Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center
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 dispa...
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doaj-1937c309898a4543aa6ec082e4d4672f2020-12-17T04:50:33ZengElsevierTransplantation Reports2451-95962020-12-0154100066Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant centerKent J. Peterson0Oscar K. Serrano1Marjorie Odegard2Steven J. Mongin3Danielle Berglund4David M. Vock5Srinath Chinnakotla6Ty B. Dunn7Erik B. Finger8Raja Kandaswamy9Timothy L. Pruett10Arthur J. Matas11Department of Surgery, Division of Transplantation, Mayo Mail Code 195, 420 Delaware Street SE, Minneapolis, MN 55455, United States of America; Corresponding author.Department of Surgery, Division of Transplantation, Mayo Mail Code 195, 420 Delaware Street SE, Minneapolis, MN 55455, United States of AmericaDepartment of Surgery, Division of Transplantation, Mayo Mail Code 195, 420 Delaware Street SE, Minneapolis, MN 55455, United States of AmericaBiostatistical Design and Analysis Center, Clinical and Translational Science Institute, University of Minnesota, Minneapolis, MN, United States of AmericaInformatics Services for Research and Reporting, Fairview, University of Minnesota, Minneapolis, MN, United States of AmericaDivision of Biostatistics, University of Minnesota, Minneapolis, MN, United States of AmericaDepartment of Surgery, Division of Transplantation, Mayo Mail Code 195, 420 Delaware Street SE, Minneapolis, MN 55455, United States of AmericaDepartment of Surgery, Division of Transplantation, Mayo Mail Code 195, 420 Delaware Street SE, Minneapolis, MN 55455, United States of AmericaDepartment of Surgery, Division of Transplantation, Mayo Mail Code 195, 420 Delaware Street SE, Minneapolis, MN 55455, United States of AmericaDepartment of Surgery, Division of Transplantation, Mayo Mail Code 195, 420 Delaware Street SE, Minneapolis, MN 55455, United States of AmericaDepartment of Surgery, Division of Transplantation, Mayo Mail Code 195, 420 Delaware Street SE, Minneapolis, MN 55455, United States of AmericaDepartment of Surgery, Division of Transplantation, Mayo Mail Code 195, 420 Delaware Street SE, Minneapolis, MN 55455, United States of AmericaIntroduction: 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.http://www.sciencedirect.com/science/article/pii/S2451959620300287Kidney transplantationRacial disparitiesCultural discordanceLinguistic discordanceOutcomesSomali |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
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 |
spellingShingle |
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 Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center Transplantation Reports Kidney transplantation Racial disparities Cultural discordance Linguistic discordance Outcomes Somali |
author_facet |
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 |
author_sort |
Kent J. Peterson |
title |
Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center |
title_short |
Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center |
title_full |
Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center |
title_fullStr |
Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center |
title_full_unstemmed |
Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center |
title_sort |
outcomes for somali immigrant kidney transplant recipients in a large-volume transplant center |
publisher |
Elsevier |
series |
Transplantation Reports |
issn |
2451-9596 |
publishDate |
2020-12-01 |
description |
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. |
topic |
Kidney transplantation Racial disparities Cultural discordance Linguistic discordance Outcomes Somali |
url |
http://www.sciencedirect.com/science/article/pii/S2451959620300287 |
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