Socioeconomic Factors in Access to Renal TransplantationGurprataap S Sandhu1* and Pradeep Dhakarwal2
- *Corresponding Author:
- Gurprataap S Sandhu
Department of Medicine
University of Pittsburgh Medical Center
5230 Centre Ave, Pittsburgh, PA 15232, USA
E-mail: [email protected]
Received Date: January 23, 2017; Accepted Date: February 26, 2017; Published Date: February 28, 2017
Citation: Sandhu GS, Dhakarwal P (2017) Socioeconomic Factors in Access to Renal Transplantation. J Nephrol Ther 7: 288. doi: 10.4172/2161-0959.1000288
Copyright: © 2017 Sandhu GS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Traditional socio-economic status (SES) factors that have been associated with access to renal transplantation include race, gender and income. However, these traditional factors are neither specific nor sensitive for ‘at risk’ status. There are now new and comprehensive SES assessment tools like the Social adaptability index (SAI) that provide an accurate and reliable estimate of an individual’s social adaptability, and have been shown to predict graft failure and access to renal transplantation. Summary: In this review we describe the various SES factors that have been shown to be associated with graft failure and access to renal transplantation. We also describe novel methods to quantify SES like the SAI. We also discuss, based on literature review, potential interventions to improve access to renal transplantation in individuals with lower SES. Conclusion: There are several SES factors associated with access to renal transplantation. Quantifying SES through tools like SAI can aid in identifying at risk patients, and thereby, can assist in targeting interventions towards patients most likely to benefit from them and reducing disparities in access to renal transplantation.