African Americans are more likely to develop end-stage renal disease than other racial groups. Although transplantation is optimal therapy for most end-stage renal disease patients, many potential black recipients do not have ready access to cadaveric kidneys. Following transplantation, blacks are at increased risk of allograft loss as a result of the interaction of multiple immunologic and nonimmunologic factors.
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Robert S. Gaston (2008) studied this question.