Evidence map›Paper›PMID 25419509›Full record

ArticleJournal of racial and ethnic health disparities2014

Proximity Does Not Equal Access: Racial Disparities in Access to High Quality Dialysis Facilities.

Milda R Saunders, Haena Lee, Chieko Maene, Todd Schuble, Kathleen A Cagney

Open access · bronzeAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 46 citations in OpenAlex.

  1. Article
  2. Article
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  4. Article
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  7. Article
  8. Article
  9. Risk Factors for Recurrent Staphylococcus aureus Bacteremia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  10. Article
  11. Article
  12. Article
  13. The current and future landscape of dialysis.Nature reviews. Nephrology · 2020
    Review
  14. Review
  15. Article
  16. Article
  17. Evaluating Residential Segregation's Relation to the Clustering of Poor Health across American Cities.International journal of environmental research and public health · 2020
    Article
  18. Article
  19. Racial Disparities in Invasive Methicillin-resistant Staphylococcus aureus Infections, 2005-2014.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Milda R SaundersSection of Hospital Medicine, Department of Medicine, University of Chicago, Chicago, Illinois ; MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, Illinois.
Haena LeeSection of Hospital Medicine, Department of Medicine, University of Chicago, Chicago, Illinois ; Department of Sociology, University of Chicago, Chicago, Illinois.
Chieko MaeneSocial Science Computing Center, GIS Services.
Todd SchubleSocial Science Computing Center, GIS Services.
Kathleen A CagneyDepartment of Sociology, University of Chicago, Chicago, Illinois ; Population Research Center, NORC at the University of Chicago, Chicago, Illinois.
University of Chicago · US

Funding

Re-Engineering Translational Research at the University of ChicagoUL1TR000430 · NCATS · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2012 to 2016
$20.2M
Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI MONICA E PEEK · 2011 to 2026
$10.0M
Re-Engineering Translational Research at the University of ChicagoKL2TR000431 · NCATS · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2012 to 2016
$2.1M
Re-Engineering Translational Research at The University of Chicago (KL2)KL2RR025000 · NCRR · UNIVERSITY OF CHICAGO · PI SOLWAY, JULIAN · 2007 to 2011
$2.0M
NCATS NIH HHS KL2 TR000431NCATS NIH HHS UL1 TR000430NCRR NIH HHS KL2 RR025000NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

backgroundFor patients receiving hemodialysis, distance to their dialysis facility may be particularly important due to the need for thrice weekly dialysis. We sought to determine whether African-Americans and Whites differ in proximity and access to high quality dialysis facilities.

methodsWe analyzed urban, Whites and African-Americans aged 18-65 receiving in-center hemodialysis linked to data on neighborhood and dialysis facility quality measures. In multivariable analyses, we examined the association between individual and neighborhood characteristics, and our outcomes: distance from home zip code to nearest dialysis facility, their current facility and the nearest high quality facility, as well as likelihood of receiving dialysis in a high quality facility.

resultsAfrican-Americans lived a half mile closer to a dialysis facility (B=-0.52) but traveled the same distance to their own dialysis facility compared to Whites. In initial analysis, African-Americans are 14% less likely than their White counterparts to attend a high quality dialysis facility (OR 0.86); and those disparities persist, though are reduced, even after adjusting for region, neighborhood poverty and percent African-American. In predominately African-American neighborhoods, individuals lived closer to high quality facilities (B=--5.92), but were 53% less likely to receive dialysis there (OR 0.47, highest group versus lowest, p<0.05). Living in a predominately African-American neighborhood explains 24% of racial disparity in attending a high quality facility.

conclusionsAfrican-Americans' proximity to high quality facilities does not lead to receiving care there. Institutional and social barriers may also play an important role in where people receive dialysis.

Indexed as

accesshemodialysisquality of careracial disparity

Identifiers

PMID25419509
PMCPMC4238970
OpenAlexW1983056066

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.