Evidence map›Paper›PMID 25818547›Full record

Observational studyClinical transplantation2015

Racial disparities in reaching the renal transplant waitlist: is geography as important as race?

Milda R Saunders, Haena Lee, G Caleb Alexander, Hyo Jung Tak, J Richard Thistlethwaite, Lainie Friedman Ross

Abstract readObservational Study
In one paragraph

Observational study in Clinical transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
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

28 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Care of Adults with Advanced Chronic Kidney Disease.Journal of clinical medicine · 2024
    Review
  6. Article
  7. Article
  8. Changes in excess mortality among adults with diabetes-related end-stage kidney disease: a comparison between the USA and Australia.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
    Article
  9. Article
  10. Health Disparities in Autosomal Dominant Polycystic Kidney Disease (ADPKD) in the United States.Clinical journal of the American Society of Nephrology : CJASN · 2022
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Factors Considered by Nephrologists in Excluding Patients from Kidney Transplant Referral.International journal of organ transplantation medicine · 2019
    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

6 authors.

Milda R SaundersDepartment of Medicine, Section of Hospital Medicine, University of Chicago Medical Center, Chicago, IL, USA.
Haena LeeDepartment of Medicine, Section of Hospital Medicine, University of Chicago Medical Center, Chicago, IL, USA.
G Caleb AlexanderDepartment of Epidemiology, Johns Hopkins School of Public Health, Baltimore, MD, USA.
Hyo Jung TakDepartment of Health Management and Policy, University of North Texas Health Science Center School of Public Health, Fort Worth, TX, USA.
J Richard ThistlethwaiteSection of Transplantation, Department of Surgery, University of Chicago Medical Center, Chicago, IL, USA.
Lainie Friedman RossMacLean Center for Clinical Medical Ethics, University of Chicago Medical Center, Chicago, IL, USA.

Funding

Research Design, Data, and Analytics CoreP30DK092949 · NIDDK · UNIVERSITY OF CHICAGO · PI ELBERT S. HUANG · 2011 to 2026
$10.0M
NIDDK NIH HHS P30 DK092949
6 · The paper itself

Abstract

backgroundIn the United States, African Americans and whites differ in access to the deceased donor renal transplant waitlist. The extent to which racial disparities in waitlisting differ between United Network for Organ Sharing (UNOS) regions is understudied.

methodsThe US Renal Data System (USRDS) was linked with US census data to examine time from dialysis initiation to waitlisting for whites (n = 188,410) and African Americans (n = 144,335) using Cox proportional hazards across 11 UNOS regions, adjusting for potentially confounding individual, neighborhood, and state characteristics.

resultsLikelihood of waitlisting varies significantly by UNOS region, overall and by race. Additionally, African Americans face significantly lower likelihood of waitlisting compared to whites in all but two regions (1 and 6). Overall, 39% of African Americans with ESRD reside in Regions 3 and 4--regions with a large racial disparity and where African Americans comprise a large proportion of the ESRD population. In these regions, the African American-white disparity is an important contributor to their overall regional disparity.

conclusionsRace remains an important factor in time to transplant waitlist in the United States. Race contributes to overall regional disparities; however, the importance of race varies by UNOS region.

Indexed as

Black or African AmericanWaiting ListsWhite PeopleAdolescentAdultAgedFemaleGeographyHealthcare DisparitiesHealth Services AccessibilityHumansKidney TransplantationMaleMiddle AgedProportional Hazards ModelsTime Factorsgeographic factorshealthcare disparitykidney transplant

Identifiers

PMID25818547
PMCPMC5088709

What OpenQuestion holds

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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.