ArticleAmerican journal of nephrology2014
Association of U.S. Dialysis facility neighborhood characteristics with facility-level kidney transplantation.
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 14 papers.
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Who cites it
14 citing papers in PubMed.
- The RaDIANT community study protocol: community-based participatory research for reducing disparities in access to kidney transplantation.BMC nephrology · 2014Trial
- Interaction BetweenKidney international reports · 2025Article
- The Association between Residential Segregation and Access to Kidney Transplantation: Evidence from a Multistate Cohort Study.Clinical journal of the American Society of Nephrology : CJASN · 2024Article
- The Association of Dialysis Facility Payer Mix With Access to Kidney Transplantation.JAMA network open · 2023Article
- Social determinants of health data in solid organ transplantation: National data sources and future directions.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022Review
- Treatment Patterns and Characteristics of Dialysis Facilities Randomly Assigned to the Medicare End-Stage Renal Disease Treatment Choices Model.JAMA network open · 2022Article
- A scoping review of inequities in access to organ transplant in the United States.International journal for equity in health · 2022Article
- Community Engagement to Improve Equity in Kidney Transplantation from the Ground Up: the Southeastern Kidney Transplant Coalition.Current transplantation reports · 2021Article
- A Cascade of Structural Barriers Contributing to Racial Kidney Transplant Inequities.Advances in chronic kidney disease · 2021Review
- Racial/Ethnic Inequities in Access to High-Quality Dialysis Treatment in Chicago: Does Neighborhood Racial/Ethnic Composition Matter?Journal of racial and ethnic health disparities · 2020Article
- Education Strategies in Dialysis Centers Associated With Increased Transplant Wait-listing Rates.Transplantation · 2020Article
- Association of sociocultural factors with initiation of the kidney transplant evaluation process.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020Article
- Assessing Transplant Education Practices in Dialysis Centers: Comparing Educator Reported and Medicare Data.Clinical journal of the American Society of Nephrology : CJASN · 2015Article
- Geographic variation and neighborhood factors are associated with low rates of pre-end-stage renal disease nephrology care.Kidney international · 2015Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundImproving access to optimal healthcare may depend on the attributes of neighborhoods where patients receive healthcare services. We investigated whether the characteristics of dialysis facility neighborhoods--where most patients with end-stage renal disease are treated--were associated with facility-level kidney transplantation.
methodsWe examined the association between census tract (neighborhood)-level sociodemographic factors and facility-level kidney transplantation rate in 3,983 U.S. dialysis facilities where kidney transplantation rates were high. Number of kidney transplants and total person-years contributed at the facility level in 2007-2010 were obtained from the Dialysis Facility Report and linked to the census tract data on sociodemographic characteristics from the American Community Survey 2006-2010 by dialysis facility location. We used multivariable Poisson models with generalized estimating equations to estimate the link between the neighborhood characteristics and transplant incidence.
resultsDialysis facilities in the United States were located in neighborhoods with substantially greater proportions of black and poor residents, relative to the national average. Most facility neighborhood characteristics were associated with transplant, with incidence rate ratios (95% CI) for standardized increments (in percentage) of neighborhood exposures of: living in poverty, 0.88 (0.84-0.92), black race, 0.83 (0.78-0.89); high school graduates, 1.22 (1.17-1.26); and unemployed, 0.90 (0.85-0.95).
conclusionDialysis facility neighborhood characteristics may be modestly associated with facility rates of kidney transplantation. The success of dialysis facility interventions to improve access to kidney transplantation may partially depend on reducing neighborhood-level barriers.
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