ArticleKidney international2015
Geographic variation and neighborhood factors are associated with low rates of pre-end-stage renal disease nephrology care.
Article in Kidney international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
What it found
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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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Who cites it
23 citing papers in PubMed, 36 citations in OpenAlex.
- Patient Referral and Education Program Prior to Renal Replacement Therapy (PREP-RRT): A Pilot Study.Journal of general internal medicine · 2026Article
- Neighborhood Built Environment and Home Dialysis Utilization: Varying Patterns by Urbanicity-Dependent Patterns and Implications for Policy.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2025Article
- Prevalence and varieties of complementary and alternative medicine usage among individuals with pre-dialysis chronic kidney disease in Taiwan: an investigative cross-sectional analysis.BMC complementary medicine and therapies · 2024Article
- Geographic Dialysis Facility Density and Early Dialysis Initiation.JAMA network open · 2024Article
- Geographic hot spots of kidney transplant candidates wait-listed post-dialysis.Clinical transplantation · 2022Article
- Emergency Department Utilization Among Maintenance Hemodialysis Patients: A Systematic Review.Kidney medicine · 2022Article
- Article
- Despite National Declines In Kidney Failure Incidence, Disparities Widened Between Low- And High-Poverty US Counties.Health affairs (Project Hope) · 2021Article
- Community Racial Composition and Hospitalization Among Patients Receiving In-Center Hemodialysis.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020Article
- Neighborhood context and kidney disease in Philadelphia.SSM - population health · 2020Article
- Understanding the Link between Neighborhoods and Kidney Disease.Kidney360 · 2020Article
- Pre-ESKD Nephrology Care and Employment at the Start of Dialysis.Kidney international reports · 2020Article
- Canadian Senior Renal Leaders Community of Practice: Vulnerable Populations With Chronic Kidney Disease-Evidence to Inform Policy.Canadian journal of kidney health and disease · 2020Article
- The association of neighborhood racial mix and ED visit count in a cohort of patients on hemodialysis.BMC nephrology · 2019Article
- Initiation of maintenance hemodialysis through central venous catheters: study of patients' perceptions based on a structured questionnaire.BMC nephrology · 2019Article
- Racial Disparities in Nephrology Consultation and Disease Progression among Veterans with CKD: An Observational Cohort Study.Journal of the American Society of Nephrology : JASN · 2018Observational
- Impact of prolonged dialysis prior to renal transplantation.Clinical transplantation · 2018Article
- Effect of national pre-ESRD care program on expenditures and mortality in incident dialysis patients: A population-based study.PloS one · 2018Article
- Poor outcomes for children on the wait list at low-volume kidney transplant centers in the United States.Pediatric nephrology (Berlin, Germany) · 2017Article
- Impact of poverty and race on pre-end-stage renal disease care among dialysis patients in the United States.Clinical kidney journal · 2017Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
Abstract
Geographic variation of pre-end-stage renal disease (pre-ESRD) nephrology care has not been studied across the United States. Here we sought to identify geographic differences in pre-ESRD care, assess for county-level geographic and sociodemographic risk factors, and correlate with patient outcomes using facility-level mortality. Patients from 5387 dialysis facilities across the United States from 2007 to 2010 were included from the Dialysis Facility Report. Marginal generalized estimating equations were used for modeling with geographic cluster analysis to detect clusters of facilities with low rates of pre-ESRD care. On average, 67% of patients received pre-ESRD care in the United States but with significant variability across regions ranging from 3 to 99%. Five geographic clusters of facilities with low rates of pre-ESRD care were the metropolitan areas of San Francisco, Los Angeles, Chicago, Miami, and Baltimore, along with Southern states along the Mississippi River. Dialysis facilities with the lowest rates of pre-ESRD care were more likely to be located in urban counties with high African-American populations and low educational attainment. A 10% higher proportion of patients receiving pre-ESRD care was associated with 1.3% lower patient mortality as reflected by facility-level mortality. Thus, geographic and sociodemographic factors can be used to design quality improvement initiatives to increase access to nephrology care nationwide and improve patient outcomes.
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Registered trials
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