A Lack of Living Donor Renal Transplantation for Asian Children Represents an Opportunity to Improve Pediatric Healthcare

作者：Garcia Erik Fernandez Y^*; Lau Keith K

来源：Journal of the National Medical Association, 2013, 105(2): 196-200.

DOI：10.1016/S0027-9684(15)30104-8

• Healthcare Disparity
• Renal Transplantation
• Ethnicity/Race

Introduction: The relationship between pediatric primary care practitioners and families provides an early opportunity to address ethnic/racial pediatric subspecialty health care disparities. Living donor pediatric renal transplantation is safe and more effective than deceased donor renal transplantation. The purpose of this study is to identify groups of children who may be less likely to likely to receive living donor renal transplantation, as the first step in assisting pediatric clinicians to increase living donor renal transplantation. %26lt;br%26gt;Method: We employed a retrospective cohort design. We analyzed data from the medical records of 80 children receiving renal transplantation over 20 years in a large pediatric medical center. %26lt;br%26gt;Results: The proportions of Children receiving a living donor renal allograft differed by ethnicity/race (P = .04). Specifically, children of Asian eihnicity/race were significantly less likely than children of White ethnicity/race to receive a living donor renal allograft (P = .01). There were no significant differences in age at transplantation or wait time for deceased donor transplantation. %26lt;br%26gt;Discussion:, We discuss the possible reasons for the discrepancy and potential directions for family-centered pediatric practice, poilcy, and research to address this potential pediatric healthcare disparity.

• 出版日期2013