Linguistic Isolation and Access to the Active Kidney Transplant Waiting List in the United States
| العنوان: | Linguistic Isolation and Access to the Active Kidney Transplant Waiting List in the United States |
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| المؤلفون: | Edmund Huang, John D. Peipert, Suphamai Bunnapradist, Keith C. Norris, Amy D. Waterman, Carol M. Mangione, Efrain Talamantes, Gerardo Moreno |
| المصدر: | Talamantes, E; Norris, KC; Mangione, CM; Moreno, G; Waterman, AD; Peipert, JD; et al.(2017). Linguistic isolation and access to the active kidney transplant waiting list in the United States. Clinical Journal of the American Society of Nephrology, 12(3), 483-492. doi: 10.2215/CJN.07150716. UC Davis: Retrieved from: http://www.escholarship.org/uc/item/9w68c8wbTest Clinical journal of the American Society of Nephrology : CJASN, vol 12, iss 3 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, Epidemiology, waitlist, 030232 urology & nephrology, 030230 surgery, Critical Care and Intensive Care Medicine, Health Services Accessibility, 0302 clinical medicine, Risk Factors, Interquartile range, Cumulative incidence, Registries, race, Kidney transplantation, Language, African Americans, education.field_of_study, Communication Barriers, Censuses, Hispanic or Latino, Urology & Nephrology, Middle Aged, Linguistics, Nephrology, ethnicity, Population study, Female, Medical Record Linkage, Hispanic Americans, Adult, United Network for Organ Sharing, Waiting Lists, European Continental Ancestry Group, Clinical Sciences, Population, kidney transplantation, White People, 03 medical and health sciences, Clinical Research, medicine, Humans, Healthcare Disparities, education, Socioeconomic status, Retrospective Studies, Transplantation, Asian, business.industry, Organ Transplantation, Original Articles, medicine.disease, Kidney Transplantation, United States, Black or African American, Asian Americans, business |
| الوصف: | © 2017 by the American Society of Nephrology. Background and objectives Waitlist inactivity is a barrier to transplantation, because inactive candidates cannot receive deceased donor organ offers. We hypothesized that temporarily inactive kidney transplant candidates living in linguistically isolated communities would be less likely to achieve active waitlist status. Design, setting, participants, & measurements We merged Organ Procurement and Transplantation Network/ United Network for Organ Sharing data with five-digit zip code socioeconomic data from the 2000 US Census. The cumulative incidence of conversion to active waitlist status, death, and delisting before conversion among 84,783 temporarily inactive adult kidney candidates from 2004 to 2012 was determined using competing risks methods. Competing risks regression was performed to characterize the association between linguistic isolation, incomplete transplantation evaluation, and conversion to active status. A household was determined to be linguistically isolated if all members ≥14 years old speak a non-English language and also, speak English less than very well. ResultsA total of 59,147 candidates (70% of the studypopulation) achieved active status over the studyperiod of 9.8 years. Median follow-up was 110 days (interquartile range, 42–276 days) for activated patients and 815 days (interquartile range, 361–1244 days) for candidates not activated. The cumulative incidence of activation over the studyperiod was 74%, the cumulative incidence of death before conversion was 10%, and the cumulative incidence of delisting was 13%. After adjusting for other relevant covariates, living in a zip code with higher percentages of linguistically isolated households was associated with progressively lower subhazards of activation both in the overall population (reference |
| وصف الملف: | application/pdf |
| تدمد: | 1555-905X 1555-9041 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::25ac6f174e007db50f0a431deb599452Test https://doi.org/10.2215/cjn.07150716Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....25ac6f174e007db50f0a431deb599452 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 1555905X 15559041 |
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