ArticleAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2013
Trends in relative mortality between Hispanic and non-Hispanic whites initiating dialysis: a retrospective study of the US Renal Data System.
Article in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- Inequalities and outcomes: end stage kidney disease in ethnic minorities.BMC nephrology · 2019Pooled it
- Mortality and Practice Patterns in the MEXHEMO Hemodialysis Cohort.Kidney international reports · 2026Article
- Effect of Race on Transplantation in Autosomal Dominant Polycystic Kidney Disease.Clinical journal of the American Society of Nephrology : CJASN · 2025Article
- Review
- Association of Hyperkalemia and Hypokalemia with Patient Characteristics and Clinical Outcomes in Japanese Hemodialysis (HD) Patients.Journal of clinical medicine · 2023Article
- New eGFR equations: Implications for cardiologists and racial inequities.American heart journal plus : cardiology research and practice · 2023Article
- CKD and ESRD in US Hispanics.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019Review
- Lesson Learned in Mortality and Kidney Transplant Outcomes among Pediatric Dialysis Patients.Journal of the American Society of Nephrology : JASN · 2017Article
- Hemodialysis Disparities in African Americans: The Deeply Integrated Concept of Race in the Social Fabric of Our Society.Seminars in dialysis · 2017Review
- Racial-ethnic disparities in mortality and kidney transplant outcomes among pediatric dialysis patients.Pediatric nephrology (Berlin, Germany) · 2017Article
- Association of Growth Differentiation Factor 15 with Mortality in a Prospective Hemodialysis Cohort.Cardiorenal medicine · 2017Article
- Racial and Ethnic Differences in Mortality Associated with Serum Potassium in a Large Hemodialysis Cohort.American journal of nephrology · 2017Article
- Race/Ethnicity and Cardiovascular Outcomes in Adults With CKD: Findings From the CRIC (Chronic Renal Insufficiency Cohort) and Hispanic CRIC Studies.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2016Article
- Racial and Ethnic Disparities in Use of and Outcomes with Home Dialysis in the United States.Journal of the American Society of Nephrology : JASN · 2016Article
- Why minorities live longer on dialysis: an in-depth examination of the Danish nephrology registry.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2016Article
- Racial and Ethnic Differences in Mortality and Cardiovascular Events Among Patients With End-Stage Renal Disease Due to Lupus Nephritis.Arthritis care & research · 2015Article
- Effect of dialysis initiation timing on clinical outcomes: a propensity-matched analysis of a prospective cohort study in Korea.PloS one · 2014Article
- Impact of age, race and ethnicity on dialysis patient survival and kidney transplantation disparities.American journal of nephrology · 2014Article
- Differences in access to kidney transplantation between Hispanic and non-Hispanic whites by geographic location in the United States.Clinical journal of the American Society of Nephrology : CJASN · 2013Article
- The Impact of Race and Ethnicity Upon Health-Related Quality of Life and Mortality in Dialysis Patients.Kidney medicineArticle
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundHispanic patients undergoing long-term dialysis experience better survival compared with non-Hispanic whites. It is unknown whether this association differs by age, has changed over time, or is due to differential access to kidney transplantation. STUDY
designNational retrospective cohort study. SETTING &
participantsUsing the US Renal Data System, we identified 615,618 white patients 18 years or older who initiated dialysis therapy between January 1, 1995, and December 31, 2007. PREDICTORS: Hispanic ethnicity (vs non-Hispanic whites), year of end-stage renal disease incidence, age (as potential effect modifier). OUTCOMES: All-cause and cause-specific mortality.
resultsWe found that Hispanics initiating dialysis therapy experienced lower mortality, but age modified this association (P < 0.001). Compared with non-Hispanic whites, mortality in Hispanics was 33% lower at ages 18-39 years (adjusted cause-specific HR [HRcs], 0.67; 95% CI, 0.64-0.71) and 40-59 years (HRcs, 0.67; 95% CI, 0.66-0.68), 19% lower at ages 60-79 years (HRcs, 0.81; 95% CI, 0.80-0.82), and 6% lower at 80 years or older (HRcs, 0.94; 95% CI, 0.91-0.97). Accounting for the differential rates of kidney transplantation, the associations were attenuated markedly in the younger age strata; the survival benefit for Hispanics was reduced from 33% to 10% at ages 18-39 years (adjusted subdistribution-specific HR [HRsd], 0.90; 95% CI, 0.85-0.94) and from 33% to 19% among those aged 40-59 years (HRsd, 0.81; 95% CI, 0.80-0.83). LIMITATIONS: Inability to analyze Hispanic subgroups that may experience heterogeneous mortality outcomes.
conclusionsOverall, Hispanics experienced lower mortality, but differential access to kidney transplantation was responsible for much of the apparent survival benefit noted in younger Hispanics.
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