Trial reportClinical journal of the American Society of Nephrology : CJASN2012
Impact of navigators on completion of steps in the kidney transplant process: a randomized, controlled trial.
Trial report 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 77 papers, 8 of them syntheses that pooled it.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
77 citing papers in PubMed, 8 syntheses or guidelines pooled it, 148 citations in OpenAlex.
- Peer support interventions in patients with kidney failure: A systematic review.Journal of psychosomatic research · 2023Pooled it
- Interventions for improving health literacy in people with chronic kidney disease.The Cochrane database of systematic reviews · 2022Pooled it
- Interventions for increasing solid organ donor registration.The Cochrane database of systematic reviews · 2021Pooled it
- Characteristics and Effectiveness of Dedicated Care Programs for Patients Starting Dialysis: A Systematic Review.Kidney360 · 2020Pooled it
- Pooled it
- Mapping variation in intervention design: a systematic review to develop a program theory for patient navigator programs.Systematic reviews · 2019Pooled it
- Pooled it
- Health Disparities in Kidney Transplantation for African Americans.American journal of nephrology · 2017Pooled it
- A distance-based living donor kidney education program for Black wait-list candidates: A feasibility randomized trial.Clinical transplantation · 2021Trial
- Your Path to Transplant: A randomized controlled trial of a tailored expert system intervention to increase knowledge, attitudes, and pursuit of kidney transplant.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021Trial
- Effectiveness of informational decision aids and a live donor financial assistance program on pursuit of live kidney transplants in African American hemodialysis patients.BMC nephrology · 2018Trial
- Dialysis facility staff perceptions of racial, gender, and age disparities in access to renal transplantation.BMC nephrology · 2018Trial
- A Randomized Trial to Reduce Disparities in Referral for Transplant Evaluation.Journal of the American Society of Nephrology : JASN · 2017Trial
- Trial
- Explore Transplant at Home: a randomized control trial of an educational intervention to increase transplant knowledge for Black and White socioeconomically disadvantaged dialysis patients.BMC nephrology · 2015Trial
- Making house calls increases living donor inquiries and evaluations for blacks on the kidney transplant waiting list.Transplantation · 2014Trial
- Accuracy of dialysis medical records in determining patients' interest in and suitability for transplantation.Clinical transplantationTrial
- Unraveling the Hemodialysis Patient Network: Results from the Social Network and Renal Education (SNARE) Transplant Intervention Clinical Trial.Kidney medicine · 2026Article
- Basic needs navigation intervention to address multidimensional adversity in African Americans with diabetic kidney disease: A pilot randomized clinical trial protocol.Contemporary clinical trials · 2026Article
- Measuring health inequalities in liver transplantation: a systematic review of deprivation scores for survival in end-stage liver disease.BMJ public health · 2026Article
17 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
13 authors at 4 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectivesMany patients with ESRD, particularly minorities and women, face barriers in completing the steps required to obtain a transplant. These eight sequential steps are as follows: medical suitability, interest in transplant, referral to a transplant center, first visit to center, transplant workup, successful candidate, waiting list or identify living donor, and receive transplant. This study sought to determine the effect of navigators on completion of steps. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Cluster randomized, controlled trial at 23 Ohio hemodialysis facilities. One hundred sixty-seven patients were recruited between January 2009 and August 2009 and were followed for up to 24 months or until study end in February 2011. Trained kidney transplant recipients met monthly with intervention participants (n=92), determined their step in the transplant process, and provided tailored information and assistance in completing the step. Control participants (n=75) continued to receive usual care. The primary outcome was the number of transplant process steps completed.
resultsStarting step did not significantly differ between the two groups. By the end of the trial, intervention participants completed more than twice as many steps as control participants (3.5 versus 1.6 steps; difference, 1.9 steps; 95% confidence interval, 1.3-2.5 steps). The effect of the intervention on step completion was similar across race and sex subgroups.
conclusionsUse of trained transplant recipients as navigators resulted in increased completion of transplant process steps.
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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.