{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:20:12Z","timestamp":1753878012530,"version":"3.41.2"},"reference-count":33,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,4,6]],"date-time":"2019-04-06T00:00:00Z","timestamp":1554508800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Kidney transplantation entails well\u2010coordinated complex care delivery. Patient\u2010provider cultural and linguistic discordance can lead to healthcare disparities. We analyzed kidney transplantation outcomes among\u00a0our institution's Hmong\u00a0recipients using a retrospective cohort study. From 1995 to 2015, 2164 adult (age \u226518) recipients underwent kidney transplantation at our institution; 78 self\u2010identified as\u00a0Hmong. Survival rates were analyzed and compared to Caucasian recipients (n\u00a0=\u00a02086). Fifty (64.1%) Hmong recipients consistently requested interpreters. Mean follow\u2010up was 9.8\u00a0years for both groups. Hmong recipients (N\u00a0=\u00a078) were on average younger at transplant (45.7 vs 49.7\u00a0years; <jats:italic>P<\/jats:italic>\u00a0=\u00a00.02), more likely to be female (56% vs 38%; <jats:italic>P\u00a0<\/jats:italic>=\u00a00.001), and had higher gravidity (5.0 vs 1.9 births; <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001). There were 13 (16.7%) Hmong living donor recipients, who were younger (32.8 vs 42.9\u00a0years; <jats:italic>P\u00a0<\/jats:italic>=\u00a00.006) at transplant compared to Caucasians (1429, 68.5%). Hmong 1\u2010 and 5\u2010year patient survival was 100%; Caucasians, 97.1% and 88% (<jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001). Hmong 1\u2010 and 5\u2010year graft survival was 98.7% and 84.9%; Caucasians 94.8% and 80.9% (<jats:italic>P\u00a0<\/jats:italic>=\u00a00.013). One\u2010 and 5\u2010year rejection\u2010free survival showed no difference (88.9% vs 82.4%; 86.7% vs 83.4%, <jats:italic>P\u00a0<\/jats:italic>=\u00a00.996). Despite cultural and linguistic differences between\u00a0Hmong recipients and providers, we found no evidence of inferiority in KT outcomes in the Hmong population.<\/jats:p>","DOI":"10.1111\/ctr.13539","type":"journal-article","created":{"date-parts":[[2019,3,18]],"date-time":"2019-03-18T19:58:22Z","timestamp":1552939102000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Delivery of transplant care among Hmong kidney transplant recipients: Outcomes from a single institution"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2590-5936","authenticated-orcid":false,"given":"Marjorie","family":"Odegard","sequence":"first","affiliation":[{"name":"Division of Transplantation Department of Surgery Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5076-0938","authenticated-orcid":false,"given":"Oscar K.","family":"Serrano","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8093-2040","authenticated-orcid":false,"given":"Kent","family":"Peterson","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven J.","family":"Mongin","sequence":"additional","affiliation":[{"name":"Biostatistical Design and Analysis Center Clinical and Translational Science Institute Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Berglund","sequence":"additional","affiliation":[{"name":"Informatics Services for Research and Reporting, Fairview Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M.","family":"Vock","sequence":"additional","affiliation":[{"name":"Division of Biostatistics, School of Public Health University of Minnesota Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srinath","family":"Chinnakotla","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ty B.","family":"Dunn","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3899-6985","authenticated-orcid":false,"given":"Erik B.","family":"Finger","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raja","family":"Kandaswamy","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timothy L.","family":"Pruett","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arthur J.","family":"Matas","sequence":"additional","affiliation":[{"name":"Division of Transplantation Department of Surgery Minneapolis Minnesota"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,4,6]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.14557"},{"issue":"6","key":"e_1_2_5_3_1","first-page":"529","article-title":"Multicultural issues in organ transplantation: the influence of patients\u2019 cultural perspectives on compliance with treatment","volume":"11","author":"Prieto LR","year":"1997","journal-title":"Clin Transplant"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000000540"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2010.03304.x"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.7182\/pit2014378"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e318249c949"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-011-9465-6"},{"issue":"2","key":"e_1_2_5_9_1","first-page":"1","article-title":"Making ends meet: hmong socioeconomic trends in the U.S. hmong stud","volume":"13","author":"Vang CY","year":"2012","journal-title":"J"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-010-9228-7"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/152692480901900214"},{"key":"e_1_2_5_12_1","unstructured":"US Census Bureau.American FactFinder \u2010 Results.https:\/\/factfinder.census.gov\/faces\/tableservices\/jsf\/pages\/productview.xhtml?src=bkmk. 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