{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:01:08Z","timestamp":1782475268728,"version":"3.54.5"},"reference-count":32,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,7,25]],"date-time":"2012-07-25T00:00:00Z","timestamp":1343174400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>\n<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>frican <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>mericans are at greater risk to reach end\u2010stage renal disease and this risk may carry over in a kidney transplant recipient after kidney transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Linking the five\u2010yr patient data of a large dialysis organization to the <jats:italic>\n<jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cientific <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>egistry of <jats:styled-content style=\"fixed-case\">T<\/jats:styled-content>ransplant <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>ecipients<\/jats:italic>, we identified 13\u00a0692 hemodialysis patients who underwent first kidney transplantation. Mortality or graft failure and delayed graft function risks were estimated by <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ox's regression (hazard ratio [<jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content>] and 95% confidence interval) and logistic regression, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients were 48\u00a0\u00b1\u00a014\u00a0yr old and included 39% women and 26% patients with diabetes. After adjusting for several relevant clinical and transplant\u2010related variables, <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>frican <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merican donor race was associated with higher all\u2010cause mortality, with <jats:styled-content style=\"fixed-case\">HR<\/jats:styled-content> of 1.39 (1.09\u20131.78) for all\u2010cause mortality, 1.80 (1.17\u20132.76) for cardiovascular mortality, 1.30 (1.03\u20131.64) for death\u2010censored graft loss and 1.31 (1.10\u20131.57) for combined outcome over the six\u2010yr observation period. In the non\u2010<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>frican <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merican recipient subcohort, but not in the <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>frican <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merican recipient subcohort, <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>frican <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merican donor race was associated with higher risk of death\u2010censored graft loss (2.24 [1.44\u20133.49]) in our fully adjusted model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>\n<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>frican <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>merican donor race was associated with increased all\u2010cause and cardiovascular mortality and graft loss.<\/jats:p><\/jats:sec>","DOI":"10.1111\/j.1399-0012.2012.01686.x","type":"journal-article","created":{"date-parts":[[2012,7,26]],"date-time":"2012-07-26T00:55:53Z","timestamp":1343264153000},"page":"37-51","source":"Crossref","is-referenced-by-count":15,"title":["Donor race and outcomes in kidney transplant recipients"],"prefix":"10.1111","volume":"27","author":[{"given":"Miklos Z.","family":"Molnar","sequence":"first","affiliation":[{"name":"Harold Simmons Center for Chronic Disease Research &amp; Epidemiology Los Angeles Biomedical Research Institute at Harbor\u2010UCLA Medical Center  Torrance CA USA"},{"name":"Institute of Pathophysiology Semmelweis University  Budapest Hungary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Csaba P.","family":"Kovesdy","sequence":"additional","affiliation":[{"name":"Division of Nephrology Salem VA Medical Center  Salem VA USA"},{"name":"Division of Nephrology University of Virginia  Charlottesville VA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suphamai","family":"Bunnapradist","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine at UCLA  Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elani","family":"Streja","sequence":"additional","affiliation":[{"name":"Harold Simmons Center for Chronic Disease Research &amp; Epidemiology Los Angeles Biomedical Research Institute at Harbor\u2010UCLA Medical Center  Torrance CA USA"},{"name":"Department of Epidemiology UCLA School of Public Health  Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahesh","family":"Krishnan","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine at UCLA  Los Angeles CA USA"},{"name":"DaVita, Inc  Denver CO USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Istvan","family":"Mucsi","sequence":"additional","affiliation":[{"name":"Institute of Pathophysiology Semmelweis University  Budapest Hungary"},{"name":"Institute of Behavioural Sciences Semmelweis University  Budapest Hungary"},{"name":"Division of Nephrology Department of Medicine McGill University Health Centre  Montreal QC Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith C.","family":"Norris","sequence":"additional","affiliation":[{"name":"David Geffen School of Medicine at UCLA  Los Angeles CA USA"},{"name":"Charles Drew University  Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamyar","family":"Kalantar\u2010Zadeh","sequence":"additional","affiliation":[{"name":"Harold Simmons Center for Chronic Disease Research &amp; Epidemiology Los Angeles Biomedical Research Institute at Harbor\u2010UCLA Medical Center  Torrance CA USA"},{"name":"David Geffen School of Medicine at UCLA  Los Angeles CA USA"},{"name":"Department of Epidemiology UCLA School of Public Health  Los Angeles CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,7,25]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"U.S. Census Bureau: State and County QuickFacts. 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