Transplant Survival Similar in Black and White Canadians

The results are different among black and white Americans

THURSDAY, Oct. 30 (HealthDay News) -- Black Canadian renal transplant recipients have similar graft survival as and lower mortality than white Canadian recipients, which is not the situation with black and white American recipients, according to a study published online Oct. 29 in the Journal of the American Society of Nephrology.

Karen Yeates, M.D., from Queens University in Kingston, Ontario, and colleagues examined data on graft survival in 20,243 Canadian dialysis patients (3 percent black, 97 percent white), of whom 5,036 received a renal transplant.

The researchers found that black patients were significantly less likely to receive either a deceased- or living-donor renal transplant (hazard ratio 0.59). Although the likelihood of graft failure was similar in black and white patients, even after the researchers adjusted for confounding factors, post-transplant mortality was significantly lower in black patients (hazard ratio 0.49).

"In conclusion, graft outcomes between black and white Canadian renal transplant patients are similar," Yeates and colleagues write. "Because this differs from the experience reported from the United States, further direct comparisons between the two populations is warranted."

Full Text (subscription or payment may be required)

Physician's Briefing