Wong Linda L, Kindle Kelly, Limm Blair
Transplant Institute, Hawai'i Medical Center-East, Honolulu, HI 96817, USA.
Hawaii Med J. 2009 Mar;68(2):30-3.
Pacific Islanders currently comprise 35% of all end-stage renal disease patients in Hawai'i but a much smaller proportion of those who undergo renal transplant. The purpose of this study to determine the reasons for such a disparity. In this retrospective review of 207 patients who were referred for renal transplant evaluation, 18.8% were Pacific Islanders. Patients attended a kidney transplant class, were offered evaluation and were placed on the waiting list if deemed appropriate. Of patients that were eventually placed on the list, 18.6% were Pacific Islander. There was no difference in age, gender body mass index, presence of diabetes, number with potential living donors, dialysis status, time from the referral to attending class and the time from the class to listing between Pacific Islanders and other ethnic groups. Pacific Islanders who are referred to our transplant program are able to make it through the evaluation and be listed with the same success as other patients. The problem in racial disparities in Hawai'i involves referral to the transplant center. Whether the problem of referral is due to other medical comorbidities or noncompliance is not clear and will require further investigation.
目前，太平洋岛民占夏威夷所有终末期肾病患者的35%，但在接受肾移植的患者中所占比例要小得多。本研究的目的是确定造成这种差异的原因。在这项对207名被转诊进行肾移植评估的患者的回顾性研究中，18.8%为太平洋岛民。患者参加了肾脏移植课程，接受了评估，并在被认为合适的情况下被列入等待名单。最终被列入名单的患者中，18.6%是太平洋岛民。太平洋岛民与其他种族在年龄、性别、体重指数、糖尿病的存在、潜在活体供体的数量、透析状态、从转诊到上课的时间以及从上课到列入名单的时间方面没有差异。被转诊到我们移植项目的太平洋岛民能够通过评估并与其他患者一样成功地被列入名单。夏威夷种族差异问题涉及转诊到移植中心。转诊问题是由于其他医疗合并症还是不依从尚不清楚，需要进一步调查。
