Kidney Week

Abstract: PUB533

10-Year Kidney Allograft Survival in Patients from a Safety Net Transplant Program Introduction

Session Information

• Publication Only

Category: Transplantation

• 2102 Transplantation: Clinical

Authors

• Shah, Anuja P., Harbor-UCLA Medical Center, Torrance, California, United States

Anuja P. Shah, MD

• Elali, Ibrahim, Harbor-UCLA Medical Center, Torrance, California, United States

Ibrahim Elali, MD

• Dukkipati, Ramanath B., Harbor-UCLA Medical Center, Torrance, California, United States

Ramanath B. Dukkipati, MD

• Kalantar-Zadeh, Kamyar, Harbor-UCLA Medical Center, Torrance, California, United States

Kamyar Kalantar-Zadeh, MD, DrMed, PhD, MPH, FASN

• Barba, Lilly M., Harbor-UCLA Medical Center, Torrance, California, United States

Lilly M. Barba, MD

Background

Data regarding 1-year and 5-year renal allograft survival is readily available from transplant databases. The 10-year allograft function rates data particularly in a safety net hospital in an underserved metropolitan area is scarce. Lower socioeconomic status (SES) is a barrier to transplantation. Patients on Medicaid have lower rates of transplantation than those with commercial insurance. Long term allograft survival rates of lower SES renal transplant recipients are not known.

Methods

In order to shed light on the long-term allograft survival, we reviewed the outcomes of transplants performed in 2014, the most recent 10 year allograft survival available, from a single center safety net hospital transplant program.

Results

29 renal transplants were performed in the year 2014. 14 % of recipients were African American, 21% were Asian, 3% Caucasian, and 62% were Hispanic. All patients were participants in the Medicaid program. 2 patients were lost to follow up. Of the 27 other patients, 22 (81%) continue to have functioning allografts; 5 patients died with functioning allografts. No patients lost allograft function and returned to chronic renal replacement therapy

Conclusion

Patients from an underserved population can achieve long term excellent renal allograft function. Socioeconomic barriers to transplantation do not necessarily carry forward as barriers to long term allograft survival. The care structure of these patients being followed long term in renal transplant clinic may have had a positive impact on the long-term allograft function observed in this population. Safety net transplant programs are important to maintain access to positive renal outcomes in low SES patients with ESRD.