Document Detail

The net transfer of transplant organs across race, sex, age, and income.
MedLine Citation:
PMID:  15501205     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To determine how sociodemographic characteristics influence both access to transplantation and organ donation. METHODS: For all transplants in the United States from 1996 to 2001, donor-recipient pairs were categorized as white-white, white-black, black-white, or black-black. The difference in the percentage of white-black versus black-white pairs was calculated as a measure of the net transfer of organs from one racial group to another. A similar approach was used to examine the net transfer of organs across other sociodemographic categories. RESULTS: Among cadaveric renal transplants, 66% of donor-recipient pairs were white-white, 23% were white-black, 5% were black-white, and 6% were black-black. Thus, there was an 18% net transfer of organs from white donors to black recipients (23% minus 5%). Among living donor transplants involving spouses, there was a 36% net transfer from wives to husbands. Among all cadaveric transplants, there was a 36% to 68% net transfer from younger donors to older recipients. Among cadaveric nonrenal transplants, there was a 7% to 18% net transfer from lower-income donors to higher-income recipients. CONCLUSION: The sociodemographic characteristics of persons who donate organs and those who benefit from organ transplantation differ markedly. Efforts to improve access and increase donation should address these differences.
Ashwini R Sehgal
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of medicine     Volume:  117     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-10-25     Completed Date:  2004-11-23     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  670-5     Citation Subset:  AIM; IM    
Center for Reducing Health Disparities, Department of Medicine, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.
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MeSH Terms
African Continental Ancestry Group / statistics & numerical data*
Age Distribution
Confidence Intervals
Directed Tissue Donation / statistics & numerical data
European Continental Ancestry Group / statistics & numerical data*
Living Donors / statistics & numerical data*
Middle Aged
Organ Transplantation / ethnology*,  statistics & numerical data*
Sex Distribution
Socioeconomic Factors
United States / ethnology
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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