Kidney Disease Disparities
Compared to Whites, minority groups have a higher risk of developing ESRD:
- Blacks have 4 times the risk
- Native Americans have 2 times the risk
- Hispanics have 2 times the risk
- Asians have 1.6 times the risk
Source: Nicholas SB, Kalantar-Zadeh K, Norris KC. Racial disparities in kidney disease outcomes. Semin Nephrol. 2013;33(5):409-415.
There are disparities between blacks and whites at every step along the transplant process.
Blacks are less likely to:
- be identified as transplant candidates
- be referred for a transplant evaluation
- complete the evaluation
- be placed on the waiting list
- Black patients wait longer on the transplant list
- Blacks are more likely to receive expanded criteria donor kidneys
- Blacks are less likely to receive a kidney from a living donor
- Black patients have poorer graft survival outcomes than white patients
Source: Norton et al., 2016 2 Norton JM, Moxey-Mims MM, Eggers PW, et al. Social Determinants of Racial Disparities in CKD. J Am Soc Nephrol. 2016;27(9):2576-2595.
Low socioeconomic status is strongly associated with kidney disease and ESRD. Those with a low socioeconomic status are more likely to have kidney disease and ESRD.
Source: Nicholas et al., 2015 3 Nicholas SB, Kalantar-Zadeh K, Norris KC. Socioeconomic disparities in chronic kidney disease. Adv Chronic Kidney Dis. 2015;22(1):6-15.