Portal de Periódicos da CAPES

Social adaptability index predicts access to kidney transplantation

2011; Wiley; Volume: 25; Issue: 6 Linguagem: Inglês

10.1111/j.1399-0012.2010.01391.x

1399-0012

Alexander S. Goldfarb‐Rumyantzev, Gurprataap Singh Sandhu, Bradley C. Baird, Muhammad Khattak, Anna Barenbaum, Douglas W. Hanto,

Geriatric Care and Nursing Homes

Clinical TransplantationVolume 25, Issue 6 p. 834-842 Social adaptability index predicts access to kidney transplantation Alexander S. Goldfarb-Rumyantzev, Alexander S. Goldfarb-Rumyantzev Division of Nephrology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA Transplant Institute, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USASearch for more papers by this authorGurprataap S. Sandhu, Gurprataap S. Sandhu Division of Nephrology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USASearch for more papers by this authorBradley C. Baird, Bradley C. Baird Division of Nephrology and Hypertension, University of Utah School of Medicine, Salt Lake City, UT, USASearch for more papers by this authorMuhammad Khattak, Muhammad Khattak University of Massachusetts Memorial Medical Center, WorcesterSearch for more papers by this authorAnna Barenbaum, Anna Barenbaum Tel Aviv University, Tel Aviv, IsraelSearch for more papers by this authorDouglas W. Hanto, Douglas W. Hanto Transplant Institute, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USASearch for more papers by this author Alexander S. Goldfarb-Rumyantzev, Alexander S. Goldfarb-Rumyantzev Division of Nephrology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USA Transplant Institute, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USASearch for more papers by this authorGurprataap S. Sandhu, Gurprataap S. Sandhu Division of Nephrology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USASearch for more papers by this authorBradley C. Baird, Bradley C. Baird Division of Nephrology and Hypertension, University of Utah School of Medicine, Salt Lake City, UT, USASearch for more papers by this authorMuhammad Khattak, Muhammad Khattak University of Massachusetts Memorial Medical Center, WorcesterSearch for more papers by this authorAnna Barenbaum, Anna Barenbaum Tel Aviv University, Tel Aviv, IsraelSearch for more papers by this authorDouglas W. Hanto, Douglas W. Hanto Transplant Institute, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA, USASearch for more papers by this author First published: 27 January 2011 https://doi.org/10.1111/j.1399-0012.2010.01391.xCitations: 19 Corresponding author: Alexander S. Goldfarb-Rumyantzev, MD, PhD, Division of Nephrology, Beth Israel Deaconess Medical Center, 185 Pilgrim Rd., FA-832, Boston, MA 02215, USA. Tel.: 617-632-9880; fax: 617-632-9890; e-mail: agoldfar@bidmc.harvard.edu Conflict of interest: None of the authors of the manuscript have any conflict of interest to declare. Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract Goldfarb-Rumyantzev AS, Sandhu GS, Baird BC, Khattak M, Barenbaum A, Hanto DW. Social adaptability index predicts access to kidney transplantation. Clin Transplant 2011: 25: 834–842. © 2011 John Wiley & Sons A/S. Abstract: Identifying the group of subjects prone to disparities in access to kidney transplantation is important for developing potential interventions. Data from the United States Renal Data System (January 1, 1990–September 1, 2007; n = 3407) were used to study association between the Social Adaptability Index (SAI; based upon employment, marital status, education, income, and substance abuse) and outcomes (time to being placed on the waiting list and time to being transplanted once listed). Patients were 56.9 ± 16.1 yr old, 54.2% men, 64.2% white, and 50.4% had diabetes. SAI was higher in whites (7.4 ± 2.4) than African Americans (6.5 ± 2.6) [ANOVA, p < 0.001] and greater in men (7.4 ± 2.4) than in women (6.7 ± 2.5) [T-test, p < 0.001]. In multivariate model, greater SAI (range 0–12) was associated with increased likelihood of being placed on the waiting list (hazard ratio [HR] 1.19 [95% CI 1.15–1.23] per each point of increase in SAI, p < 0.001) and greater likelihood of receiving a transplant once listed (HR of 1.06 [95% CI 1.03–1.09] per point of increase in SAI, p < 0.001). Similar trends were observed in most of the subgroups (based upon race, sex, diabetic status, age, comorbidities, and donor type). SAI is associated with access to renal transplantation in patients with end-stage renal disease; it may be used to indentify individuals at risk of healthcare disparities. Citing Literature Volume25, Issue6November/December 2011Pages 834-842 RelatedInformation