ArticleAmerican journal of nephrology2014
Impact of age, race and ethnicity on dialysis patient survival and kidney transplantation disparities.
Article in American journal of nephrology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis 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
40 citing papers in PubMed, 1 synthesis or guideline pooled it, 71 citations in OpenAlex.
- Propensity score matched mortality comparisons of peritoneal and in-centre haemodialysis: systematic review and meta-analysis.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2020Pooled it
- Article
- Immunosuppressive regimens and long-term kidney transplant outcomes: A dual survival modeling framework.PloS one · 2026Article
- A Multilevel Spatial Survival Analysis of Patients in Texas with End-Stage Renal Disease.Healthcare (Basel, Switzerland) · 2025Article
- Solid organ transplantation in people with HIV: Outcomes, obstacles and opportunities.HIV medicine · 2025Review
- How systemic racism results in poorer outcomes for First Nations, and what First Nations are doing about it: the example of kidney health.BMC health services research · 2025Article
- Divergent Trends by Patient Age in Racial Disparities in Kidney Transplant Access.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
- Identifying when racial and ethnic disparities arise along the continuum of transplant care: a national registry study.Lancet regional health. Americas · 2024Article
- Racial Disparities in End-Stage Kidney Disease Outcomes among Asians and Native Hawaiians and Other Pacific Islanders across Geographic Residence.American journal of nephrology · 2024Article
- New eGFR equations: Implications for cardiologists and racial inequities.American heart journal plus : cardiology research and practice · 2023Article
- Article
- Racial and Ethnic Disparities in Kidney Replacement Therapies Among Adults With Kidney Failure: An Observational Study of Variation by Patient Age.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2022Observational
- Recovery of kidney function after dialysis initiation in children and adults in the US: A retrospective study of United States Renal Data System data.PLoS medicine · 2021Article
- Outcomes of patients with end-stage kidney disease hospitalized with COVID-19.Kidney international · 2020Observational
- A Systematic Approach To Promoting Home Hemodialysis during End Stage Kidney Disease.Kidney360 · 2020Review
- 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
- Racial and Ethnic Variations in Mortality Rates for Patients Undergoing Maintenance Dialysis Treated in US Territories Compared with the US 50 States.Clinical journal of the American Society of Nephrology : CJASN · 2020Article
- Transfers to Hemodialysis Among US Patients Initiating Renal Replacement Therapy With Peritoneal Dialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019Article
- Association of Race and Poverty With Mortality Among Nursing Home Residents on Maintenance Dialysis.Journal of the American Medical Directors Association · 2019Article
Corrections and comments
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Authors and funding
11 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundPrior studies show that African-American and Hispanic dialysis patients have lower mortality risk than whites. Recent age-stratified analyses suggest this survival advantage may be limited to younger age groups, but did not concurrently compare Hispanic, African-American, and white patients, nor account for differences in nutritional and inflammatory status as potential confounders. Minorities experience inequities in kidney transplantation access, but it is unknown whether these racial/ethnic disparities differ across age groups.
methodsThe associations between race/ethnicity with all-cause mortality and kidney transplantation were separately examined among 130,909 adult dialysis patients from a large national dialysis organization (entry period 2001-2006, follow-up through 2009) within 7 age categories using Cox proportional hazard models adjusted for case-mix and malnutrition and inflammatory surrogates.
resultsAfrican-Americans had similar mortality versus whites in younger age groups (18-40 years), but decreased mortality in older age groups (>40 years). In contrast, Hispanics had lower mortality versus whites across all ages. In sensitivity analyses using competing risk regression to account for differential kidney transplantation rates across racial/ethnic groups, the African-American survival advantage was limited to >60-years age categories. African-Americans and Hispanics were less likely to undergo kidney transplantation from all donor types versus whites across all ages, and these disparities were even more pronounced for living donor kidney transplantation (LDKT).
conclusionsHispanic dialysis patients have greater survival versus whites across all ages; in African-Americans, this survival advantage is limited to patients >40 years of age. Minorities are less likely to undergo kidney transplantation, particularly LDKT, across all ages.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.