Race Matters with Dr. Dinee Simpson | EP 7
About the Episode
Plainly stated, white people are four times more likely to receive a kidney transplant than an African-American people. And, Asian-Americans and Native Americans, have more than double the likelihood of receiving a kidney transplant than African-Americans. This is the case despite African-Americans having higher rates of diabetes and high blood pressure than other racial cohorts. These are the health conditions that put people at further risk for organ failures.
According to UNOS, once a patient is on the waitlist, the system policy that we have assures equity. The problem is everything before that. A good nephrologist should be thinking about transplantation for any patient who has progressive end-stage renal disease. That doesn’t happen as much with African Americans and Hispanics and probably poor people. But it’s clear that African Americans and Hispanics are not referred or preemptive transplants as much as others.
Disparities in access to renal transplantation between black people and white people have been extensively documented, and show that black people have significantly poorer access to transplant. This is a major problem that many institutions are taking an action to correct.
Dr. Dinee Simpson, is one of nine Black female transplant surgeons in the United States. She’s committed to breaking down barriers to transplant care in the African American community through access to education, resources and world-class transplant care. She founded the The Northwestern Medicine African American Transplant Access Program (AATAP), to address disparity in access to transplantation experienced by the Black community.
AATAP is a program built for the Black community, based on feedback and conversations with Black community members about the challenges of navigating a complex diagnosis and the healthcare system. The four pillars of the program address patient distrust of health care, cultural competency, health literacy, and psychosocial support.