An overview of disparities and interventions in pediatric kidney transplantation worldwide

• Published in: Pediatric nephrology (Berlin, West) Vol. 30; no. 7; pp. 1077 - 1086
• Main Authors: Freeman, Michael A., Myaskovsky, Larissa
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.07.2015; Springer; Springer Nature B.V
• Subjects: Child; Cultural differences; Demographic aspects; Educational Review; Ethnic Groups; Health aspects; Health disparities; Healthcare Disparities - statistics & numerical data; Humans; Inequality; Kidney diseases; Kidney transplantation; Kidney Transplantation - statistics & numerical data; Kidney transplants; Medical waiting lists; Medicine; Medicine & Public Health; Minority & ethnic groups; Minority Health; Nephrology; Patient outcomes; Pediatrics; Racial differences; Socioeconomic Factors; Urology; United States; United States > US; Pittsburgh Pennsylvania; Socioeconomic status; Racial disparities; Minority health; Organ allocation; Kidney transplantation
• ISSN: 0931-041X; 1432-198X
• DOI: 10.1007/s00467-014-2879-3

Despite the stated goals of the transplant community and the majority of organ allocation systems, persistent racial disparities in pediatric kidney transplantation exist throughout the world. These disparities are evident in both living and deceased donor kidney transplantation and are independent of any clinical differences between racial groups. The reasons for these persistent disparities are multifactorial, reflecting both patient and provider barriers to care. In this review, we examine the most current findings regarding disparities in pediatric kidney transplantation and consider interventions which may help reduce those disparities.