Many Providers Unaware of Racial Disparities in Kidney Transplants

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Nurse managers, white providers more likely to be unaware of national racial disparity in waitlisting
Nurse managers, white providers more likely to be unaware of national racial disparity in waitlisting

(HealthDay News) -- Health care provider awareness of racial disparities in kidney transplant waitlisting is low, especially among nurse managers and white providers, according to a study published online in the Clinical Journal of the American Society of Nephrology.

Joyce J. Kim, from the Emory University School of Medicine in Atlanta, and colleagues conducted a cross-sectional analysis of a 2016 survey of providers from low-waitlisting dialysis facilities to examine health care providers' awareness of racial disparities in kidney transplant waitlisting.

The researchers found that 19% of the 655 providers surveyed were aware of the national racial disparity in waitlisting: 50% of 113 medical directors, 11% of 327 nurse managers, and 16% of 215 other providers. The likelihood of being unaware of the national racial disparity was increased for nurse managers versus medical directors (odds ratio, 7.33) and for white versus black providers (odds ratio, 2.64) in analyses adjusted for provider and facility characteristics. Facilities in the South and those with a low%age of blacks were also more likely to be unaware (odds ratios, 3.05 and 1.86, respectively). A >5% racial difference in waitlisting was seen in a quarter of facilities; only 5% were aware of the disparity.

"Provider awareness of racial disparities in kidney transplant waitlisting was low, particularly among staff who may have more routine contact with patients," the authors write.

One author disclosed financial ties to Fresenius Dialysis.

Reference

Kim JJ, Basu M, Plantinga L, et al. Awareness of Racial Disparities in Kidney Transplantation among Health Care Providers in Dialysis Facilities. Clin J Am Soc Nephrol. doi: 10.2215/​CJN.09920917

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