Evidence map›Paper›PMID 19344460›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2009

Framing disparities along the continuum of care from chronic kidney disease to transplantation: barriers and interventions.

K Ladin, J R Rodrigue, D W Hanto

Abstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
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  6. Trial
  7. Article
  8. Access to kidney transplantation from dialysis facilities affiliated with a transplant center versus free-standing dialysis facilities in the USA.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024
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  9. Article
  10. Review
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  14. Leveling-up versus leveling-down to address health disparities in transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
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  15. Article
  16. Article
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  18. Excluding patients from transplant due to social support: Results from a national survey of transplant providers.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019
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  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

K LadinTransplant Institute and Center for Transplant Outcomes and Quality Improvement at Beth Israel Deaconess Medical and Harvard Medical School, Boston, MA, USA. kladin@post.harvard.edu
J R Rodrigue
D W Hanto

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
A Randomized Trial and Reduce to Disparity in Live Donor Kidney TransplantationR01DK079665 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI RODRIGUE, JAMES R · 2007 to 2011
$1.3M
Quality of Life Therapy for Adults with ESRD Awaiting Renal TransplantationR21DK077322 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI RODRIGUE, JAMES R · 2006 to 2007
$460k
NCRR NIH HHS UL1 RR025758NIDDK NIH HHS DK77322NIDDK NIH HHS DK79665NIDDK NIH HHS R01 DK079665NIDDK NIH HHS R21 DK077322
6 · The paper itself

Abstract

Research in renal transplantation continues to document scores of disparities affecting vulnerable populations at various stages along the transplantation process. Given that both biological and environmental determinants contribute significantly to variation, identifying factors underlying an unfairly biased distribution of the disease burden is crucial. Confounded definitions and gaps in understanding causal pathways impede effectiveness of interventions aimed at alleviating disparities. This article offers an operational definition of disparities in the context of a framework aimed at facilitating interventional research. Utilizing an original framework describing the entire continuum of the transplant process from diagnosis of chronic kidney disease through successful transplant, this article explores the case of racial disparities, illustrating key factors predicting and perpetuating disparities. Though gaps in current research leave us unable to identify which stages of the transplant pathway adversely affect most people, by identifying key risk factors across the continuum of care, this article highlights areas suited for targeted interventions and presents recommendations for improvement and future research.

Indexed as

Black or African AmericanBlack PeopleContinuity of Patient CareDelivery of Health CareEducational StatusHumansKidney Failure, ChronicKidney TransplantationPrevalenceRenal Insufficiency, ChronicTissue and Organ ProcurementUnited StatesWaiting Lists

Identifiers

PMID19344460
PMCPMC2697924

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.