Please use this identifier to cite or link to this item: http://ir.swu.ac.th/jspui/handle/123456789/13929
Full metadata record
DC FieldValueLanguage
dc.contributor.authorRhee C.M.
dc.contributor.authorLertdumrongluk P.
dc.contributor.authorStreja E.
dc.contributor.authorPark J.
dc.contributor.authorMoradi H.
dc.contributor.authorLau W.L.
dc.contributor.authorNorris K.C.
dc.contributor.authorNissenson A.R.
dc.contributor.authorAmin A.N.
dc.contributor.authorKovesdy C.P.
dc.contributor.authorKalantar-Zadeh K.
dc.date.accessioned2021-04-05T03:32:42Z-
dc.date.available2021-04-05T03:32:42Z-
dc.date.issued2014
dc.identifier.issn2508095
dc.identifier.other2-s2.0-84895585869
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-84895585869&doi=10.1159%2f000358497&partnerID=40&md5=cc48ef84426a8efd285fe1542e11c4bc
dc.identifier.urihttp://ir.swu.ac.th/jspui/handle/123456789/13929-
dc.description.abstractBackground: Prior studies show that African-American and Hispanic dialysis patients have lower mortality risk than whites. Recent age-stratified analyses suggest this survival advantage may be limited to younger age groups, but did not concurrently compare Hispanic, African-American, and white patients, nor account for differences in nutritional and inflammatory status as potential confounders. Minorities experience inequities in kidney transplantation access, but it is unknown whether these racial/ethnic disparities differ across age groups. Methods: The associations between race/ethnicity with all-cause mortality and kidney transplantation were separately examined among 130,909 adult dialysis patients from a large national dialysis organization (entry period 2001-2006, follow-up through 2009) within 7 age categories using Cox proportional hazard models adjusted for case-mix and malnutrition and inflammatory surrogates. Results: African-Americans had similar mortality versus whites in younger age groups (18-40 years), but decreased mortality in older age groups (>40 years). In contrast, Hispanics had lower mortality versus whites across all ages. In sensitivity analyses using competing risk regression to account for differential kidney transplantation rates across racial/ethnic groups, the African-American survival advantage was limited to >60-years age categories. African-Americans and Hispanics were less likely to undergo kidney transplantation from all donor types versus whites across all ages, and these disparities were even more pronounced for living donor kidney transplantation (LDKT). Conclusions: Hispanic dialysis patients have greater survival versus whites across all ages; in African-Americans, this survival advantage is limited to patients >40 years of age. Minorities are less likely to undergo kidney transplantation, particularly LDKT, across all ages. © 2014 S. Karger AG, Basel.
dc.subjectadult
dc.subjectAfrican American
dc.subjectage
dc.subjectaged
dc.subjectarticle
dc.subjectCaucasian
dc.subjectcomorbidity
dc.subjectdemography
dc.subjectethnicity
dc.subjectfemale
dc.subjectfollow up
dc.subjectgroups by age
dc.subjecthemodialysis patient
dc.subjectHispanic
dc.subjecthuman
dc.subjectkidney transplantation
dc.subjectmajor clinical study
dc.subjectmale
dc.subjectmortality
dc.subjectpriority journal
dc.subjectrace
dc.subjectrisk reduction
dc.subjectsurvival
dc.subjectaccess to information
dc.subjectadolescent
dc.subjectage
dc.subjectethnic group
dc.subjectethnology
dc.subjectinflammation
dc.subjectkidney transplantation
dc.subjectmiddle aged
dc.subjectprocedures
dc.subjectproportional hazards model
dc.subjectRenal Insufficiency
dc.subjecttreatment outcome
dc.subjectUnited States
dc.subjectvery elderly
dc.subjectyoung adult
dc.subjectArticle
dc.subjectcontrolled study
dc.subjectkidney donor
dc.subjectliving donor
dc.subjectmalnutrition
dc.subjectsensitivity analysis
dc.subjectAccess to Information
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAfrican Americans
dc.subjectAge Factors
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectEthnic Groups
dc.subjectFemale
dc.subjectHispanic Americans
dc.subjectHumans
dc.subjectInflammation
dc.subjectKidney Transplantation
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectProportional Hazards Models
dc.subjectRenal Insufficiency
dc.subjectTreatment Outcome
dc.subjectUnited States
dc.subjectYoung Adult
dc.titleImpact of age, race and ethnicity on dialysis patient survival and kidney transplantation disparities
dc.typeArticle
dc.rights.holderScopus
dc.identifier.bibliograpycitationAmerican Journal of Nephrology. Vol 39, No.3 (2014), p.183-194
dc.identifier.doi10.1159/000358497
Appears in Collections:Scopus 1983-2021

Files in This Item:
There are no files associated with this item.


Items in SWU repository are protected by copyright, with all rights reserved, unless otherwise indicated.