ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2018
Racial/ethnic disparities in waitlisting for deceased donor kidney transplantation 1 year after implementation of the new national kidney allocation system.
Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.
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Who cites it
53 citing papers in PubMed, 113 citations in OpenAlex.
- Racial and immunologic disparities impact access to kidney rewaitlisting and retransplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026Article
- Should Adherence to Medical Recommendations Be a Requirement for Kidney Transplant Candidacy?The American journal of bioethics : AJOB · 2026Article
- Erasing Identity: Consequences of the Centers for Medicare & Medicaid Services's Removal of Race and Ethnicity from Kidney Health Data.Journal of the American Society of Nephrology : JASN · 2026Article
- Cost-Effectiveness of Acceptable-Quality Deceased Donor Kidneys for Transplant in Older Candidates.JAMA network open · 2026Article
- Social determinants of health and pediatric kidney transplant outcomes.Pediatric nephrology (Berlin, Germany) · 2025Article
- Forging a path toward kidney transplant equity through multilevel interventions.Current opinion in organ transplantation · 2025Review
- Divergent Trends by Patient Age in Racial Disparities in Kidney Transplant Access.Kidney international reports · 2025Article
- Equity and the operational considerations of the kidney transplant allocation system.Current opinion in organ transplantation · 2025Review
- Multifaceted Intervention to Improve Graft Outcome Disparities in African American Kidney Transplants (MITIGAAT Study): Protocol for a Randomized Controlled Trial.JMIR research protocols · 2024Article
- Association of Race and Ethnicity With High Longevity Deceased Donor Kidney Transplantation Under the US Kidney Allocation System.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2024Observational
- Identifying when racial and ethnic disparities arise along the continuum of transplant care: a national registry study.Lancet regional health. Americas · 2024Article
- Care of Adults with Advanced Chronic Kidney Disease.Journal of clinical medicine · 2024Review
- Lost in Transplantation: Characterizing Racial Gaps in Physician Organ Offer Acceptance.medRxiv : the preprint server for health sciences · 2024Article
- Implementation of the ASCENT Trial to Improve Transplant Waitlisting Access.Kidney international reports · 2024Article
- Geographic Differences in Racial Disparities in Access to Kidney Transplantation.Kidney international reports · 2023Article
- Promoting Equity In Clinical Decision Making: Dismantling Race-Based Medicine.Health affairs (Project Hope) · 2023Article
- Race, Age, and Kidney Transplant Waitlisting Among Patients Receiving Incident Dialysis in the United States.Kidney medicine · 2023Article
- Increased volume of organ offers and decreased efficiency of kidney placement under circle-based kidney allocation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023Article
- Sociodemographic Variables in Canadian Organ Donation Organizations: A Health Information Survey.Transplantation direct · 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
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
The impact of a new national kidney allocation system (KAS) on access to the national deceased-donor waiting list (waitlisting) and racial/ethnic disparities in waitlisting among US end-stage renal disease (ESRD) patients is unknown. We examined waitlisting pre- and post-KAS among incident (N = 1 253 100) and prevalent (N = 1 556 954) ESRD patients from the United States Renal Data System database (2005-2015) using multivariable time-dependent Cox and interrupted time-series models. The adjusted waitlisting rate among incident patients was 9% lower post-KAS (hazard ratio [HR]: 0.91; 95% confidence interval [CI], 0.90-0.93), although preemptive waitlisting increased from 30.2% to 35.1% (P < .0001). The waitlisting decrease is largely due to a decline in inactively waitlisted patients. Pre-KAS, blacks had a 19% lower waitlisting rate vs whites (HR: 0.81; 95% CI, 0.80-0.82); following KAS, disparity declined to 12% (HR: 0.88; 95% CI, 0.85-0.90). In adjusted time-series analyses of prevalent patients, waitlisting rates declined by 3.45/10 000 per month post-KAS (P < .001), resulting in ≈146 fewer waitlisting events/month. Shorter dialysis vintage was associated with greater decreases in waitlisting post-KAS (P < .001). Racial disparity reduction was due in part to a steeper decline in inactive waitlisting among minorities and a greater proportion of actively waitlisted minority patients. Waitlisting and racial disparity in waitlisting declined post-KAS; however, disparity remains.
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Registered trials
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.