The number of undocumented immigrants on the kidney transplant waitlist increased, but not the transplant rate, in the three US states that implemented policy changes for expanded coverage.
Compared with citizens, the number of undocumented immigrants added to the waitlist has doubled in the three US states with policies offering kidney transplant coverage, but rates of kidney transplant from the deceased-donor pool and posttransplant outcomes have not changed.
Citizenship was ascertained from center-reported information on the adult kidney transplant candidate registration form for the Organ Procurement and Transplantation Network, with the citizenship categories being citizens, residents, and presumed undocumented immigrants. The researchers used statistical tools to compare the average annual listing rate of presumed undocumented immigrants before and after the policy change, as well as the adjusted hazard ratio of receiving a deceased-donor kidney transplant and posttransplant outcomes compared to citizens. Due to small sample sizes, the data were combined across three states.
Transplantation Transplant Renal Disease Kidney Disease Kidney Disorder Renal Disorder Nephropathy Residency Residents Grant New York Organ Procurement And Transplantation Network Organ Procurement Organization Organ Procurement And Transplantation Network (OP United Network For Organ Sharing (UNOS) United Network For Organ Sharing
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