Evidence map›Paper›PMID 27738125›Full record

Trial reportJournal of the American Society of Nephrology : JASN2017

A Randomized Trial to Reduce Disparities in Referral for Transplant Evaluation.

Rachel E Patzer, Sudeshna Paul, Laura Plantinga, Jennifer Gander, Leighann Sauls, Jenna Krisher, Laura L Mulloy, Eric M Gibney, Teri Browne, Carlos F Zayas and 4 more

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Society of Nephrology : JASN, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 5 pooled it
8.3field-weighted citation impact, top 2% 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

68 citing papers in PubMed, 5 syntheses or guidelines pooled it, 119 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. eHealth interventions for people with chronic kidney disease.The Cochrane database of systematic reviews · 2019
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Transplant social worker and donor financial assistance to increase living donor kidney transplants among African Americans: The TALKS Study, a randomized comparative effectiveness trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Trial
  7. Trial
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  9. Review
  10. Article
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  16. Review
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  19. Sex and Gender Disparities in Kidney Transplantation.Advances in kidney disease and health · 2025
    Review
  20. Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Rachel E PatzerDepartment of Surgery, Division of Transplantation, Emory University School of Medicine, Atlanta, Georgia; rpatzer@emory.edu.
Sudeshna PaulNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Laura PlantingaDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Jennifer GanderDepartment of Surgery, Division of Transplantation, Emory University School of Medicine, Atlanta, Georgia.
Leighann SaulsSoutheastern Kidney Council, Inc., End Stage Renal Disease Network 6, Raleigh, North Carolina.
Jenna KrisherSoutheastern Kidney Council, Inc., End Stage Renal Disease Network 6, Raleigh, North Carolina.
Laura L MulloyDivision of Nephrology, Hypertension, and Transplant, Augusta University, Augusta, Georgia.
Eric M GibneyPiedmont Transplant Institute, Atlanta, Georgia.
Teri BrowneUniversity of South Carolina College of Social Work, Columbia, South Carolina; and.
Carlos F ZayasDivision of Nephrology, Hypertension, and Transplant, Augusta University, Augusta, Georgia.
William M McClellanDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Kimberly Jacob ArriolaDepartment of Behavioral Sciences and Health Education, Rollins School of Public Health, Atlanta, Georgia.
Stephen O PastanDepartment of Medicine, Division of Renal Medicine, Emory University School of Medicine, Atlanta, Georgia.
Southeastern Kidney Transplant Coalition
Emory University · USAugusta University Health · USUniversity of South Carolina · US

Funding

Minority Populations Prevention Researcher TrainingR25HD045810 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NEILANDS, TORSTEN BRIAN · 2003 to 2018
$4.3M
Reducing Racial Disparities in Access to Kidney Transplantation: the RaDIANT Regional StudyU01MD010611 · NIMHD · EMORY UNIVERSITY · PI PATZER, RACHEL E · 2016 to 2020
$2.8M
A regionally coordinated intervention to reduce racial disparities in access to kR24MD008077 · NIMHD · EMORY UNIVERSITY · PI PATZER, RACHEL E · 2013 to 2015
$916k
NICHD NIH HHS R25 HD045810NIMHD NIH HHS R24 MD008077NIMHD NIH HHS U01 MD010611
6 · The paper itself

Abstract

Georgia has the lowest kidney transplant rates in the United States and substantial racial disparities in transplantation. We determined the effectiveness of a multicomponent intervention to increase referral of patients on dialysis for transplant evaluation in the Reducing Disparities in Access to kidNey Transplantation Community Study (RaDIANT), a randomized, dialysis facility-based, controlled trial involving >9000 patients receiving dialysis from 134 dialysis facilities in Georgia. In December of 2013, we selected dialysis facilities with either low transplant referral or racial disparity in referral. The intervention consisted of transplant education and engagement activities targeting dialysis facility leadership, staff, and patients conducted from January to December of 2014. We examined the proportion of patients with prevalent ESRD in each facility referred for transplant within 1 year as the primary outcome, and disparity in the referral of black and white patients as a secondary outcome. Compared with control facilities, intervention facilities referred a higher proportion of patients for transplant at 12 months (adjusted mean difference [aMD], 7.3%; 95% confidence interval [95% CI], 5.5% to 9.2%; odds ratio, 1.75; 95% CI, 1.36 to 2.26). The difference between intervention and control facilities in the proportion of patients referred for transplant was higher among black patients (aMD, 6.4%; 95% CI, 4.3% to 8.6%) than white patients (aMD, 3.7%; 95% CI, 1.6% to 5.9%;

Indexed as

Kidney TransplantationPatient SelectionHealthcare DisparitiesHumansMiddle AgedReferral and ConsultationUnited Statescommunity-based participatory researchdialysis facilityeducationkidney transplantationrandomized trialstaff

Identifiers

PMID27738125
PMCPMC5328160
OpenAlexW2531726188

What OpenQuestion holds

Textmetadata
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.