Evidence map›Paper›PMID 29650714›Full record

ArticleClinical journal of the American Society of Nephrology : CJASN2018

Awareness of Racial Disparities in Kidney Transplantation among Health Care Providers in Dialysis Facilities.

Joyce J Kim, Mohua Basu, Laura Plantinga, Stephen O Pastan, Sumit Mohan, Kayla Smith, Taylor Melanson, Cam Escoffery, Rachel E Patzer

Abstract read
In one paragraph

Article in Clinical journal of the American Society of Nephrology : CJASN, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. 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 · 2026
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  11. Implementing culturally competent transplant care and implications for reducing health disparities: A prospective qualitative study.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
  12. Article
  13. Article
  14. Association of sociocultural factors with initiation of the kidney transplant evaluation process.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Article
  15. Article
  16. Patients prioritize waitlist over posttransplant outcomes when evaluating kidney transplant centers.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2018
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  17. Article
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Joyce J KimDivision of Transplantation, Department of Surgery and.
Mohua BasuDivision of Transplantation, Department of Surgery and.
Laura PlantingaDivision of Renal Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.ORCID 0000-0003-0809-8981
Stephen O PastanDivision of Renal Medicine, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Sumit MohanDivision of Nephrology, Department of Medicine, College of Physicians and Surgeons and.ORCID 0000-0002-5305-9685
Kayla SmithDivision of Transplantation, Department of Surgery and.
Taylor MelansonDepartments of Health Policy Management.
Cam EscofferyBehavioral Sciences and Health Education, and.
Rachel E PatzerDivision of Transplantation, Department of Surgery and.

Funding

Evaluation of Racial Disparities in Access to Kidney Transplantation in New National Kidney Allocation PolicyR01MD010290 · NIMHD · EMORY UNIVERSITY · PI PATZER, RACHEL E · 2015 to 2019
$2.6M
NIMHD NIH HHS R01 MD010290
6 · The paper itself

Abstract

BACKGROUND AND

objectivesDespite the important role that health care providers at dialysis facilities have in reducing racial disparities in access to kidney transplantation in the United States, little is known about provider awareness of these disparities. We aimed to evaluate health care providers' awareness of racial disparities in kidney transplant waitlisting and identify factors associated with awareness. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: We conducted a cross-sectional analysis of a survey of providers from low-waitlisting dialysis facilities (

resultsAmong 655 providers surveyed, 19% were aware of the national racial disparity in waitlisting: 50% (57 of 113) of medical directors, 11% (35 of 327) of nurse managers, and 16% (35 of 215) of other providers. In analyses adjusted for provider and facility characteristics, nurse managers (versus medical directors; odds ratio, 7.33; 95% confidence interval, 3.35 to 16.0) and white providers (versus black providers; odds ratio, 2.64; 95% confidence interval, 1.39 to 5.02) were more likely to be unaware of a national racial disparity in waitlisting. Facilities in the South (versus the Northeast; odds ratio, 3.05; 95% confidence interval, 1.04 to 8.94) and facilities with a low percentage of blacks (versus a high percentage of blacks; odds ratio, 1.86; 95% confidence interval, 1.02 to 3.39) were more likely to be unaware. One quarter of facilities had >5% racial difference in waitlisting within their own facilities, but only 5% were aware of the disparity.

conclusionsAmong a limited sample of dialysis facilities with low waitlisting, provider awareness of racial disparities in kidney transplant waitlisting was low, particularly among staff who may have more routine contact with patients.

Indexed as

Healthcare DisparitiesHealth PersonnelKidney TransplantationRenal DialysisWaiting ListsAdultAwarenessBlack or African AmericanCross-Sectional StudiesFemaleHumansMaleMiddle AgedAfrican AmericansAwarenessCensusesCross-sectional StudiesdialysisESKDESRDHumanskidneyKidney Failure, Chronickidney transplantationNurse Administratorsorgan transplantPerceptionPhysician Executivesrenal dialysisSurveys and QuestionnairestransplantationUnited StatesUnited States Renal Data System

Identifiers

PMID29650714
PMCPMC5969478

What OpenQuestion holds

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Registered trials

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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.