Evidence map›Paper›PMID 23539227›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2013

The relationship of age, race, and ethnicity with survival in dialysis patients.

Guofen Yan, Keith C Norris, Alison J Yu, Jennie Z Ma, Tom Greene, Wei Yu, Alfred K Cheung

Abstract readComparative Study
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 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

56 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Propensity score matched mortality comparisons of peritoneal and in-centre haemodialysis: systematic review and meta-analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2020
    Pooled it
  2. Article
  3. Article
  4. Food Insecurity and Risk of Hospitalization among Adults Receiving In-Center Hemodialysis.Clinical journal of the American Society of Nephrology : CJASN · 2025
    Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Association Between Long-term Ambient PMAmerican journal of kidney diseases : the official journal of the National Kidney Foundation · 2022
    Article
  11. Changes in excess mortality among adults with diabetes-related end-stage kidney disease: a comparison between the USA and Australia.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
    Article
  12. Article
  13. Racial and Ethnic Disparities in Kidney Replacement Therapies Among Adults With Kidney Failure: An Observational Study of Variation by Patient Age.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2022
    Observational
  14. Effects of short-term ambient PMEnvironmental health : a global access science source · 2022
    Article
  15. Article
  16. Article
  17. Antibody Response to COVID-19 vaccination in Patients Receiving Dialysis.medRxiv : the preprint server for health sciences · 2021
    Article
  18. Article
  19. Race and Mortality in CKD and Dialysis: Findings From the Chronic Renal Insufficiency Cohort (CRIC) Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020
    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

7 authors.

Guofen YanDepartment of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, Virginia 22908-0717, USA. guofen.yan@virginia.edu
Keith C Norris
Alison J Yu
Jennie Z Ma
Tom Greene
Wei Yu
Alfred K Cheung

Funding

Workshop for Junior Biostatisticians in Health ResearchU54MD007598 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED & SCI · PI Ali Andalibi, Jose A Torres-Ruiz · 2012 to 2026
$60.0M
UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
The Center for Health Improvement of Minority ElderlyP30AG021684 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI CATHERINE A SARKISIAN · 2002 to 2026
$19.7M
TRAINING COREP20MD000182 · NIMHD · CHARLES R. DREW UNIVERSITY OF MED &SCI · PI CUNNINGHAM, WILLIAM EMERY, SHAPIRO, MARTIN F. · 2002 to 2016
$16.5M
Racial Disparity in Quality of Clinical Care in End Stage Renal DiseaseR01DK084200 · NIDDK · UNIVERSITY OF VIRGINIA · PI YAN, GUOFEN · 2010 to 2013
$912k
NCATS NIH HHS UL1 TR000124NCATS NIH HHS UL1TR000124NIA NIH HHS P30 AG021684NIA NIH HHS P30AG021684NIDDK NIH HHS 5R01DK084200-02NIDDK NIH HHS R01 DK084200NIMHD NIH HHS P20 MD000182NIMHD NIH HHS P20-MD000182NIMHD NIH HHS U54 MD007598NIMHD NIH HHS U54MD007598
6 · The paper itself

Abstract

BACKGROUND AND

objectivesReports on the racial and ethnic differences in dialysis patient survival rates have been inconsistent. The literature suggests that these survival differences may be modified by age as well as categorizing white race as inclusive of Hispanic ethnicity. The goal of this study was to better understand these associations by examining survival among US dialysis patients by age, ethnicity, and race. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Between 1995 and 2009, 1,282,201 incident dialysis patients ages 18 years or older were identified in the United States Renal Data System. Dialysis survival was compared among non-Hispanic blacks, non-Hispanic whites, and Hispanics overall and stratified by seven age groups.

resultsThe median duration of follow-up was 22.3 months. Compared with non-Hispanic whites, a lower mortality risk was seen in Hispanics in all age groups. Consequently, when Hispanic patients were excluded from the white race, the mortality rates in white race all increased. Using non-Hispanic whites as the reference, a significantly lower mortality risk for non-Hispanic blacks was consistently observed in all age groups above 30 years (unadjusted hazard ratios ranged from 0.70 to 0.87; all P<0.001). In the 18- to 30-years age group, there remained an increased mortality risk in blacks versus non-Hispanic whites after adjustment for case mix (adjusted hazard ratio=1.19, 95% confidence interval=1.13-1.25).

conclusionsThe mortality risk was lowest in Hispanics, intermediate in non-Hispanic blacks, and highest in non-Hispanic whites. This pattern generally holds in all age groups except for the 18- to 30-years group, where the adjusted mortality rate for non-Hispanic blacks exceeds the adjusted mortality rate of non-Hispanic whites.

Indexed as

Black or African AmericanHispanic or LatinoRenal DialysisWhite PeopleAdolescentAdultAgedAged, 80 and overAge FactorsHumansKidney Failure, ChronicMiddle AgedProportional Hazards ModelsRisk FactorsTime FactorsTreatment Outcome

Identifiers

PMID23539227
PMCPMC3675850

What OpenQuestion holds

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Registered trials

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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.