ArticleClinical journal of the American Society of Nephrology : CJASN2012
Hispanic ethnicity and vascular access use in patients initiating hemodialysis in the United States.
Article in Clinical journal of the American Society of Nephrology : CJASN, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.
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.
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.
Who cites it
19 citing papers in PubMed.
- Sex Differences in Cardiovascular Outcomes in Patients With Kidney Failure.Journal of the American Heart Association · 2024Article
- Supply and Distribution of Vascular Access Physicians in the United States: A Cross-Sectional Study.Kidney360 · 2020Article
- Patient Navigation: Addressing Social Challenges in Dialysis Patients.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020Review
- Perspectives in Individualizing Solutions for Dialysis Access.Advances in chronic kidney disease · 2020Review
- Racial and Sex Disparities in Catheter Use and Dialysis Access in the United States Medicare Population.Journal of the American Society of Nephrology : JASN · 2020Article
- Association of Race and Ethnicity with Vascular Access Type Selection and Outcomes.Annals of vascular surgery · 2020Article
- Canadian Senior Renal Leaders Community of Practice: Vulnerable Populations With Chronic Kidney Disease-Evidence to Inform Policy.Canadian journal of kidney health and disease · 2020Article
- CKD and ESRD in US Hispanics.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019Review
- Gender and Racial Disparities in Initial Hemodialysis Access and Outcomes in Incident End-Stage Renal Disease Patients.American journal of nephrology · 2018Observational
- A mixed-methods investigation of incident Hemodialysis access in a safety-net population.BMC nephrology · 2017Article
- New Kidney Allocation System Associated With Increased Rates Of Transplants Among Black And Hispanic Patients.Health affairs (Project Hope) · 2017Article
- Racial and Ethnic Disparities in Survival of Children with ESRD.Journal of the American Society of Nephrology : JASN · 2017Article
- Younger black patients have a higher risk of infection mortality that is mostly non-dialysis related: A national study of cause-specific mortality among U.S. maintenance dialysis patients.Hemodialysis international. International Symposium on Home Hemodialysis · 2017Article
- Effect of ethnicity and socioeconomic status on vascular access provision and performance in an urban NHS hospital.Clinical kidney journal · 2017Article
- Race/ethnicity, age, and risk of hospital admission and length of stay during the first year of maintenance hemodialysis.Clinical journal of the American Society of Nephrology : CJASN · 2014Article
- Agreement of reported vascular access on the medical evidence report and on medicare claims at hemodialysis initiation.BMC nephrology · 2014Article
- Trends in relative mortality between Hispanic and non-Hispanic whites initiating dialysis: a retrospective study of the US Renal Data System.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2013Article
- The relationship of age, race, and ethnicity with survival in dialysis patients.Clinical journal of the American Society of Nephrology : CJASN · 2013Article
- Racial and ethnic disparities in end stage renal disease: access failure.Clinical journal of the American Society of Nephrology : CJASN · 2012Article
Corrections and comments
- Commented on by
Authors and funding
4 authors.
Funding
Abstract
BACKGROUND AND
objectivesHispanics are the largest minority in the United States (comprising 16.3% of the US population) and have 1.5 times the age-, sex-, and race-adjusted incidence of ESRD compared with non-Hispanics. Poor health care access and low-quality care generally received by Hispanics are well documented. However, little is known regarding dialysis preparation of Hispanic patients with progressive CKD. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Using data from Medical Evidence Report form CMS-2728-U3, 321,996 adult patients of white or black race were identified who initiated hemodialysis (HD) between July 1, 2005 and December 31, 2008. The form captures Hispanic ethnicity, vascular access use at first outpatient HD, sociodemographic characteristics, and comorbidities. This study also examined whether use of an arteriovenous fistula (AVF) or graft (AVG) was reported.
resultsAVF/AVG use was reported in 14.5% of Hispanics and 17.6% in non-Hispanics (P<0.001). The unadjusted prevalence ratio (PR) was 0.85 (95% confidence interval [95% CI], 0.83-0.88), indicating that Hispanics were 15% less likely to use AVG/AVF for their first outpatient HD. Adjustment for age, sex, and race, as well as a large number of comorbidities and frailty indicators, did not change this association (PR, 0.85; 95% CI, 0.83-0.88). Further adjustment for timing of first predialysis nephrology care, however, attenuated the PR by two-thirds (PR, 0.94; 95% CI, 0.92-0.97).
conclusionsHispanics are less likely to use arteriovenous access for first outpatient HD compared with non-Hispanics, which seems to be explained by variation in the access to predialysis nephrology care.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.