Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center

Kent J. Peterson; Oscar K. Serrano; Marjorie Odegard; Steven J. Mongin; Danielle Berglund; David M. Vock; Srinath Chinnakotla; Ty B. Dunn; Erik B. Finger; Raja Kandaswamy; Timothy L. Pruett; Arthur J. Matas

doi:10.1016/j.tpr.2020.100066

Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center

Kent J. Peterson, Oscar K. Serrano, Marjorie Odegard, Steven J. Mongin, Danielle Berglund, David M. Vock, Srinath Chinnakotla, Ty B. Dunn, Erik B. Finger, Raja Kandaswamy, Timothy L. Pruett, Arthur J. Matas

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Abstract

Introduction: Kidney transplantation (KT) demands that patients navigate a complex healthcare system and adhere to lifelong therapy and surveillance. Cultural and linguistic discordance between patients and providers has been identified as a barrier to successful KT. We studied KT outcomes and disparities among a native Somali population living in Minnesota. Methods: Between 1995 and 2015, 2,385 patients underwent KT at our institution; 22 were self-designated Somali nationals. Patient and graft survival and time to first rejection were analyzed. Utilization of interpreter services was evaluated. Results: Patient survival for the Somali cohort at 1 year was 100% and 95.5% at 5 years; compared to 97.2% at 1 year and 89.1% at 5 years for the Caucasian cohort (p = 0.40). Graft survival for the Somali cohort at 1 year was 100% and 95.5% at 5 years; for the Caucasian cohort 94.8% and 81.6% (p = 0.35). Rejection-free survival in the Somali cohort was 100% at 1 and 5 years, for the Caucasian cohort 86.2% and 82.1 (p = 0.41). Among 22 adult Somali KT recipients, 15 (68%) patients frequently utilized interpreter services in their KT-related clinical encounters. Conclusion: Immigrant Somali KT recipients, appear to have comparable KT outcomes compared to a contemporaneous Caucasian cohort.

Original language	English (US)
Article number	100066
Journal	Transplantation Reports
Volume	5
Issue number	4
DOIs	https://doi.org/10.1016/j.tpr.2020.100066
State	Published - Dec 2020

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Publisher Copyright:
© 2020

Keywords

Cultural discordance
Kidney transplantation
Linguistic discordance
Outcomes
Racial disparities
Somali

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Peterson, K. J., Serrano, O. K., Odegard, M., Mongin, S. J., Berglund, D., Vock, D. M., Chinnakotla, S., Dunn, T. B., Finger, E. B., Kandaswamy, R., Pruett, T. L., & Matas, A. J. (2020). Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center. Transplantation Reports, 5(4), Article 100066. https://doi.org/10.1016/j.tpr.2020.100066

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abstract = "Introduction: Kidney transplantation (KT) demands that patients navigate a complex healthcare system and adhere to lifelong therapy and surveillance. Cultural and linguistic discordance between patients and providers has been identified as a barrier to successful KT. We studied KT outcomes and disparities among a native Somali population living in Minnesota. Methods: Between 1995 and 2015, 2,385 patients underwent KT at our institution; 22 were self-designated Somali nationals. Patient and graft survival and time to first rejection were analyzed. Utilization of interpreter services was evaluated. Results: Patient survival for the Somali cohort at 1 year was 100% and 95.5% at 5 years; compared to 97.2% at 1 year and 89.1% at 5 years for the Caucasian cohort (p = 0.40). Graft survival for the Somali cohort at 1 year was 100% and 95.5% at 5 years; for the Caucasian cohort 94.8% and 81.6% (p = 0.35). Rejection-free survival in the Somali cohort was 100% at 1 and 5 years, for the Caucasian cohort 86.2% and 82.1 (p = 0.41). Among 22 adult Somali KT recipients, 15 (68%) patients frequently utilized interpreter services in their KT-related clinical encounters. Conclusion: Immigrant Somali KT recipients, appear to have comparable KT outcomes compared to a contemporaneous Caucasian cohort.",

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Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center

Abstract

Bibliographical note

Keywords

UN SDGs

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