Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center

Outcomes for Somali immigrant kidney transplant recipients in a large-volume transplant center

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Introduction: Kidney transplantation (KT) demands that patients navigate a complex healthcare system and adhere to lifelong therapy and surveillance.Cultural and linguistic discordance between patients and providers has been identified as a barrier to successful KT.We studied KT outcomes and disparities among a native Somali population living in Minnesota.

Methods: Between 1995 and 2015, 2,385 patients underwent KT at our institution; 22 were self-designated Somali nationals.Patient and graft survival and time to first rejection were analyzed.Utilization of interpreter services was evaluated.

Results: Patient MCT survival for the Somali cohort at 1 year was 100% and 95.5% at 5 years; compared to 97.2% at 1 year and 89.

1% at 5 years for the Caucasian cohort (p = 0.40).Graft survival for the Somali cohort at 1 year was 100% and 95.

5% at 5 years; for the Caucasian cohort 94.8% and 81.6% (p Computer Monitor = 0.

35).Rejection-free survival in the Somali cohort was 100% at 1 and 5 years, for the Caucasian cohort 86.2% and 82.

1 (p = 0.41).Among 22 adult Somali KT recipients, 15 (68%) patients frequently utilized interpreter services in their KT-related clinical encounters.

Conclusion: Immigrant Somali KT recipients, appear to have comparable KT outcomes compared to a contemporaneous Caucasian cohort.