Black Medicaid Recipients Less Likely to Get Living-Donor Kidney: Study06/26/13
TUESDAY, June 25 (HealthDay News) -- Black Americans on Medicaid
are far less likely to receive a living-donor kidney transplant
than patients with private health insurance, a new study finds.
In this type of transplant, a living person donates a kidney or
part of a kidney to another person.
"Living kidney transplantation is the optimal treatment for patients with end-stage renal disease, offering the best quality of life and longest survival," study lead author Dr. Amber Reeves-Daniel, an assistant professor of nephrology at Wake Forest Baptist Medical Center, said in a center news release.
Blacks comprise 12.6 percent of the U.S. population but about
one-third of dialysis patients. Nevertheless, blacks received only
13.5 percent of living kidney transplants performed in 2011, the
To determine the reasons for this gap, Reeves-Daniel's team
examined data from about 450 white and black patients who received
a living kidney transplant at Wake Forest from July 2008 through
Patients of either race with private insurance were much more
likely than those without private insurance to receive a transplant
(22 percent vs. 7.6 percent). Among whites, 27.5 percent of those
with private insurance received a transplant, compared to 12.4
percent without private insurance.
But the statistics were more striking among blacks. Those with
private insurance were 14 times more likely to receive a transplant
than those without private insurance, the study found, and blacks
covered by Medicaid were unlikely to receive a living kidney
transplant at all.
"An alarming finding is that despite apparent access to kidney transplantation, no African-American Medicaid recipients received a living-donor kidney transplant during the two-and-a-half-year study period," Reeves-Daniel said.
"[It makes sense that] insured patients would be more likely to have donors with sufficient resources to facilitate the processes of living donation," he said. "However, it is difficult to explain why individuals with Medicaid, particularly African-Americans, were so much less likely to receive living kidney transplants."
The study was published online June 20 in the journal
The National Kidney Foundation has more about
living kidney transplants.
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