Racial disparities in access to renal transplantation: Clinically appropriate or due to underuse or overuse?

New England Journal of Medicine

Volumn 343, Issue 21, 2000, Pages 1537-1544

  Epstein, Arnold M ^a,b,c   Ayanian, John Z ^b,c   Keogh, Joseph H ^d   Noonan, Susan J ^d   Armistead, Nancy ^e   Ceary, Paul D ^c   Weissman, Joel S ^c,f   David Kasdan, Jo Ann ^d   Carlson, Diane ^g   Fuller, Jerry ^h   Marsh, Douglas ⁱ   Conti, Rena M ^a  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b BRIGHAM AND WOMEN S HOSPITAL   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

^d CliGnosis   (United States)

^e Mid Atlantic Renal Coalition   (United States)

^f MASSACHUSETTS GENERAL HOSPITAL   (United States)

^g Renal Network of the Upper Midwest   (United States)

^h Network 8   (United States)

ⁱ Southern California Renal Disease Council   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CAUCASIAN; FEMALE; HEALTH CARE ACCESS; HEALTH CARE AVAILABILITY; HEALTH CARE DISTRIBUTION; HOSPITAL ADMISSION; HUMAN; KIDNEY FAILURE; KIDNEY TRANSPLANTATION; MAJOR CLINICAL STUDY; MALE; NEGRO; PATIENT SELECTION; PRIORITY JOURNAL; RACE; RACE DIFFERENCE; TREATMENT CONTRAINDICATION; TREATMENT INDICATION; UNITED STATES;

CLINICAL APPROACH/SOURCE; EMPIRICAL APPROACH; HEALTH CARE AND PUBLIC HEALTH; PROFESSIONAL PATIENT RELATIONSHIP;

ADULT; AFRICAN AMERICANS; AFRICAN CONTINENTAL ANCESTRY GROUP; EUROPEAN CONTINENTAL ANCESTRY GROUP; FEMALE; HEALTH SERVICES ACCESSIBILITY; HUMANS; KIDNEY FAILURE, CHRONIC; KIDNEY TRANSPLANTATION; MALE; PATIENT SELECTION; REFERRAL AND CONSULTATION; RENAL DIALYSIS; SOCIOECONOMIC FACTORS; UNITED STATES;

EID: 0034707128     PISSN: 00284793     EISSN: None     Source Type: Journal    
DOI: 10.1056/NEJM200011233432106     Document Type: Article

References (40)

1. Racial inequalities in the use of procedures for patients with ischemic heart disease in Massachusetts
2. Racial differences in the use of revascularization procedures after coronary angiography
3. Effects of race and income on mortality and use of services among Medicare beneficiaries
4. Racial differences in the use of invasive cardiovascular procedures in the Department of Veterans Affairs medical system
5. Racial variation in the use of coronary-revascularization procedures: Are the differences real? Do they matter?
6. The effect of race and sex on physicians' recommendations for cardiac catheterization
7. Racial differences in the elderly's use of medical procedures and diagnostic tests
8. Gender and ethnic differences in hospital-based procedure utilization in California
9. Physician discretion and racial variation in the use of surgical procedures
10. Comparison of survival probabilities for dialysis patients vs. cadaveric renal transplant recipients
11. Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant
12. The quality of life of patients with end-stage renal disease
13. Quality-of-life issues for end-stage renal disease patients
14. The evaluation of renal transplant candidates: Clinical practice guidelines
15. Effect of transplantation on the Medicare end-stage renal disease program
16. Comparison of treatment costs between dialysis and transplantation
17. Age, sex, and race inequality in renal transplantation
18. Access to kidney transplantation: Has the United States eliminated income and racial differences?
19. The effect of race on access and outcome in transplantation
20. Race and sex differences in the identification of candidates for renal transplantation
21. The impact of comorbid and sociodemographic factors on access to renal transplantation
22. Racial differences in access to kidney transplantation
23. Barriers to cadaveric renal transplantation among blacks, women, and the poor
24. Race and socioeconomic factors influencing early placement on the kidney transplant waiting list
25. Physician ratings of appropriate indications for six medical and surgical procedures
26. Coronary artery bypass graft: A literature review and ratings of appropriateness and necessity
27. Development of the kidney disease quality of life (KDQOL) instrument
28. The effect of patients' preferences on racial differences in access to renal transplantation
29. What's the relative risk? A method of correcting the odds ratio in cohort studies of common outcomes
30. Rating the appropriateness of coronary angiography - Do practicing physicians agree with an expert panel and with each other?
31. How coronary angiography is used: Clinical determinants of appropriateness
32. The appropriateness of performing coronary artery bypass surgery
33. Does inappropriate use explain geographic variations in the use of health care services? A study of three procedures
34. Effects of changes in the criteria for nationally shared kidney transplants for HLA-matched patients
35. The reproducibility of a method to identify the overuse and underuse of medical procedures