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• W2772471931 abstract "Previous studies have shown that low socioeconomic status (SES) and rurality are associated with decreased access to kidney transplantation (KT). To date, however, no study has examined the interaction of rurality and low SES on long-term KT outcomes. The goal was to examine the association between rurality, SES, and long-term outcomes among KT recipients. Methods Adult KT recipients from 2003 to 2011 were obtained from SRTR and linked to US Census data [n=93,846]. Rural and urban were defined by the Rural Urban Commuting Area zip codes. Zip codes with > 15% of the population living below the federal poverty line were defined as poor [rural poor n= 2,223; urban poor n=34,252]. Rural poor KT recipients were matched to urban poor (1:1 on recipient age, race, and donor type). Death-censored graft survival (DCGS) and patient survival (PS) were estimated using Kaplan-Meier and compared using log-rank and Cox models (aHR). Results Urban poor areas had KT recipients who were more likely African American compared to rural poor areas. Both urban and rural poor were more likely to receive a deceased donor KT (Table). Overall, DCGS was significantly lower among urban poor compared to rural poor [5yr 77.5% vs 81.5%, p=0.0005], as was PS [5yr 83.9% vs. 85.9%, p=0.026]. Matched control analyses demonstrated no statistically significant difference in risk of graft loss [aHR 1.02, 95%CI 0.83-1.25, p-value 0.87] or patient death [aHR 1.05, 95%CI 0.86-1.29, p-value 0.63] among rural and urban poor.Figure: No Caption available.Conclusions Our study demonstrates that among KT recipients defined as poor, rurality is not associated with poorer long-term outcomes. Given these data, more study is needed to determine causes for lower access for rural patients and explore ways to improve access for these patients to transplantation." @default.
• W2772471931 created "2017-12-22" @default.
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• W2772471931 date "2014-07-01" @default.
• W2772471931 modified "2023-09-26" @default.
• W2772471931 title "Rurality Is Not Associated With Long-Term Outcomes Among Kidney Transplant Recipients Living Below the Federal Poverty Line." @default.
• W2772471931 doi "https://doi.org/10.1097/00007890-201407151-02154" @default.
• W2772471931 hasPublicationYear "2014" @default.
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