ArticleTransplantation2016
Quantifying the Race Stratified Impact of Socioeconomics on Graft Outcomes in Kidney Transplant Recipients.
Article in Transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Longitudinal Changes in the Impact of Socioeconomic Status on Graft Failure in Kidney Transplantation.Kidney360 · 2026Article
- Advancing kidney transplantation in black patients: a genetics-based and personalized approach under NICE, KDIGO, and ERBP guidelines.Renal failure · 2024Review
- Immunologic Benefits of 0-antigen Mismatched Transplants: No Added Boost for Racial and Ethnic Minorities.Transplantation direct · 2024Article
- The association of socioeconomic status on kidney transplant access and outcomes: a nationwide cohort study in Taiwan.Journal of nephrology · 2024Article
- Relationship of Social Deprivation Among Living Kidney Donor-Recipient Pairs.Transplantation direct · 2024Article
- Distinct clinical profiles and post-transplant outcomes among kidney transplant recipients with lower education levels: uncovering patterns through machine learning clustering.Renal failure · 2023Article
- Geospatial Analysis of Organ Transplant Referral Regions.JAMA network open · 2022Article
- Health Facts Medication Adherence in Transplantation (H-MAT) Study: A Secondary Analysis of Determinants and Outcomes of Medication Nonadherence in Adult Kidney Transplant Recipients.International journal of nephrology · 2022Article
- Effects of body mass index on kidney transplant outcomes are significantly modified by patient characteristics.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021Article
- Better graft outcomes from offspring donor kidneys among living donor kidney transplant recipients in the United States.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019Article
- Transplant Center Variability in Disparities for African-American Kidney Transplant Recipients.Annals of transplantation · 2018Article
- Tacrolimus Trough Concentration Variability and Disparities in African American Kidney Transplantation.Transplantation · 2017Article
- Cytolytic Induction Therapy Improves Clinical Outcomes in African-American Kidney Transplant Recipients.Annals of surgery · 2017Article
- Outcome disparities between African Americans and Caucasians in contemporary kidney transplant recipients.American journal of surgery · 2017Article
- Impact of Cardiovascular Risk Factors on Graft Outcome Disparities in Black Kidney Transplant Recipients.Hypertension (Dallas, Tex. : 1979) · 2016Article
- The influence of clinical, environmental, and socioeconomic factors on five-year patient survival after kidney transplantation.Jornal brasileiro de nefrologiaArticle
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Authors and funding
7 authors.
Funding
Abstract
backgroundSocioeconomic status (SES) is a significant determinant of health outcomes and may be an important component of the causal chain surrounding racial disparities in kidney transplantation. The social adaptability index (SAI) is a validated and quantifiable measure of SES, with a lack of studies analyzing this measure longitudinally or between races.
methodsLongitudinal cohort study in adult kidney transplantation transplanted at a single-center between 2005 and 2012. The SAI score includes 5 domains (employment, education, marital status, substance abuse and income), each with a minimum of 0 and maximum of 3 for an aggregate of 0 to 15 (higher score → better SES).
resultsOne thousand one hundred seventy-one patients were included; 624 (53%) were African American (AA) and 547 were non-AA. African Americans had significantly lower mean baseline SAI scores (AAs 6.5 vs non-AAs 7.8; P < 0.001). Cox regression analysis demonstrated that there was no association between baseline SAI and acute rejection in non-AAs (hazard ratio [HR], 0.92; 95% confidence interval [95% CI], 0.81-1.05), whereas it was a significant predictor of acute rejection in AAs (HR, 0.89; 95% CI, 0.80-0.99). Similarly, a 2-stage approach to joint modelling of time to graft loss and longitudinal SAI did not predict graft loss in non-AAs (HR, 1.01; 95% CI, 0.28-3.62), whereas it was a significant predictor of graft loss in AAs (HR, 0.23; 95% CI, 0.06-0.93).
conclusionsAfter controlling for confounders, SAI scores were associated with a lower risk of acute rejection and graft loss in AA kidney transplant recipients, whereas neither baseline nor follow-up SAI predicted outcomes in non-AA kidney transplant recipients.
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