Evidence map›Paper›PMID 23508056›Full record

ReviewCurrent opinion in nephrology and hypertension2013

Disparities, race/ethnicity and access to pediatric kidney transplantation.

Sandra Amaral, Rachel Patzer

Erratum issuedAbstract readReview
In one paragraph

Review in Current opinion in nephrology and hypertension, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–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

31 citing papers in PubMed.

  1. Article
  2. Article
  3. Pediatric kidney transplant disparities.World journal of clinical pediatrics · 2026
    Article
  4. Article
  5. Racial and immunologic disparities impact access to kidney rewaitlisting and retransplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Predicting wait time for pediatric kidney transplant: a novel index.Pediatric nephrology (Berlin, Germany) · 2024
    Article
  11. Review
  12. Observational
  13. Article
  14. Transplant access for children: there is more to be done.Pediatric nephrology (Berlin, Germany) · 2023
    Article
  15. Article
  16. The Relationship Between Neighborhood Disadvantage and Kidney Disease Progression in the Chronic Kidney Disease in Children (CKiD) Cohort.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2022
    Observational
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

2 authors.

Sandra AmaralaDepartment of Pediatrics, The Children's Hospital of Philadelphia bDepartment of Biostatistics and Epidemiology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA cDepartment of Surgery, Emory Transplant Center, Emory University dDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Rachel Patzer

Funding

Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalKL2TR000455 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$2.9M
A regionally coordinated intervention to reduce racial disparities in access to kR24MD008077 · NIMHD · EMORY UNIVERSITY · PI PATZER, RACHEL E · 2013 to 2015
$916k
Assessing an adherence intervention for adolescents with kidney transplantsK23DK083529 · NIDDK · CHILDREN'S HOSP OF PHILADELPHIA · PI AMARAL, SANDRA · 2011 to 2015
$861k
NCATS NIH HHS KL2 TR000455NCATS NIH HHS KL2TR0004SSNCATS NIH HHS UL1 TR000004NCATS NIH HHS UL1 TR000454NCATS NIH HHS ULL TR000454NIDDK NIH HHS 1K23DK083529-01A2NIDDK NIH HHS K23 DK083529NIMHD NIH HHS 1R24MD008077-01NIMHD NIH HHS L60 MD007236NIMHD NIH HHS R24 MD008077
6 · The paper itself

Abstract

purpose of reviewKidney transplantation remains the optimal treatment for children with end-stage renal disease; yet, in the United States, profound differences in access to transplant persist, with black children experiencing significantly reduced access to transplant compared with white children. The reasons for these disparities remain poorly understood. Several recent studies provide new insights into the interplay of socioeconomic status, racial/ethnic disparities and access to pediatric kidney transplantation. RECENT

findingsNew evidence suggests that disparities are more pronounced in access to living vs. deceased donors. National allocation policies have mitigated racial differences in pediatric deceased donor kidney transplant (DDKT) access after waitlisting. However, disparities in access to DDKT are stark for minority emerging adults, who lose pediatric priority allocation. Although absence of health insurance poses an important barrier to transplant, even after adjustment for insurance status and neighborhood poverty, disparities persist. Differential access to care and unjust social structures are posited as important modifiable barriers to achieving equity in pediatric transplant access. SUMMARY: Future approaches to overcome disparities in pediatric kidney transplant access must focus on the continuum of the transplant process, including equitable health care access. Public health advocacy efforts to promote national policies that address disparate multilevel socioeconomic factors are essential.

Indexed as

EthnicityHealth Services AccessibilityKidney TransplantationMinority GroupsAdolescentAge FactorsChildChild, PreschoolCultural CharacteristicsHealthcare DisparitiesHumansInfantInfant, NewbornInsurance, HealthKidney Failure, ChronicLiving Donors

Identifiers

PMID23508056
PMCPMC3950976

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.