Evidence map›Paper›PMID 29787519›Full record

ArticleTransplantation2018

Population Health, Ethnicity, and Rate of Living Donor Kidney Transplantation.

Rhiannon D Reed, Deirdre Sawinski, Brittany A Shelton, Paul A MacLennan, Michael Hanaway, Vineeta Kumar, Dustin Long, Robert S Gaston, Meredith L Kilgore, Bruce A Julian and 2 more

Abstract readComparative Study
In one paragraph

Article in Transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Living donor transplant: RightWorld journal of transplantation · 2025
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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

12 authors.

Rhiannon D ReedDepartment of Surgery, University of Alabama at Birmingham Comprehensive Transplant Institute, Birmingham, AL.
Deirdre SawinskiDepartment of Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Brittany A SheltonDepartment of Surgery, University of Alabama at Birmingham Comprehensive Transplant Institute, Birmingham, AL.
Paul A MacLennanDepartment of Surgery, University of Alabama at Birmingham Comprehensive Transplant Institute, Birmingham, AL.
Michael HanawayDepartment of Surgery, University of Alabama at Birmingham Comprehensive Transplant Institute, Birmingham, AL.
Vineeta KumarDivision of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Dustin LongDepartment of Biostatistics, University of Alabama at Birmingham School of Public Health, Birmingham, AL.
Robert S GastonDivision of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Meredith L KilgoreDepartment of Health Care Organization and Policy, University of Alabama at Birmingham School of Public Health, Birmingham, AL.
Bruce A JulianDivision of Nephrology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Cora E LewisDivision of Preventive Medicine, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL.
Jayme E LockeDepartment of Surgery, University of Alabama at Birmingham Comprehensive Transplant Institute, Birmingham, AL.

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BARBARA A GOWER · 2013 to 2026
$19.5M
CKD Risk Prediction among Obese Living Kidney DonorsR01DK113980 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LOCKE, JAYME ELIZABETH · 2018 to 2022
$3.4M
Long-term outcomes among living kidney donors with isolated medical abnormalitiesK23DK103918 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LOCKE, JAYME ELIZABETH · 2015 to 2019
$899k
NIDDK NIH HHS K23 DK103918NIDDK NIH HHS P30 DK079626NIDDK NIH HHS R01 DK113980
6 · The paper itself

Abstract

backgroundLiving donor kidney transplantation has declined in the United States since 2004, but the relationship between population characteristics and rate of living donation is unknown. The goal of our study was to use data on general population health and socioeconomic status to investigate the association with living donation.

methodsThis cross-sectional, ecological study used population health and socioeconomic status data from the CDC Behavioral Risk Factor Surveillance System to investigate the association with living donation. Transplant centers performing 10 or greater kidney transplants reported to the Scientific Registry of Transplant Recipients in 2015 were included. Center rate of living donation was defined as the proportion of all kidney transplants performed at a center that were from living donors.

resultsIn a linear mixed-effects model, a composite index of health and socioeconomic status factors was negatively associated with living donation, with a rate of living donation that was on average 7.3 percentage points lower among centers in areas with more comorbid disease and poorer socioeconomic status (95% confidence interval, -12.2 to -2.3, P = 0.004). Transplant centers in areas with higher prevalence of minorities had a rate of living donation that was 7.1 percentage points lower than centers with fewer minorities (95% confidence interval, -11.8 to -2.3, P = 0.004).

conclusionsCenter-level variation in living donation was associated with population characteristics and minority prevalence. Further examination of these factors in the context of patient and center-level barriers to living donation is warranted.

Indexed as

EthnicityMinority GroupsPopulation HealthAgedComorbidityCross-Sectional StudiesFemaleHealth Knowledge, Attitudes, PracticeHealth StatusHumansKidney TransplantationLiving DonorsMaleMiddle AgedMinority HealthPrevalence

Identifiers

PMID29787519
PMCPMC6249044

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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.