Evidence map›Paper›PMID 29945305›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2018

Patients prioritize waitlist over posttransplant outcomes when evaluating kidney transplant centers.

Syed Ali Husain, Corey Brennan, Ariane Michelson, Demetra Tsapepas, Rachel E Patzer, Jesse D Schold, Sumit Mohan

Abstract read
In one paragraph

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 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Trends in Survival for Adult Organ Transplantation.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
    Article
  10. Article
  11. Kidney transplant program waitlisting rate as a metric to assess transplant access.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  12. Article
  13. Trends in Transplantation Center Use of Kidneys From Deceased Donors With Positive Hepatitis C Virus Nucleic Acid Testing.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2020
    Article
  14. Article
  15. Article
  16. Association of Kidney Transplant Center Volume With 3-Year Clinical Outcomes.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2019
    Article
  17. Article
  18. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Syed Ali HusainDepartment of Medicine, Division of Nephrology, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, USA.ORCID 0000-0002-1823-0117
Corey BrennanDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Ariane MichelsonDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Demetra TsapepasThe Columbia University Renal Epidemiology (CURE) Group, New York, NY, USA.
Rachel E PatzerDepartment of Surgery, Emory University School of Medicine, Atlanta, GA, USA.
Jesse D ScholdDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
Sumit MohanDepartment of Medicine, Division of Nephrology, Columbia University Vagelos College of Physicians & Surgeons, New York, NY, USA.ORCID 0000-0002-5305-9685

Funding

5/14 APOL1 Long-term Kidney Transplantation Outcomes Network (APOLLO) Clinical CenterU01DK116066 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI Sumit Mohan, Deirdre Sawinski · 2017 to 2026
$2.5M
Increasing Minority Population Awareness through Community Teaching for Improved Organ Donation (IMPACT for Improved Organ Donation)R01DK114893 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MOHAN, SUMIT · 2017 to 2021
$1.2M
NIDDK NIH HHS R01 DK114893NIDDK NIH HHS R01-DK114893-01NIDDK NIH HHS U01 DK116066NIDDK NIH HHS U01-DK116066-01
6 · The paper itself

Abstract

Factors that patients value when choosing a transplant center have not been well studied. In order to guide the improvement of patient-facing materials, we conducted an anonymous electronic survey of patients that assessed the relative importance of patient experience, practical considerations, transplant center reputation, center experience, and waitlist when selecting a transplant center. A total of 409 respondents completed the survey, of whom 68% were kidney transplant recipients and 32% had chronic kidney disease or were on dialysis. Participants had mean age 56 ± 12 years and were predominantly female (61%), white (79%), and had an associate's degree or higher (68%). Participants most often prioritized waitlist when evaluating transplant centers (transplanted 26%, chronic kidney disease 40%), and waitlist was almost twice as likely as outcomes to be ranked most important (30% vs 17%). Education level and transplant status were significantly associated with factors used for center prioritization. Waitlisted respondents most commonly (48%) relied on physicians for information when selecting a center, while a minority cited transplant-specific organizations. In order to improve shared decision-making, materials outlining center-specific waitlist features should be prioritized. Novel patient-oriented metrics for measuring transplant center quality that align with patient priorities must be explored.

Indexed as

Patient PreferenceAdolescentAdultAgedFemaleFollow-Up StudiesGraft RejectionGraft SurvivalHumansKidney TransplantationMaleMiddle AgedPostoperative ComplicationsPrognosisRenal DialysisSurvival Rateclinical research/practicehealth services and outcomes researchkidney transplantation/nephrologyorgan procurement organizationpatient characteristicsquality of care/care deliveryScientific Registry for Transplant Recipients (SRTR)social sciences

Identifiers

PMID29945305
PMCPMC6314030

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.