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10.1111/ajt.16578

http://scihub22266oqcxt.onion/10.1111/ajt.16578
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33756049!8250928!33756049
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suck abstract from ncbi


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pmid33756049      Am+J+Transplant 2021 ; 21 (7): 2563-2572
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  • COVID-19 mortality among kidney transplant candidates is strongly associated with social determinants of health #MMPMID33756049
  • Schold JD; King KL; Husain SA; Poggio ED; Buccini LD; Mohan S
  • Am J Transplant 2021[Jul]; 21 (7): 2563-2572 PMID33756049show ga
  • The COVID-19 pandemic has affected all portions of the global population. However, many factors have been shown to be particularly associated with COVID-19 mortality including demographic characteristics, behavior, comorbidities, and social conditions. Kidney transplant candidates may be particularly vulnerable to COVID-19 as many are dialysis-dependent and have comorbid conditions. We examined factors associated with COVID-19 mortality among kidney transplant candidates from the National Scientific Registry of Transplant Recipients from March 1 to December 1, 2020. We evaluated crude rates and multivariable incident rate ratios (IRR) of COVID-19 mortality. There were 131 659 candidates during the study period with 3534 all-cause deaths and 384 denoted a COVID-19 cause (5.00/1000 person years). Factors associated with increased COVID-19 mortality included increased age, males, higher body mass index, and diabetes. In addition, Blacks (IRR = 1.96, 95% C.I.: 1.43-2.69) and Hispanics (IRR = 3.38, 95% C.I.: 2.46-4.66) had higher COVID-19 mortality relative to Whites. Patients with lower educational attainment, high school or less (IRR = 1.93, 95% C.I.: 1.19-3.12, relative to post-graduate), Medicaid insurance (IRR = 1.73, 95% C.I.: 1.26-2.39, relative to private), residence in most distressed neighborhoods (fifth quintile IRR = 1.93, 95% C.I.: 1.28-2.90, relative to first quintile), and most urban and most rural had higher adjusted rates of COVID-19 mortality. Among kidney transplant candidates in the United States, social determinants of health in addition to demographic and clinical factors are significantly associated with COVID-19 mortality.
  • |*COVID-19[MESH]
  • |*Kidney Transplantation/adverse effects[MESH]
  • |Humans[MESH]
  • |Male[MESH]
  • |Pandemics[MESH]
  • |SARS-CoV-2[MESH]
  • |Social Determinants of Health[MESH]


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