The need and demand for renal replacement therapy in ethnic minorities in England.
The study aimed to determine the relative risk of being accepted for renal replacement treatment of black and Asian populations compared with whites in relation to age, sex, and underlying cause.
The implications for population need for renal replacement therapy in these populations and for the development of renal services were also considered.
This was a cross sectional retrospective survey of all patients accepted for renal replacement treatment in renal units in England in 1991 and 1992.
These comprised all 5901 patients resident in England with end-stage renal failure who had been accepted for renal replacement therapy in renal units in England and whose ethnic category was available from the units.
Patients were categorised as white, Asian, black, or other.
Population denominators for the ethnic populations were taken from the 1991 census.
The census categories Indian, Pakistani, and Bangladeshi were aggregated to form the denominator for Asian patients, and black Caribbeans, black Africans, and black others were aggregated to form the denominator for black patients.
Altogether 7.7% of patients accepted were Asian and 4.7% were black ; crude relative acceptance rates compared with whites were 3.5 and 3.2 respectively.
Age sex specific relative acceptance ratios increased with age in both ethnic populations and were greater in females.
Age standardised acceptance ratios were increased 4.2 and 3. (...)
Mots-clés Pascal : Homotransplantation, Hémodialyse, Besoin, Insuffisance rénale, Homme, Demande, Ethnie, Minorité, Race, Planification, Système santé, Angleterre, Grande Bretagne, Royaume Uni, Europe, Transplantation, Chirurgie, Epuration extrarénale, Appareil urinaire pathologie, Rein pathologie
Mots-clés Pascal anglais : Homotransplantation, Hemodialysis, Need, Renal failure, Human, Demand, Ethnic group, Minority, Race, Planning, Health system, England, Great Britain, United Kingdom, Europe, Transplantation, Surgery, Extrarenal dialysis, Urinary system disease, Renal disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0319996
Code Inist : 002B25H. Création : 10/04/1997.