ArticleAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2011
Role of nutritional status and inflammation in higher survival of African American and Hispanic hemodialysis patients.
Article in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01415570 (Malnutrition, Diet and Racial Disparities in Chronic Kidney Disease), which is not on this map. Cited by 53 papers.
What it found
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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.
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.
Malnutrition, Diet and Racial Disparities in Chronic Kidney Disease (CKD) - A Prospective Data Collection Study
Who cites it
53 citing papers in PubMed, 83 citations in OpenAlex.
- At Europe's migration crossroads: dialysis outcomes and transplant access in patients immigrating to Belgium.Clinical kidney journal · 2026Article
- The Association of Social Determinants of Health on Mortality among Adults with End-Stage Kidney Disease: a Systematic Review and Meta-Analysis.Journal of racial and ethnic health disparities · 2026Review
- Characteristics and prognostic values of abdominal aortic branches calcification in hemodialysis patients.Renal failure · 2025Article
- Sociodemographic Disparities in Adults with Kidney Failure: A Meta-Analysis.Diseases (Basel, Switzerland) · 2024Review
- Association of serum globulin with all-cause mortality in incident hemodialysis patients.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022Article
- Race, Biomarkers, and Cardiovascular Disease in Patients With Chronic Kidney Disease.Journal of the American Heart Association · 2022Article
- Impact of health-related quality of life on survival after dialysis initiation: a prospective cohort study in Korea.Kidney research and clinical practice · 2020Article
- Racial/Ethnic Differences in Dialysis Discontinuation and Survival after Hospitalization for Serious Conditions among Patients on Maintenance Dialysis.Journal of the American Society of Nephrology : JASN · 2020Article
- Ethnic Differences in the Association of Depressive Symptoms with Clinical Outcome in Dialysis Patients.Journal of racial and ethnic health disparities · 2019Article
- Statin Therapy Before Transition to End-Stage Renal Disease With Posttransition Outcomes.Journal of the American Heart Association · 2019Article
- Plasma Protein Carbonylation in Haemodialysed Patients: Focus on Diabetes and Gender.Oxidative medicine and cellular longevity · 2018Article
- Racial-ethnic disparities in mortality and kidney transplant outcomes among pediatric dialysis patients.Pediatric nephrology (Berlin, Germany) · 2017Article
- Transition of care from pre-dialysis prelude to renal replacement therapy: the blueprints of emerging research in advanced chronic kidney disease.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2017Review
- Longitudinal trends in serum ferritin levels and associated factors in a national incident hemodialysis cohort.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2017Article
- NT-proBNP, Cardiometabolic Risk Factors, and Nutritional Status in Hemodialysis Patients.International journal of nephrology · 2017Article
- Regional Variations in the Interpretation of the End-Stage Renal Disease Thirty-Month Coordination Period: Potential Implications for Patient Care.Journal of health care for the poor and underserved · 2017Article
- High Serum Alkaline Phosphatase, Hypercalcaemia, Race, and Mortality in South African Maintenance Haemodialysis Patients.International journal of nephrology · 2017Article
- Racial Differences in Survival of Incident Home Hemodialysis and Kidney Transplant Patients.Transplantation · 2016Article
- Social Determinants of Racial Disparities in CKD.Journal of the American Society of Nephrology : JASN · 2016Review
- Examining the robustness of the obesity paradox in maintenance hemodialysis patients: a marginal structural model analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2016Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 2 countries.
Funding
Abstract
backgroundObservational studies indicate greater survival in African American and Hispanic maintenance hemodialysis patients compared with their non-Hispanic white counterparts, although African Americans have shorter life expectancy than whites in the general population. We hypothesized that this apparent survival advantage is due to a more favorable nutritional/inflammatory profile in minority hemodialysis patients. STUDY
designWe examined the association between race/ethnicity and 5-year survival before and after adjustment for case-mix and surrogates of the malnutrition-inflammation complex syndrome (MICS) using Cox regression with or without matched sampling in a large cohort of adult hemodialysis patients. SETTING &
participants124,029 adult hemodialysis patients, including 16% Hispanics, 49% non-Hispanic whites, and 35% African Americans. PREDICTORS: Race/ethnicity before and after adjustment for MICS, including values for body mass index, serum albumin, total iron-binding capacity, ferritin, creatinine, phosphorus, calcium, bicarbonate, white blood cell count, lymphocyte percentage, hemoglobin, and protein intake. OUTCOMES: 5-year (July 2001 to June 2006) survival.
resultsIn dialysis patients, blacks and Hispanics had lower mortality overall than non-Hispanic whites after traditional case-mix adjustment. However, after additional control for MICS, Hispanics had mortality similar to non-Hispanic whites, and African Americans had even higher mortality. Unadjusted, case-mix-, and MICS-adjusted HRs for African Americans versus whites were 0.68 (95% CI, 0.66-0.69), 0.89 (95% CI, 0.86-0.91), and 1.06 (95% CI, 1.03-1.09) in the unmatched cohort and, 0.95 (95% CI, 0.90-0.99), 0.89 (95% CI, 0.84-0.94), and 1.16 (95% CI, 1.07-1.26) in the matched cohort, and for Hispanics versus whites, 0.66 (95% CI, 0.64-0.69), 0.84 (95% CI, 0.81-0.87), and 0.97 (95% CI, 0.94-1.00) in the unmatched cohort and 0.89 (95% CI, 0.84-0.95), 0.88 (95% CI, 0.83-0.95), and 0.98 (95% CI, 0.91-1.06) in the matched cohort, respectively. LIMITATIONS: Adjustment cannot be made for unmeasured confounders.
conclusionsSurvival advantages of African American and Hispanic hemodialysis patients may be related to differences in nutritional and inflammatory status. Further studies are required to explore these differences.
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