Individual-level social determinants of health and disparities in access to kidney transplant and waitlist mortality.

ABSTRACT:

Background

Comprehensive, individual-level social determinants of health (SDOH) are not collected in national transplant registries, limiting research aimed at understanding the relationship between SDOH and waitlist outcomes among kidney transplant candidates.

Methods

We merged Organ Procurement and Transplantation Network data with individual-level SDOH data from LexisNexis, a commercial data vendor, and conducted a competing risk analysis to determine the association between individual-level SDOH and the cumulative incidence of living donor kidney transplant (LDKT), deceased donor kidney transplant (DDKT), and waitlist mortality. We included adult kidney transplant candidates placed on the waiting list in 2020, followed through December 2023.

Results

In multivariab

SUBMITTER: Mupfudze TG 

PROVIDER: S-EPMC11338441 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature