Professor, Villanova University, M. Louise Fitzpatrick College of Nursing, Villanova, PA.
Professor, Diane and Robert Moritz Jr. Endowed Chair in Nursing Research, Villanova University, M. Louise Fitzpatrick College of Nursing, Villanova PA.
Nephrol Nurs J. 2021 Jul-Aug;48(4):367-387.
Major changes were made to the U.S. kidney allocation system (KAS) on December 4, 2014, in the effort to address disparities in kidney transplantation (KT) and achieve equity in organ allocation. Research is necessary to examine whether KAS achieved its goal; first, a firm understanding of the disparities that existed prior to implementation of KAS is needed. This systematic review examined the literature on disparities in access to deceased donor KT (DDKT) after listing in the pre-KAS era and discussed mechanisms to explain these disparities. Thirty-two articles were included. Racial, gender, age, socioeconomic, physiologic, geographic, and health care system disparities existed in the pre-KAS era. Findings of this review will inform the agenda for future disparities research in the post-KAS era.
2014 年 12 月 4 日，美国肾脏分配系统（KAS）进行了重大改革，旨在解决肾脏移植（KT）中的差异问题，实现器官分配公平。有必要进行研究，以检验 KAS 是否实现了其目标；首先，需要明确了解 KAS 实施前存在的差异。本系统评价检查了 KAS 实施前列入名单后接受已故供体 KT（DDKT）的机会差异的文献，并讨论了解释这些差异的机制。共纳入 32 篇文章。在 KAS 实施前，存在种族、性别、年龄、社会经济、生理、地理和医疗保健系统差异。本综述的研究结果将为 KAS 实施后时代的未来差异研究议程提供信息。
