ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2013
Prominent impact of community risk factors on kidney transplant candidate processes and outcomes.
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 33 papers, 1 of them a synthesis that pooled it.
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Who cites it
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Is social support associated with post-transplant medication adherence and outcomes? A systematic review and meta-analysis.Transplantation reviews (Orlando, Fla.) · 2018Pooled it
- Longitudinal Changes in the Impact of Socioeconomic Status on Graft Failure in Kidney Transplantation.Kidney360 · 2026Article
- Residential Neighborhood Disadvantage and Access to Kidney Transplantation.JAMA network open · 2025Article
- Factors Associated With Willingness to Become a Living Organ Donor.JAMA network open · 2025Article
- Neighborhood-level social determinants of health measures independently predict receipt of living donor liver transplantation in the United States.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2024Article
- Individual-level social determinants of health and disparities in access to kidney transplant and waitlist mortality.PloS one · 2024Article
- Relationship of Social Deprivation Among Living Kidney Donor-Recipient Pairs.Transplantation direct · 2024Article
- Evolving Trends in Kidney Transplant Outcomes Among Older Adults: A Comparative Analysis Before and During the COVID-19 Pandemic.Transplantation direct · 2023Article
- Deceased donor kidneys from higher distressed communities are significantly less likely to be utilized for transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023Article
- Population Characteristics and Organ Procurement Organization Performance Metrics.JAMA network open · 2023Article
- Interaction between socioeconomic deprivation and ethnicity for likelihood of receiving living-donor kidney transplantation.BMC nephrology · 2022Article
- A Cascade of Structural Barriers Contributing to Racial Kidney Transplant Inequities.Advances in chronic kidney disease · 2021Review
- Community health status and outcomes after allogeneic hematopoietic cell transplantation in the United States.Cancer · 2021Article
- Neighborhood socioeconomic deprivation is associated with worse patient and graft survival following pediatric liver transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020Article
- Modest rates and wide variation in timely access to repeat kidney transplantation in the United States.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020Article
- County Rankings Have Limited Utility When Predicting Liver Transplant Outcomes.Digestive diseases and sciences · 2020Article
- Excluding patients from transplant due to social support: Results from a national survey of transplant providers.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2019Article
- How important is social support in determining patients' suitability for transplantation? Results from a National Survey of Transplant Clinicians.Journal of medical ethics · 2018Article
- Significantly Lower Rates of Kidney Transplantation among Candidates Listed with the Veterans Administration: A National and Local Comparison.Journal of the American Society of Nephrology : JASN · 2018Article
- County socioeconomic characteristics and pediatric renal transplantation outcomes.Pediatric nephrology (Berlin, Germany) · 2018Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
Numerous factors impact patients' health beyond traditional clinical characteristics. We evaluated the association of risk factors in kidney transplant patients' communities with outcomes prior to transplantation. The primary exposure variable was a community risk score (range 0-40) derived from multiple databases and defined by factors including prevalence of comorbidities, access and quality of healthcare, self-reported physical and mental health and socioeconomic status for each U.S. county. We merged data with the Scientific Registry of Transplant Recipients (SRTR) and utilized risk-adjusted models to evaluate effects of community risk for adult candidates listed 2004-2010 (n = 209 198). Patients in highest risk communities were associated with increased mortality (adjusted hazard ratio [AHR] = 1.22, 1.16-1.28), decreased likelihood of living donor transplantation (adjusted odds ratio [AOR] = 0.90, 0.85-0.94), increased waitlist removal for health deterioration (AHR = 1.36, 1.22-1.51), decreased likelihood of preemptive listing (AOR = 0.85, 0.81-0.88), increased likelihood of inactive listing (AOR = 1.49, 1.43-1.55) and increased likelihood of listing for expanded criteria donor kidneys (AHR = 1.19, 1.15-1.24). Associations persisted with adjustment for rural-urban location; furthermore the independent effects of rural-urban location were largely eliminated with adjustment for community risk. Average community risk varied widely by region and transplant center (median = 21, range 5-37). Community risks are powerful factors associated with processes of care and outcomes for transplant candidates and may be important considerations for developing effective interventions and measuring quality of care of transplant centers.
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