African-Americans with End Stage Renal Disease in the Early Years of Kidney Transplantation

African Americans are disproportionately represented among patients with end-stage renal disease (ESRD). ESRD is managed with a strict routine that might include regular dialysis as well as dietary, fluid intake, and other lifestyle changes. In a disease such as this, with such disruptive treatment modalities, marriage, specifically, and its ties to well-being have the potential to significantly affect adherence to medical treatment and lifestyle recommendations as well as downstream health outcomes such as disease progression and mortality. The authors used data from the Dialysis Morbidity and Mortality Study, Wave 2, of the U.S. Renal Data System Database, a prospective study of 4,000 ESRD patients selected from a random sample of 25% U.S. dialysis facilities, to investigate these research questions. They found that married African American ESRD patients had marginally better outcomes on several clinical and psychosocial measures, which they hypothesize may be attributable to the instrumental and emotional support conferred by marriage.

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Low Birth Weight Contributes to the Excess Prevalence of End-Stage Renal Disease in African Americans

Journal of Clinical Hypertension ◽

10.1111/j.1524-6175.2001.00828.x ◽

2001 ◽

Vol 3 (1) ◽

pp. 29-31 ◽

Cited By ~ 42

Author(s):

Daniel T. Lackland ◽

Brent M. Egan ◽

Z. Joyce Fan ◽

Holly E. Syddall

Keyword(s):

Birth Weight ◽

African Americans ◽

Low Birth Weight ◽

Renal Disease ◽

End Stage Renal Disease ◽

Stage Renal Disease ◽

End Stage

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End-stage renal disease, dialysis, kidney transplantation and their impact on CD4+T-cell differentiation

Immunology ◽

10.1111/imm.12947 ◽

2018 ◽

Vol 155 (2) ◽

pp. 211-224 ◽

Cited By ~ 9

Author(s):

Matthias Schaier ◽

Angele Leick ◽

Lorenz Uhlmann ◽

Florian Kälble ◽

Christian Morath ◽

...

Keyword(s):

Kidney Transplantation ◽

Cell Differentiation ◽

T Cell ◽

Renal Disease ◽

End Stage Renal Disease ◽

T Cell Differentiation ◽

Cd4 T Cell ◽

Stage Renal Disease ◽

End Stage

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Economic Evaluation of Kidney Transplantation versus Hemodialysis in Patients with End-Stage Renal Disease in Hungary

Progress in Transplantation ◽

10.1177/152692480101100307 ◽

2001 ◽

Vol 11 (3) ◽

pp. 188-193 ◽

Cited By ~ 7

Author(s):

Zoltán Kaló ◽

Jeno Járay ◽

Júlia Nagy

Keyword(s):

Kidney Transplantation ◽

Renal Disease ◽

End Stage Renal Disease ◽

Cost Effective ◽

Effective Option ◽

Hungarian Population ◽

Cadaveric Kidney ◽

Stage Renal Disease ◽

End Stage ◽

The Cost

Background— Kidney transplantation is generally acknowledged as the more clinically effective and more cost-effective option in managing patients with end-stage renal disease, compared with dialysis. This study looked for confirmatory evidence in a Hungarian population. Methods— Patients (n = 242) with end-stage renal disease who received cadaveric kidney transplantation during 1994 were followed up for 3 years. They were compared with patients (n = 840) receiving hemodialysis who were on a waiting list for transplantation. Data were collected retrospectively. Treatments were compared for clinical efficacy and for cost-effectiveness. Results— At month 36, the standard mortality hazard function was 3.5 times higher in the group receiving hemodialysis ( P<.0001) than in the transplant recipients. Average treatment costs per patient over the 3 years were also significantly higher ( P<.0001) in the hemodialysis group than in the group that received transplants. The cost of 1 year gained by transplantation was significantly less ( P<.0001) than the cost associated with hemodialysis. Conclusions— Compared with hemodialysis, kidney transplantation provides greater survival benefits to patients with end-stage renal disease, at less cost.

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