TY - JOUR AU - Karipineni, Farah AU - Parsikia, Afshin AU - Chang, PoNan AU - Pang, John AU - Campos, Stalin AU - Khanmoradi, Kamran AU - Zaki, Radi AU - Ortiz, Jorge PY - 2022/12/20 Y2 - 2024/03/29 TI - Dispelling the myth of Asian homogeneity: Improved outcomes of Chinese Americans after kidney transplantation JF - Translation: The University of Toledo Journal of Medical Sciences JA - Translation VL - 10 IS - 1 SE - Research Articles DO - 10.46570/utjms.vol10-2016-201 UR - https://openjournals.utoledo.edu/index.php/translation/article/view/201 SP - 5-9 AB - <p><strong>Objectives:</strong><br /> Asians represent the fastest growing ethnic group in the United States. Despite significant diversity within the group, many transplant studies treat Asians as a homogeneous entity. We compared patient and graft survival among major Asian eth- nicities to determine whether any subgroup has superior out- comes.<br /><br /> <strong>Methods: </strong>We conducted a retrospective analysis of kidney trans- plants on Asian and White patients between 2001 and 2012. Co- variates included gender, age, comorbidities, and donor category. Primary outcomes included one-year patient and graft survival. Secondary outcomes included delayed graft function (DGF) and rejection as cause of graft loss and death.<br /><br /> <strong>Results: </strong>Ninety-one Asian patients were identified. Due to the large proportion of Chinese patients (n=37), we grouped other Asians into one entity (n=54) for statistical comparison among Chinese, other Asians, and Whites (n=346). Chinese subjects had significantly lower body mass index (BMI) (p=0.001) and had the lowest proportion of living donors (p&gt;0.001). Patient survival was highest in our Chinese cohort (p&gt;0.001)</p><p><strong>Discussion: </strong>Our study confirms outcome differences among Asian subgroups in kidney transplantation. Chinese demonstrate better patient survival at one year than Whites and non-Chinese Asians despite fewer live donors. Lower BMI scores may partly explain this. Larger, long-term studies are needed to elucidate outcome disparities among Asian subgroups</p> ER -