ArticlePediatric nephrology (Berlin, Germany)2017
Racial-ethnic disparities in mortality and kidney transplant outcomes among pediatric dialysis patients.
Article in Pediatric nephrology (Berlin, Germany), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- The global survival rate of graft and patient in kidney transplantation of children: a systematic review and meta-analysis.BMC pediatrics · 2022Pooled it
- Touch contamination and associated peritonitis in children undergoing maintenance peritoneal dialysis.Pediatric nephrology (Berlin, Germany) · 2026Observational
- Pediatric kidney transplant disparities.World journal of clinical pediatrics · 2026Article
- Bridging Borders: Addressing Inequities in Pediatric Kidney Care for Hispanic and Immigrant Children.Journal of immigrant and minority health · 2026Article
- Disparities in lung transplantation in children.Pediatric pulmonology · 2024Review
- Progress made toward equitable transplantation in children and young adults with kidney disease.Pediatric nephrology (Berlin, Germany) · 2024Review
- Predicting wait time for pediatric kidney transplant: a novel index.Pediatric nephrology (Berlin, Germany) · 2024Article
- Characteristics and Outcomes of Patients With Pregnancy-Related End-Stage Kidney Disease.JAMA network open · 2023Article
- Racial and Ethnic Disparities in Outcomes Among Newborns with Congenital Diaphragmatic Hernia.JAMA network open · 2023Article
- The unfinished journey toward transplant equity: an analysis of racial/ethnic disparities for children after the implementation of the Kidney Allocation System in 2014.Pediatric nephrology (Berlin, Germany) · 2023Article
- Racial and Ethnic Disparities in Incidence and Prognosis of Perioperative Stroke Among Pediatric Cardiac Transplant Recipients.Journal of the American Heart Association · 2022Article
- Influence of Donor Race and Donor-recipient Race-matching on Pediatric Kidney Transplant Outcomes.Transplantation direct · 2022Article
- Social Deprivation Is Associated With Lower Access to Pre-emptive Kidney Transplantation and More Urgent-Start Dialysis in the Pediatric Population.Kidney international reports · 2022Article
- Seeking justice, equity, diversity and inclusion in pediatric nephrology.Frontiers in pediatrics · 2022Review
- Policy in pediatric nephrology: successes, failures, and the impact on disparities.Pediatric nephrology (Berlin, Germany) · 2021Review
- Exploration of Experiences and Perpetration of Identity-Based Bullying Among Adolescents by Race/Ethnicity and Other Marginalized Identities.JAMA network open · 2021Article
- Long-term outcomes during 37 years of pediatric kidney transplantation: a cohort study comparing ethnic groups.Pediatric nephrology (Berlin, Germany) · 2021Article
- Resident foreign patients receive adequate dialysis but fewer preemptive transplantations: data from the Italian pediatric dialysis registry.Pediatric nephrology (Berlin, Germany) · 2021Article
- Race and Ethnicity Predict Bone Markers and Fracture in Pediatric Patients With Chronic Kidney Disease.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2021Article
- Racial and Ethnic Variations in Mortality Rates for Patients Undergoing Maintenance Dialysis Treated in US Territories Compared with the US 50 States.Clinical journal of the American Society of Nephrology : CJASN · 2020Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundPrevious studies in adult hemodialysis patients have shown that African-American and Hispanic patients have a lower risk of mortality in addition to a lower likelihood of kidney transplantation. However, studies of the association between race and outcomes in pediatric dialysis are sparse and often do not examine outcomes in Hispanic children. The objective was to determine if racial-ethnic disparities in mortality and kidney transplantation outcomes exist in pediatric dialysis patients.
methodsThis was a retrospective cohort analysis of 2,697 pediatric dialysis patients (aged 0-20 years) from a large national dialysis organization (entry period 2001-2011) of non-Hispanic white, African-American, and Hispanic race-ethnicity. Associations between race-ethnicity with mortality and kidney transplantation outcomes were examined separately using competing risks methods. Logistic regression analyses were used to examine the association between race-ethnicity, with outcomes within 1 year of dialysis initiation.
resultsOf the 2,697 pediatric patients in this cohort, 895 were African-American, 778 were Hispanic, and 1,024 were non-Hispanic white. After adjusting for baseline demographics, competing risk survival analysis revealed that compared with non-Hispanic whites, African-Americans had a 64 % higher mortality risk (hazards ratio [HR] = 1.64; 95 % CI 1.24-2.17), whereas Hispanics had a 31 % lower mortality risk (HR = 0.69; 95 % CI 0.47-1.01) that did not reach statistical significance. African-Americans also had higher odds of 1-year mortality after starting dialysis (odds ratio [OR] = 2.08; 95 % CI 0.95-4.58), whereas both African-Americans and Hispanics had a lower odds of receiving a transplant within 1 year of starting dialysis (OR = 0.28; 95 % CI 0.19-0.41 and OR = 0.43; 95 % CI 0.31-0.59 respectively).
conclusionIn contrast to adults, African-American pediatric dialysis patients have worse survival than their non-Hispanic white counterparts, whereas Hispanics have a similar to lower mortality risk. Both African-American and Hispanic pediatric dialysis patients had a lower likelihood of kidney transplantation than non-Hispanic whites, similar to observations in the adult dialysis population.
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