ArticleClinical journal of the American Society of Nephrology : CJASN2013
Differences in access to kidney transplantation between Hispanic and non-Hispanic whites by geographic location in the United States.
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 33 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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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
33 citing papers in PubMed, 60 citations in OpenAlex.
- Structural Barriers Underlying Kidney and Liver Transplant Inequity in Hispanic Americans.Cureus · 2026Review
- Dialysis Preparedness and Access to the Transplant Waitlist: Evidence From a National United States Cohort Study.Kidney international reports · 2025Article
- Effect of Race on Transplantation in Autosomal Dominant Polycystic Kidney Disease.Clinical journal of the American Society of Nephrology : CJASN · 2025Article
- Language and cultural concordance to promote equity in organ transplantation for Hispanics with limited English proficiency.Current opinion in organ transplantation · 2025Review
- Review
- Identifying when racial and ethnic disparities arise along the continuum of transplant care: a national registry study.Lancet regional health. Americas · 2024Article
- Competing Risks Analysis of Kidney Transplant Waitlist Outcomes: Two Important Statistical Perspectives.Kidney international reports · 2024Review
- Illinois Transplant Fund Experience: Is It a Pathway to Increased Transplant Access for Hispanic Patients With Kidney Failure?Kidney medicine · 2024Article
- Sikh and Muslim perspectives on kidney transplantation: phase 1 of the DiGiT project - a qualitative descriptive study.BMJ open · 2023Article
- Vital Signs: Health Disparities in Hemodialysis-Associated Staphylococcus aureus Bloodstream Infections - United States, 2017-2020.MMWR. Morbidity and mortality weekly report · 2023Article
- Implementing a Health Utility Assessment Platform to Acquire Health Utilities in a Hemodialysis Outpatient Setting: Feasibility Study.JMIR formative research · 2022Article
- Reducing disparities in kidney transplantation for Spanish-speaking patients through creation of a dedicated center.BMC nephrology · 2022Article
- Health Disparities in Autosomal Dominant Polycystic Kidney Disease (ADPKD) in the United States.Clinical journal of the American Society of Nephrology : CJASN · 2022Article
- A scoping review of inequities in access to organ transplant in the United States.International journal for equity in health · 2022Article
- Association between Longer Travel Distance for Transplant Care and Access to Kidney Transplantation and Graft Survival in the United States.Journal of the American Society of Nephrology : JASN · 2021Article
- 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 · 2020Article
- Weighing the waitlist: Weight changes and access to kidney transplantation among obese candidates.PloS one · 2020Article
- CKD and ESRD in US Hispanics.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019Review
- Racial/ethnic disparities in waitlisting for deceased donor kidney transplantation 1 year after implementation of the new national kidney allocation system.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2018Article
- Factors leading to the discard of deceased donor kidneys in the United States.Kidney international · 2018Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectivesHispanic patients undergoing chronic dialysis are less likely to receive a kidney transplant compared with non-Hispanic whites. This study sought to elucidate disparities in the path to receipt of a deceased donor transplant between Hispanic and non-Hispanic whites. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Using the US Renal Data System, 417,801 Caucasians who initiated dialysis between January 1, 1995 and December 31, 2007 with follow-up through 2008 were identified. This study investigated time from first dialysis to first kidney transplantation, time from first dialysis to waitlisting, and time from waitlisting to kidney transplantation. Multivariable Cox regression estimated cause-specific hazard ratios (HRCS) and subdistribution (competing risk) hazard ratios (HRSD) for Hispanics versus non-Hispanic whites.
resultsHispanics experienced lower adjusted rates of deceased donor kidney transplantation than non-Hispanic whites (HRCS, 0.77; 95% confidence interval [95% CI], 0.75 to 0.80) measured from dialysis initiation. No meaningful differences were found in time from dialysis initiation to placement on the transplant waitlist. Once waitlisted, Hispanics had lower adjusted rates of deceased donor kidney transplantation (HRCS, 0.66; 95% CI, 0.64 to 0.68), and the association attenuated once accounting for competing risks (HRSD, 0.79; 95% CI, 0.77 to 0.81). Additionally controlling for blood type and organ procurement organization further reduced the disparity (HRSD, 0.99; 95% CI, 0.96 to 1.02).
conclusionsAfter accounting for geographic location and controlling for competing risks (e.g., Hispanic survival advantage), the disparity in access to deceased donor transplantation was markedly attenuated among Hispanics compared with non-Hispanic whites. To overcome the geographic disparities that Hispanics encounter in the path to transplantation, organ allocation policy revisions are needed to improve donor organ equity.
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Registered trials
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