ArticleAmerican journal of kidney diseases : the official journal of the National Kidney Foundation2017
Referral for Kidney Transplantation and Indicators of Quality of Dialysis Care: A Cross-sectional Study.
Article in American journal of kidney diseases : the official journal of the National Kidney Foundation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quality Metrics in Solid Organ Transplantation: A Systematic Review.Transplantation · 2018Pooled it
- Pre-dialysis care and access type are associated with transplant referral, evaluation, and waitlisting.Communications medicine · 2026Article
- Gaps in Dialysis Staff Knowledge of the Kidney Transplantation Process.Kidney international reports · 2026Article
- System Interventions to Achieve Early and Equitable Kidney Transplants (STEPS): Protocol for STEPS, a randomized comparative effectiveness clinical trial.Contemporary clinical trials · 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
- Early steps to kidney transplantation among persons with HIV and end-stage renal disease in ESRD network 6.Transplant infectious disease : an official journal of the Transplantation Society · 2022Article
- Non-medical barriers in access to early steps of kidney transplantation in the United States - A scoping review.Transplantation reviews (Orlando, Fla.) · 2021Article
- Association of Public Reporting of Medicare Dialysis Facility Quality Ratings With Access to Kidney Transplantation.JAMA network open · 2021Article
- Effect of high quality nursing on alleviating negative emotions in patients with advanced lung cancer.American journal of translational research · 2021Article
- Barriers to kidney transplant evaluation in HIV-positive patients with advanced kidney disease: A single-center study.Transplant infectious disease : an official journal of the Transplantation Society · 2020Article
- Factors Considered by Nephrologists in Excluding Patients from Kidney Transplant Referral.International journal of organ transplantation medicine · 2019Article
- Racial disparities in kidney transplant waitlist appearance in Chicago: Is it race or place?Clinical transplantation · 2018Article
- Improving Access to Kidney Transplantation: Perspectives From Dialysis and Transplant Staff in the Southeastern United States.Kidney medicineArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundDialysis facility performance measures to improve access to kidney transplantation are being considered. Referral of patients for kidney transplantation evaluation by the dialysis facility is one potential indicator, but limited data exist to evaluate whether referral is associated with existing dialysis facility quality indicators. STUDY
designCross-sectional study. SETTING &
participants12,926 incident (July 2005 to September 2011) adult (aged 18-69 years) patients treated at 241 dialysis facilities with complete quality indicator information from US national registry data linked to transplantation referral data from all 3 Georgia kidney transplantation centers. FACTORS: Facility performance on dialysis quality indicators (high, intermediate, and low tertiles). OUTCOME: Percentages of patients referred within 1 year of dialysis therapy initiation at dialysis facility.
resultsOverall, a median of 25.4% of patients were referred for kidney transplantation within 1 year of dialysis therapy initiation. Higher facility-level referral was associated with better performance with respect to standardized transplantation ratio (high, 28.6%; intermediate, 25.1%; and low, 22.9%; P=0.001) and percentage waitlisted (high, 30.7%; intermediate, 26.8%; and low, 19.2%; P<0.001). Facility-level referral was not associated with indicators of quality of care associated with dialysis therapy initiation, including percentage of incident patients being informed of transplantation options. For most non-transplantation-related indicators of high-quality care, including those capturing mortality, morbidity, and anemia management, better performance was not associated with higher facility-level transplantation referral. LIMITATIONS: Potential ecologic fallacy and residual confounding.
conclusionsTransplantation referral among patients at dialysis facilities does not appear to be associated with overall quality of dialysis care at the facility. Quality indicators related to kidney transplantation were positively associated with, but not entirely correspondent with, higher percentages of patients referred for kidney transplantation evaluation from dialysis facilities. These results suggest that facility-level referral, which is within the control of the dialysis facility, may provide information about the quality of dialysis care beyond current indicators.
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