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. 2017 Jun 1;36(6):1078-1085.
doi: 10.1377/hlthaff.2016.1625.

New Kidney Allocation System Associated With Increased Rates Of Transplants Among Black And Hispanic Patients

Taylor A Melanson  1 , Jason M Hockenberry  2 , Laura Plantinga  3 , Mohua Basu  4 , Stephan Pastan  5 , Sumit Mohan  6 , David H Howard  7 , Rachel E Patzer  8
Affiliations

New Kidney Allocation System Associated With Increased Rates Of Transplants Among Black And Hispanic Patients

Taylor A Melanson et al. Health Aff (Millwood). .

Abstract

Before the 2014 implementation of a new kidney allocation system by the United Network for Organ Sharing, white patients were more likely than black or Hispanic patients to receive a kidney transplant. To determine the effect of the new allocation system on these disparities, we examined data for 179,071 transplant waiting list events in the period June 2013-September 2016, and we calculated monthly transplantation rates (34,133 patients actually received transplants). Implementation of the new system was associated with a narrowing of the disparities in the average monthly transplantation rates by 0.29 percentage point for blacks compared to whites and by 0.24 percentage point for Hispanics compared to whites, which resulted in both disparities becoming nonsignificant after implementation of the new system.

Keywords: Access To Care; Disparities; Health Reform; Kidney Transplantation; Minority Health.

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Figures

EXHIBIT 1
EXHIBIT 1
Average Monthly Kidney Transplantation Rates in the United States, June 2013–March 2016 Source: Author’s analysis of data from United Network for Organ Sharing standard analytic file(June 2013–September 2016)
EXHIBIT 3
EXHIBIT 3
Average Time On Dialysis Among White Kidney Transplant Recipients, June 2013 to September 2016 Source: Author’s analysis of data from United Network for Organ Sharing standard analytic file(June 2013–September 2016)
EXHIBIT 4
EXHIBIT 4
Average Time On Dialysis Among Black Kidney Transplant Recipients, June 2013 to September 2016 Source: Author’s analysis of data from United Network for Organ Sharing standard analytic file(June 2013–September 2016)
EXHIBIT 5
EXHIBIT 5
Average Time On Dialysis Among Hispanic Kidney Transplant Recipients, June 2013 to September 2016 Source: Author’s analysis of data from United Network for Organ Sharing standard analytic file(June 2013–September 2016)
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References

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