ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2013
Racial and ethnic differences in pediatric access to preemptive kidney transplantation in the United States.
Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 4 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.
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Who cites it
43 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The psychosocial factors influencing paediatric kidney transplantation access, their outcomes and the patient and family's perceived quality of life: a systematic review and meta-analysis.Pediatric nephrology (Berlin, Germany) · 2026Pooled it
- The global survival rate of graft and patient in kidney transplantation of children: a systematic review and meta-analysis.BMC pediatrics · 2022Pooled it
- Is Preemptive Kidney Transplantation Associated With Improved Outcomes when Compared to Non-preemptive Kidney Transplantation in Children? A Systematic Review and Meta-Analysis.Transplant international : official journal of the European Society for Organ Transplantation · 2022Pooled it
- Disparities in Surgical Access: A Systematic Literature Review, Conceptual Model, and Evidence Map.Journal of the American College of Surgeons · 2019Pooled it
- Beyond biological risk: socioeconomic vulnerability and adverse pediatric kidney transplant outcomes.Pediatric nephrology (Berlin, Germany) · 2026Article
- Structural Barriers Underlying Kidney and Liver Transplant Inequity in Hispanic Americans.Cureus · 2026Review
- 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 · 2026Article
- Pediatric Nephrology Workforce and Access of Children with Kidney Failure to Transplantation in the United States.Journal of the American Society of Nephrology : JASN · 2025Article
- Predictors of self-care in kidney transplant patients according to preoperative dialysis: A comparative study.Heliyon · 2024Article
- Disparities in lung transplantation in children.Pediatric pulmonology · 2024Review
- Inequality through the pipeline: racial and ethnic disparities remain in U.S. kidney transplantation.Lancet regional health. Americas · 2024Article
- Progress made toward equitable transplantation in children and young adults with kidney disease.Pediatric nephrology (Berlin, Germany) · 2024Review
- Timing and Modality of Kidney Replacement Therapy in Children and Adolescents.Kidney international reports · 2024Article
- Kidney Transplant in Children: Strategic Timing During Summer School Breaks.Kidney medicine · 2024Article
- Socioeconomic Position and Health Among Children and Adolescents With CKD Across the Life-Course.Kidney international reports · 2024Review
- Differences in medication adherence between preemptive and post-dialysis young kidney transplant recipients.Pediatric nephrology (Berlin, Germany) · 2023Article
- Preemptive living donor kidney transplantation: Access, fate, and review of the status in Egypt.World journal of nephrology · 2023Article
- The unfinished journey toward transplant equity: an analysis of racial/ethnic disparities for children after the implementation of the Kidney Allocation System in 2014.Pediatric nephrology (Berlin, Germany) · 2023Article
- Addressing the Ethical Challenges of Providing Kidney Failure Care for Children: A Global Stance.Frontiers in pediatrics · 2022Review
- Seeking justice, equity, diversity and inclusion in pediatric nephrology.Frontiers in pediatrics · 2022Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Preemptive kidney transplantation is the optimal treatment for pediatric end stage renal disease patients to avoid increased morbidity and mortality associated with dialysis. It is unknown how race/ethnicity and poverty influence preemptive transplant access in pediatric. We examined the incidence of living donor or deceased donor preemptive transplantation among all black, white, and Hispanic children (<18 years) in the United States Renal Data System from 2000 to 2009. Adjusted risk ratios for preemptive transplant were calculated using multivariable-adjusted models and examined across health insurance and neighborhood poverty levels. Among 8,053 patients, 1117 (13.9%) received a preemptive transplant (66.9% from LD, 33.1% from DD). In multivariable analyses, there were significant racial/ethnic disparities in access to LD preemptive transplant where blacks were 66% (RR = 0.34; 95% CI: 0.28-0.43) and Hispanics 52% (RR = 0.48; 95% CI: 0.35-0.67) less likely to receive a LD preemptive transplant versus whites. Blacks were 22% less likely to receive a DD preemptive transplant versus whites (RR = 0.78, 95% CI: 0.57-1.05), although results were not statistically significant. Future efforts to promote equity in preemptive transplant should address the critical issues of improving access to pre-ESRD nephrology care and overcoming barriers in living donation, including obstacles partially driven by poverty.
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