Study finds that among younger kidney transplant recipients, a disproportionate number of African Americans and individuals with less education receive organs that have low quality.

Rajesh Mohandas MD, MPH, Mark Segal MD, PhD (University of Florida), and their colleagues looked to see if demographic factors play a role in whether younger patients accept ECD kidneys. They analyzed all first single-kidney transplants documented in the United States from 2000 to 2009 in patients 18 to 40 years of age and waitlisted less than three years.
Among the major findings:
- Of 13,615 ECD transplants, 591 (4.3%) kidneys went to recipients between 18 and 40 years of age who were waitlisted less than three years.
- African Americans were 1.7 times more likely to receive an ECD kidney than Caucasians.
- Individuals with less education were 2.3 times more likely to receive an ECD kidney than those with a college degree; however, African Americans with higher education levels were not more likely to receive such a lower-quality kidney than Caucasians with college degrees.
"To our knowledge, this is the first report showing that there are racial and social disparities in the quality of allocated transplanted organs. Understanding that such disparities exist is the essential first step to addressing inequalities in health care and to attempt to improve patient outcomes," said Dr. Mohandas. He added that it is important to ensure that kidney transplant candidates are not just informed, but also educated about their choices.
Study co-authors include Michael Casey, MD, Robert Cook, MD, MPH, Kenneth Lamb, PhD, and Xuerong Wen, MS.
Disclosures: The authors reported no financial disclosures.
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