Background: Indigenous Australians experience significantly worse graft and patient outcomes following kidney transplantation compared with non-Indigenous Australians. It is unclear whether residential check details location might contribute to this. Methods: This study involved all adult patients from the ANZDATA registry who received a kidney transplant in Australia between January 1st 2000 and December 31st 2012. Patients’ residential locations were classified as urban (major city + inner regional) or rural (outer regional–very remote)

using the Australian Bureau of Statistics Remoteness Area Classification. Results: Of 7,826 kidney transplant recipients, 271 (3%) were Indigenous. Sixty three percent of Indigenous Australians lived in rural locations compared with 10% of non-Indigenous (P < 0.001). In adjusted analyses, the hazard ratio (HR) for graft loss for Indigenous compared with non-indigenous was 1.67 (95% CI 1.04–2.65, P = 0.031). Residential location was not associated with graft survival (HR 1.19, 95% CI 0.95–1.48, P = 0.12). Both Indigenous race and residential location influenced patient survival, with an adjusted HR for death of 1.94 (95% CI 1.23–3.05, P = 0.004) comparing Indigenous with non-indigenous and 1.26

(95% CI 1.01–1.58, P = 0.043) comparing rural with urban recipients. Five-year graft and patient survival were 70% (95%CI 60–78%) and 69% (95%CI 61–76%) in rural Indigenous recipients compared with 91% (95%CI 90–92%) find more and 92% (95%CI 91–93%) in urban non-Indigenous recipients. Conclusions: Indigenous kidney transplant

AZD9291 mouse recipients experience worse patient and graft survival compared with non-Indigenous recipients, while rural residential location is associated with patient but not graft survival. Of all groups, Indigenous recipients residing in rural locations experienced the lowest 5-year graft and patient survival. 272 RENAL TRANSPLANTATION IN NEW ZEALAND MĀORI AND PACIFIC PEOPLE: AUSTRALIA AND NEW ZEALAND B GRACE1,2, T KARA1,2, S McDONALD2,3 1ANZDATA Registry, Adelaide, South Australia; 2University of Adelaide, South Australia, Australia; 3Starship Children’s Hospital, Auckland, New Zealand Aim: To compare incidence of RRT, deceased organ donation rates, transplantation rates and outcomes in Māori and Pacific people between Australia and New Zealand. Background: Associations between country of residence and incidence and treatment for ESKD are not known for these groups. Methods: RRT patient and deceased donor records were extracted from ANZDATA and ANZOD registries for 2000–2012. Populations were derived from StatsNZ and Australian Bureau of Statistics.