Excluded were RTR who were not followed at RMH beyond 3 months po

Excluded were RTR who were not followed at RMH beyond 3 months post operatively, or had SC before transplant. Individual data was included only in those years when that patient

had a functioning graft for at least 3 months. Immunosuppression regimen in nearly all patients was prednisolone, mycophenolate and CNI (cyclosporine pre 2004, then tacrolimus), and all patients were routinely advised to minimise UV exposure. Results: In a total of 1154 RTRs, 410 SCs were diagnosed in 103 patients (73 male): 247 SCCs, 159 BCCs and 4 melanomas. Commonest sites were see more head n neck, followed by trunk, legs, arms and hands. Average annual incidence of all SC (SCC/BCC) over 15 years was 1.9 ± 0.9% (1.5 ± 0.8%/1.0 ± 0.7%), and no significant trend was seen over time. Conclusions: The annual incidence of SC in RTR followed in our centre has not changed over the past 15 years. 256 ACCESS TO EVALUATION, LISTING AND RENAL TRANSPLANT AMONGST MINORITY RECIPIENTS A HARFORD, O MYERS, P SINGH, E ALAS, M DAVIS, M UNRUH University of New Mexico, Albuquerque, New Mexico, USA Aim: To examine access to renal transplant (RTXP) in minority End Stage Renal Disease

(ESRD) patients. Background: Ethnic and racial minority patients including American Indians (AI) and Hispanics (HSP) have higher rates of ESRD but decreased rates of renal transplant compared to Small molecule library cell line non-Hispanic whites (NHW). Possible causes for this decreased access to transplant have been proposed including referral bias, distance from the transplant centre, cultural and religious taboos against transplant, as well as financial and insurance barriers to workup. Methods: A retrospective analysis of the UNM database identified 374 potential recipients Isotretinoin referred for RTXP evaluation between 2008 and 2014 who completed workup and considered appropriate candidates for RTXP and placed on the priority list for RTXP. 15 patients were excluded from this analysis because of incomplete data. Of the 359 patients evaluated 331 were listed and 65 patients underwent RTXP. Statistical analysis included univariate tests (Fisher exact and Cochran-Armitage trend tests). Logistic regression was used to assess association

between transplant rate and the distance to the transplant facility (km). Results: Evaluated, Listed, and Transplanted patients were analysed for Race/Ethnicity, Age, and distance in km to Facility. There was a modest effect of Race/Ethnicity: on listing : 81% AI, 90% HSP and 92% NHW progressed from evaluation to listing (P = 0.04). 14%AI, 18%% HSP and 25% NHW were transplanted (P = 0.38). Rates of listing increased with age (P = 0.02). Transplant rate decreased with distance to the transplant facility only for AI, OR = 0.48 per 100 km (CI 0.27,0.87) OR = 1.07 per 100 km (0.78,1.45) for HSP and 0.82 (0.53, 1.27) for NHW. Conclusions: AI experienced decreased listing and decreased transplant rates with increasing distance to the RTXP facility.

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