Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center

Q4 Medicine

Transplantation Reports Pub Date : 2020-12-01 DOI:10.1016/j.tpr.2020.100066

Kent J. Peterson , Oscar K. Serrano , Marjorie Odegard , Steven J. Mongin , Danielle Berglund , David M. Vock , Srinath Chinnakotla , Ty B. Dunn , Erik B. Finger , Raja Kandaswamy , Timothy L. Pruett , Arthur J. Matas

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引用次数: 1

Abstract

Introduction

Kidney transplantation (KT) demands that patients navigate a complex healthcare system and adhere to lifelong therapy and surveillance. Cultural and linguistic discordance between patients and providers has been identified as a barrier to successful KT. We studied KT outcomes and disparities among a native Somali population living in Minnesota.

Methods

Between 1995 and 2015, 2,385 patients underwent KT at our institution; 22 were self-designated Somali nationals. Patient and graft survival and time to first rejection were analyzed. Utilization of interpreter services was evaluated.

Results

Patient survival for the Somali cohort at 1 year was 100% and 95.5% at 5 years; compared to 97.2% at 1 year and 89.1% at 5 years for the Caucasian cohort (p = 0.40). Graft survival for the Somali cohort at 1 year was 100% and 95.5% at 5 years; for the Caucasian cohort 94.8% and 81.6% (p = 0.35). Rejection-free survival in the Somali cohort was 100% at 1 and 5 years, for the Caucasian cohort 86.2% and 82.1 (p = 0.41). Among 22 adult Somali KT recipients, 15 (68%) patients frequently utilized interpreter services in their KT-related clinical encounters.

Conclusion

Immigrant Somali KT recipients, appear to have comparable KT outcomes compared to a contemporaneous Caucasian cohort.

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索马里移民肾移植受者在大容量移植中心的结果

肾移植(KT)要求患者在复杂的医疗保健系统中导航，并坚持终身治疗和监测。患者和提供者之间的文化和语言不一致已被确定为成功的KT障碍。我们研究了居住在明尼苏达州的索马里土著人口的KT结果和差异。方法1995年至2015年，2385例患者在我院接受了KT;22人自封为索马里国民。分析患者和移植物的生存时间和发生首次排斥反应的时间。对口译服务的利用情况进行了评估。结果索马里队列患者1年生存率为100%，5年生存率为95.5%;相比之下，高加索人群1年为97.2%，5年为89.1% (p = 0.40)。索马里队列1年的移植物存活率为100%，5年为95.5%;高加索人群分别为94.8%和81.6% (p = 0.35)。索马里队列1年和5年无排斥反应生存率为100%，高加索队列为86.2%和82.1% (p = 0.41)。在22名索马里成年KT接受者中，15名(68%)患者在与KT相关的临床接触中经常使用翻译服务。结论:索马里移民KT接受者与同期高加索人群相比，似乎具有可比的KT结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Transplantation Reports Medicine-Transplantation

CiteScore

0.60

自引率

0.00%

发文量

审稿时长

101 days

期刊介绍： To provide to national and regional audiences experiences unique to them or confirming of broader concepts originating in large controlled trials. All aspects of organ, tissue and cell transplantation clinically and experimentally. Transplantation Reports will provide in-depth representation of emerging preclinical, impactful and clinical experiences. -Original basic or clinical science articles that represent initial limited experiences as preliminary reports. -Clinical trials of therapies previously well documented in large trials but now tested in limited, special, ethnic or clinically unique patient populations. -Case studies that confirm prior reports but have occurred in patients displaying unique clinical characteristics such as ethnicities or rarely associated co-morbidities. Transplantation Reports offers these benefits: -Fast and fair peer review -Rapid, article-based publication -Unrivalled visibility and exposure for your research -Immediate, free and permanent access to your paper on Science Direct -Immediately citable using the article DOI