| The net transfer of transplant organs across race, sex, age, and income. | |
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MedLine Citation:
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PMID: 15501205 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Ashwini R Sehgal |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: The American journal of medicine Volume: 117 ISSN: 0002-9343 ISO Abbreviation: Am. J. Med. Publication Date: 2004 Nov |
Date Detail:
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Created Date: 2004-10-25 Completed Date: 2004-11-23 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 0267200 Medline TA: Am J Med Country: United States |
Other Details:
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Languages: eng Pagination: 670-5 Citation Subset: AIM; IM |
Affiliation:
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Center for Reducing Health Disparities, Department of Medicine, MetroHealth Medical Center, Case Western Reserve University, Cleveland, Ohio, USA. axs81@cwru.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult African Continental Ancestry Group / statistics & numerical data* Age Distribution Cadaver Confidence Intervals Directed Tissue Donation / statistics & numerical data European Continental Ancestry Group / statistics & numerical data* Female Humans Living Donors / statistics & numerical data* Male Middle Aged Organ Transplantation / ethnology*, statistics & numerical data* Registries Sex Distribution Socioeconomic Factors United States / ethnology |
| Grant Support | |
ID/Acronym/Agency:
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DK51472/DK/NIDDK NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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