ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2014
Kidney transplant access in the Southeast: view from the bottom.
Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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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
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Health insurance and kidney transplantation outcomes in the United States: a systematic review and AI-driven analysis of disparities in access and survival.Renal failure · 2025Pooled it
- Process evaluation of the RaDIANT community study: a dialysis facility-level intervention to increase referral for kidney transplantation.BMC nephrology · 2018Trial
- Dialysis facility staff perceptions of racial, gender, and age disparities in access to renal transplantation.BMC nephrology · 2018Trial
- A Randomized Trial to Reduce Disparities in Referral for Transplant Evaluation.Journal of the American Society of Nephrology : JASN · 2017Trial
- The RaDIANT community study protocol: community-based participatory research for reducing disparities in access to kidney transplantation.BMC nephrology · 2014Trial
- Association between Rurality and Evaluation Start among Referred Patients with End-Stage Kidney Disease.American journal of nephrology · 2026Article
- Residential Neighborhood Disadvantage and Access to Kidney Transplantation.JAMA network open · 2025Article
- Impact of Medicaid expansion on kidney transplantation in the State Oklahoma.World journal of transplantation · 2024Article
- MyKidneyCoach, Patient Activation, and Clinical Outcomes in Diverse Kidney Transplant Recipients: A Randomized Control Pilot Trial.Transplantation direct · 2023Article
- Community Engagement to Improve Equity in Kidney Transplantation from the Ground Up: the Southeastern Kidney Transplant Coalition.Current transplantation reports · 2021Article
- Longer Distance From Dialysis Facility to Transplant Center Is Associated With Lower Access to Kidney Transplantation.Transplantation direct · 2020Article
- Referral for Kidney Transplantation in Canadian Provinces.Journal of the American Society of Nephrology : JASN · 2019Observational
- Racial disparities in preemptive referral for kidney transplantation in Georgia.Clinical transplantation · 2018Article
- Factors leading to the discard of deceased donor kidneys in the United States.Kidney international · 2018Article
- Building an Ideal Quality Metric for ESRD Health Care Delivery.Clinical journal of the American Society of Nephrology : CJASN · 2017Article
- Referral for Kidney Transplantation and Indicators of Quality of Dialysis Care: A Cross-sectional Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2017Article
- Geographic variation in access among adults with kidney disease: evidence from medical expenditure panel survey, 2002-2011.BMC health services research · 2016Article
- Everybody needs a cheerleader to get a kidney transplant: a qualitative study of the patient barriers and facilitators to kidney transplantation in the Southeastern United States.BMC nephrology · 2016Article
- Kidney transplant referral practices in southeastern dialysis units.Clinical transplantation · 2016Article
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2 authors at 1 institution in 1 country.
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Abstract
The Southeastern region of the United States has the highest burden of end-stage renal disease (ESRD) but the lowest rates of kidney transplantation in the nation. There are many patient-, dialysis facility-, ESRD Network- and health system-level barriers that contribute to this regional disparity. Compared to the rest of the nation, the Southeast has a larger population of African-Americans and higher poverty, as well as more prevalent ESRD risk factors including hypertension, obesity and diabetes. Dialysis facilities--where ESRD patients receive the majority of their healthcare--play an important role in transplant access. Identifying characteristics of individual dialysis units with low rates of kidney transplantation, such as understaffing or for-profit status, can help identify targets for quality improvement initiatives. Geographic differences across the country can identify opportunities to increase funding for healthcare resources in proportion to patient and disease burden. Focusing interventions among dialysis facilities with the lowest transplant rates within the Southeast, such as provider and patient education, has the potential to increase referrals for kidney transplantation, leading to higher rates of kidney transplants in this region. Referral for transplantation should be measured on a national level to monitor disparities in early access to transplantation. Transplant centers have an obligation to assist underserved populations in ensuring equity in access to services. Policies that improve access to care for patients, such as the Affordable Care Act and Medicaid expansion, are particularly important for Southern states and may alleviate geographic disparities.
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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.