ArticleTransplantation2015
Disparities in completion rates of the medical prerenal transplant evaluation by race or ethnicity and gender.
Article in Transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 4 of them syntheses that pooled 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.
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.
Who cites it
43 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Gender disparity in access to care across the continuum of chronic kidney disease: a systematic review.BMC nephrology · 2026Pooled it
- Access to robotic assisted kidney transplant for recipients: a systematic review and call for reporting standards.Journal of robotic surgery · 2024Pooled it
- Inequalities and outcomes: end stage kidney disease in ethnic minorities.BMC nephrology · 2019Pooled it
- Health Disparities in Kidney Transplantation for African Americans.American journal of nephrology · 2017Pooled it
- Effectiveness of informational decision aids and a live donor financial assistance program on pursuit of live kidney transplants in African American hemodialysis patients.BMC nephrology · 2018Trial
- Sex and Intersectional Disparities in Access to Deceased Donor Kidney Transplantation: A 17-Year Population-Based Cohort Study.Nephrology (Carlton, Vic.) · 2026Article
- Characterizing Middle Eastern and North African Patients in US Transplant Data.Transplantation direct · 2026Article
- Pre-dialysis care and access type are associated with transplant referral, evaluation, and waitlisting.Communications medicine · 2026Article
- Transplantation and Mortality in Women After Delivering on Hemodialysis.Kidney international reports · 2026Article
- Regional Variation in Early Kidney Transplant Access Across Dialysis Facilities in 4 US Regions.Kidney international reports · 2026Article
- Women at disadvantage - sex differences in time between dialysis initiation and kidney transplant evaluation or listing: a single-center experience.BMC nephrology · 2025Article
- Dialysis Preparedness and Access to the Transplant Waitlist: Evidence From a National United States Cohort Study.Kidney international reports · 2025Article
- Disentangling Dialysis Facility and Transplant Center Factors on Evaluation Start Following Referral for Kidney Transplantation: A Regional Study in the United States.Kidney medicine · 2025Article
- Technology-Enabled Remote Patient Monitoring and Education to Improve Kidney Transplant Knowledge, Access, and Post-Transplant Care: A Narrative Review.Current transplantation reports · 2025Article
- Review
- Exploring Potential Gender-Based Disparities in Referral for Transplant, Activation on the Waitlist and Kidney Transplantation in a Canadian Cohort.Kidney international reports · 2024Article
- Relationships, race/ethnicity, gender, age, and living kidney donation evaluation willingness.Transplant immunology · 2024Article
- Disparities Persist Among Hispanic Patients: Completing Evaluation, Waitlisting, and Receiving a Kidney Transplant.Transplantation direct · 2024Article
- Intersectional race and gender disparities in kidney transplant access in the United States: a scoping review.BMC nephrology · 2024Article
- Systems Connected to Inequities in Access to Kidney Transplantation and the Value of Intersectionality.Transplant international : official journal of the European Society for Organ Transplantation · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
backgroundA significant number of potential kidney transplant candidates do not complete the required medical evaluation after referral to a transplant program.
methodsFactors associated with rate of completion of the renal transplant evaluation were analyzed using a retrospective chart review of patients first seen between October 1, 2009, and September 30, 2010 (n=256). The primary endpoint was completion in 12 months. Independent variables included socioeconomic, demographic, and medical factors.
resultsMean age was 50.7 years; 49.6% were black, 28.5% Hispanic, and 21.9% white and other; 26.3% did not require dialysis. During follow-up, 23.4% did not complete the evaluation. Multivariable analysis indicated that slower rates of completion were associated with needing a greater number of medical tests (compared to 0-2: 3-5 tests, hazard ratio [HR]=0.65, P=0.02; ≥ 6 tests, HR=0.47, P=0.0005) and requiring more than one hospitalization (compared to none: HR=0.37, P=0.0008). A significant interaction between race or ethnicity and gender on completion was found: compared to black men, Hispanic men (HR=2.75, P<0.0001), Hispanic women (HR=1.96, P=0.006), and white men (HR=1.99, P=0.005) showed a more rapid completion. In comparison, black and white women (HR=1.38, P=0.16; HR=0.94, P=0.83, respectively) were not significantly different from black men in rates of completion. Differences by race or ethnicity and gender were not confounded by socioeconomic variables or social support.
conclusionTo lessen barriers and facilitate renal transplantation, black men and women, white women, and patients needing multiple medical tests and requiring several hospitalizations may benefit from additional assistance during the medical evaluation process.
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