.
Published Web Locationhttps://doi.org/10.1159/000479480
BackgroundThe 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.
SummaryThere 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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