ArticleJournal of the American Society of Nephrology : JASN2017
Racial and Ethnic Disparities in Survival of Children with ESRD.
Article 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 19 papers, 2 of them syntheses 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
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- The psychosocial factors influencing paediatric kidney transplantation access, their outcomes and the patient and family's perceived quality of life: a systematic review and meta-analysis.Pediatric nephrology (Berlin, Germany) · 2026Pooled it
- The global survival rate of graft and patient in kidney transplantation of children: a systematic review and meta-analysis.BMC pediatrics · 2022Pooled it
- Association between estimated time with low glomerular filtration rate and access to transplant among youth with advanced chronic kidney disease.Pediatric nephrology (Berlin, Germany) · 2026Article
- Genetic causes of nephrolithiasis and nephrocalcinosis in a pediatric population in Saudi Arabia.Pediatric nephrology (Berlin, Germany) · 2026Article
- Preparing for kidney replacement therapy in pediatric advanced CKD: a review of literature and defining a multi-disciplinary clinical approach to patient-caregiver education.Pediatric nephrology (Berlin, Germany) · 2023Review
- Discrepancies in Race and Ethnicity in the Electronic Health Record Compared to Self-report.Journal of racial and ethnic health disparities · 2023Observational
- Epidemiology and Outcomes of Children with Kidney Failure Receiving Kidney Replacement Therapy in Australia and New Zealand.Kidney international reports · 2023Article
- Emergency Department Pediatric Readiness and Disparities in Mortality Based on Race and Ethnicity.JAMA network open · 2023Article
- Waiting-List and early posttransplant prognosis among ethnoracial groups: Data from the organ procurement and transplantation network.Frontiers in surgery · 2023Article
- Care of the pediatric patient on chronic peritoneal dialysis.Pediatric nephrology (Berlin, Germany) · 2022Article
- Article
- Epidemiology of pediatric chronic kidney disease/kidney failure: learning from registries and cohort studies.Pediatric nephrology (Berlin, Germany) · 2022Review
- Racial and Ethnic Disparities in the Investigation and Treatment of Growth Hormone Deficiency.The Journal of pediatrics · 2021Article
- Policy in pediatric nephrology: successes, failures, and the impact on disparities.Pediatric nephrology (Berlin, Germany) · 2021Review
- Long-term outcomes during 37 years of pediatric kidney transplantation: a cohort study comparing ethnic groups.Pediatric nephrology (Berlin, Germany) · 2021Article
- Risk of Cardiovascular Disease and Mortality in Young Adults With End-stage Renal Disease: An Analysis of the US Renal Data System.JAMA cardiology · 2019Article
- Sex Disparities in Risk of Mortality Among Children With ESRD.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019Article
- High Rate of Living Kidney Donation to Immigrant Children Despite Disparities-An Epidemiological Paradox?Frontiers in pediatrics · 2019Article
- Lesson Learned in Mortality and Kidney Transplant Outcomes among Pediatric Dialysis Patients.Journal of the American Society of Nephrology : JASN · 2017Article
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
Observational studies have reported that black and Hispanic adults receiving maintenance dialysis survive longer than non-Hispanic white counterparts. Whether there are racial disparities in survival of children with ESRD is not clear. We compared mortality risk among non-Hispanic black, Hispanic, and non-Hispanic white children who started RRT between 1995 and 2011 and were followed through 2012. We examined all-cause mortality using adjusted Cox models. Of 12,123 children included for analysis, 1600 died during the median follow-up of 7.1 years. Approximately 25% of children were non-Hispanic black, and 26% of children were of Hispanic ethnicity. Non-Hispanic black children had a 36% higher risk of death (95% confidence interval [95% CI], 1.21 to 1.52) and Hispanic children had a 34% lower risk of death (95% CI, 0.57 to 0.77) than non-Hispanic white children. Adjustment for transplant as a time-dependent covariate abolished the higher risk of death in non-Hispanic black children (hazard ratio, 0.99; 95% CI, 0.88 to 1.12) but did not attenuate the finding of a lower risk of death in Hispanic children (hazard ratio, 0.59; 95% CI, 0.51 to 0.68). In conclusion, Hispanic children had lower mortality than non-Hispanic white children. Non-Hispanic black children had higher mortality than non-Hispanic white children, which was related to differences in access to transplantation by race. Parity in access to transplantation in children and improvements in strategies to prolong graft survival could substantially reduce disparities in mortality risk of non-Hispanic black children treated with RRT.
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