Robert B Peng1, Haena Lee2, Zheng T Ke3, Milda R Saunders4. 1. Department of Biostatistics, University of Michigan, Ann Arbor, MI, USA. 2. Institute for Social Research, University of Michigan, Ann Arbor, MI, USA. 3. Department of Statistics, University of Chicago, Chicago, IL, USA. 4. Section of General Internal Medicine, Department of Medicine, University of Chicago Medicine, Chicago, IL, USA.
Abstract
BACKGROUND: Prior work has demonstrated how neighborhood poverty and racial composition impact racial disparities in access to the deceased donor kidney transplant waitlist, both nationally and regionally. We examined the association between neighborhood characteristics and racial disparities in time to transplant waitlist in Chicago, a diverse city with continued neighborhood segregation. METHODS: Using data from the United States Renal Data System (USRDS) and the US Census, we investigated time from dialysis initiation to kidney transplant waitlisting for African American and white patients in Chicago using cause-specific proportional hazards analyses, adjusting for individual sociodemographic and clinical characteristics, as well as neighborhood poverty and racial composition. RESULTS: In Chicago, African Americans are significantly less likely than whites to appear on the renal transplant waitlist (HR 0.73, P < .05). Compared to whites in nonpoor neighborhoods, African Americans in poor neighborhoods are significantly less likely to appear on the transplant waitlist (HR 0.61, P < .05). Over 69% of African Americans with ESRD live in these neighborhoods. CONCLUSIONS: Consistent with national data, African Americans in Chicago have a lower likelihood of waitlisting than whites. This disparity is explained in part by neighborhood poverty, which impacts the majority of African American ESRD patients in Chicago.
BACKGROUND: Prior work has demonstrated how neighborhood poverty and racial composition impact racial disparities in access to the deceased donor kidney transplant waitlist, both nationally and regionally. We examined the association between neighborhood characteristics and racial disparities in time to transplant waitlist in Chicago, a diverse city with continued neighborhood segregation. METHODS: Using data from the United States Renal Data System (USRDS) and the US Census, we investigated time from dialysis initiation to kidney transplant waitlisting for African American and white patients in Chicago using cause-specific proportional hazards analyses, adjusting for individual sociodemographic and clinical characteristics, as well as neighborhood poverty and racial composition. RESULTS: In Chicago, African Americans are significantly less likely than whites to appear on the renal transplant waitlist (HR 0.73, P < .05). Compared to whites in nonpoor neighborhoods, African Americans in poor neighborhoods are significantly less likely to appear on the transplant waitlist (HR 0.61, P < .05). Over 69% of African Americans with ESRD live in these neighborhoods. CONCLUSIONS: Consistent with national data, African Americans in Chicago have a lower likelihood of waitlisting than whites. This disparity is explained in part by neighborhood poverty, which impacts the majority of African American ESRDpatients in Chicago.
Authors: Marcello Tonelli; Scott Klarenbach; Braden Manns; Bruce Culleton; Brenda Hemmelgarn; Stefania Bertazzon; Natasha Wiebe; John S Gill Journal: CMAJ Date: 2006-08-29 Impact factor: 8.262
Authors: Gurprataap S Sandhu; Muhammad Khattak; Martha Pavlakis; Robert Woodward; Douglas W Hanto; Marcy A Wasilewski; Noelle Dimitri; Alexander Goldfarb-Rumyantzev Journal: Clin Transplant Date: 2013-06-30 Impact factor: 2.863
Authors: R E Patzer; J P Perryman; J D Schrager; S Pastan; S Amaral; J A Gazmararian; M Klein; N Kutner; W M McClellan Journal: Am J Transplant Date: 2012-01-10 Impact factor: 8.086
Authors: Catherine Sullivan; Janeen B Leon; Srilekha S Sayre; Marquisha Marbury; Michael Ivers; Julie A Pencak; Kenneth A Bodziak; Donald E Hricik; E Janie Morrison; Jeffrey M Albert; Sankar D Navaneethan; Christina M Delos Reyes; Ashwini R Sehgal Journal: Clin J Am Soc Nephrol Date: 2012-07-12 Impact factor: 8.237
Authors: Norine W Chan; Mary Moya-Mendez; Jacqueline B Henson; Hamed Zaribafzadeh; Mark P Sendak; Nrupen A Bhavsar; Suresh Balu; Allan D Kirk; Lisa M McElroy Journal: Am J Transplant Date: 2022-06-18 Impact factor: 9.369
Authors: Christine Park; Mandisa-Maia Jones; Samantha Kaplan; Felicitas L Koller; Julius M Wilder; L Ebony Boulware; Lisa M McElroy Journal: Int J Equity Health Date: 2022-02-12
Authors: Lyndonna Marrast; Joseph Conigliaro; Camille Chan; Eun Ji Kim; Joan Duer-Hefele; Michael A Diefenbach; Karina W Davidson Journal: Per Med Date: 2021-05-28 Impact factor: 2.119