ArticleClinical journal of the American Society of Nephrology : CJASN2013
Differences in progression to ESRD between black and white patients receiving predialysis care in a universal health care system.
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 27 papers.
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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.
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Who cites it
27 citing papers in PubMed, 58 citations in OpenAlex.
- Association between estimated time with low glomerular filtration rate and access to transplant among youth with advanced chronic kidney disease.Pediatric nephrology (Berlin, Germany) · 2026Article
- Trends in chronic kidney disease-related mortality in older adults in the United States from 1999 to 2020: a cross-sectional study.Annals of medicine and surgery (2012) · 2025Article
- Finerenone in Black Patients With Type 2 Diabetes and CKD: A Post hoc Analysis of the Pooled FIDELIO-DKD and FIGARO-DKD Trials.Kidney medicine · 2023Article
- Utility of the Kidney Failure Risk Equation and Estimated GFR for Estimating Time to Kidney Failure in Advanced CKD.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2023Article
- Associations of Renal Function Trajectories and Long-Term Cardiovascular Risks Among a Population Without Chronic Kidney Disease.Journal of the American Heart Association · 2023Article
- Ethnic disparities in pregnancy-related acute kidney injury in a United Kingdom population.Journal of nephrology · 2023Article
- CKD Progression From the Time of Estimated GFR-Based Waitlist Eligibility and Racial Disparities in Transplant Access.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2022Article
- Ethnic minority disparities in progression and mortality of pre-dialysis chronic kidney disease: a systematic scoping review.BMC nephrology · 2020Article
- Preventing CKD in Developed Countries.Kidney international reports · 2020Review
- Burden, access and disparities in kidney disease.Clinical kidney journal · 2019Article
- Burden, access, and disparities in kidney disease.Pediatric nephrology (Berlin, Germany) · 2019Article
- Burden, access, and disparities in kidney disease.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2019Article
- Burden, Access, and Disparities in Kidney Disease.Kidney international reports · 2019Review
- Burden, Access, and Disparities in Kidney Disease.Kidney diseases (Basel, Switzerland) · 2019Article
- Burden, access, and disparities in kidney disease.Journal of nephrology · 2019Article
- Burden, Access, and Disparities in Kidney Disease.Canadian journal of kidney health and disease · 2019Article
- Observational
- Vitamin K antagonist use and renal function in pre-dialysis patients.Clinical epidemiology · 2018Article
- Cost of chronic kidney disease attributable to diabetes from the perspective of the Brazilian Unified Health System.PloS one · 2018Article
- Changes in urine volume and serum albumin in incident hemodialysis patients.Hemodialysis international. International Symposium on Home Hemodialysis · 2017Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND AND
objectivesStudies performed in the United States showed that blacks progress from CKD to ESRD faster than do whites. Possible explanations are differences in health care system factors. This study investigated whether progression is also faster in a universal health care system, where all patients receive comparable care. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Data from the PREdialysis PAtient REcord study, a multicenter follow-up study of patients with CKD who started predialysis care in The Netherlands (1999-2011), were analyzed. Time-dependent Cox proportional hazards models were used to estimate the hazard ratio (HR) for starting renal replacement therapy (RRT), and linear mixed models were used to compare renal function decline (RFD) between blacks and whites. To explore possible mechanisms, analyses were adjusted for patient characteristics.
resultsAt initiation of predialysis care, blacks (n=49) were younger and had more diabetes mellitus, higher proteinuria levels, and a higher estimated GFR than whites (n=946). Median follow-up time in months was similar (blacks: 13.9 [boundaries of interquartile range (IQR), 5.3 to 19.5]; whites: 13.1 [IQR, 5.1 to 24.0]). For blacks compared with whites, the crude HR for starting RRT within the first 15 months was 0.86 (95% confidence interval [CI], 0.55 to 1.34) and from 15 months onward, 1.93 (95% CI, 1.02 to 3.68), which increased after adjustment. RFD was faster by 0.18 (95% CI, 0.05 to 0.32) ml/min per 1.73 m(2) per month in blacks compared with whites.
conclusionBlacks receiving predialysis care in a universal health care system have faster disease progression than whites, suggesting that health care system factors have a less influential role than had been thought in explaining black-white differences.
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