Evidence map›Paper›PMID 30093455›Full record

ArticleJournal of the American Society of Nephrology : JASN2018

Race, Ethnicity, and End-of-Life Care in Dialysis Patients in the United States.

Robert N Foley, Donal J Sexton, Paul Drawz, Areef Ishani, Scott Reule

Abstract read
In one paragraph

Article in Journal of the American Society of Nephrology : JASN, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  5. Where Do Patients With Cirrhosis Die? A CDC WONDER Analysis From 1999 to 2020.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Article
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  7. Racial and Ethnic Disparities in Intensity of Care at the End of Life for Patients With Lung Cancer: A 13-Year Population-Based Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Article
  8. Article
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  11. Temporal changes and risk factors for death from early withdrawal within 12 months of dialysis initiation-a cohort study.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2022
    Article
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  19. The Impact of Inflammatory Profile on Selenium Levels in Hemodialysis Patients.Anti-inflammatory & anti-allergy agents in medicinal chemistry · 2020
    Observational
  20. 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

5 authors.

Robert N FoleyDepartment of Medicine, University of Minnesota, Minneapolis, Minnesota; robfoley@umn.org.
Donal J SextonDivision of Medicine, National University of Ireland, University College Galway, Galway, Ireland; and.
Paul DrawzDepartment of Medicine, University of Minnesota, Minneapolis, Minnesota.
Areef IshaniDivision of Medicine, Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota.
Scott ReuleDivision of Medicine, Minneapolis Veterans Affairs Health Care System, Minneapolis, Minnesota.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnd-of-life care is a prominent consideration in patients on maintenance dialysis, especially when death appears imminent and quality of life is poor. To date, examination of race- and ethnicity-associated disparities in end-of-life care for patients with ESRD has largely been restricted to comparisons of white and black patients.

methodsWe performed a retrospective national study using United States Renal Data System files to determine whether end-of-life care in United States patients on dialysis is subject to racial or ethnic disparity. The primary outcome was a composite of discontinuation of dialysis and death in a nonhospital or hospice setting.

resultsAmong 1,098,384 patients on dialysis dying between 2000 and 2014, the primary outcome was less likely in patients from any minority group compared with the non-Hispanic white population (10.9% versus 22.6%,

conclusionsThere appear to be substantial race- and ethnicity-based disparities in end-of-life care practices for United States patients receiving dialysis.

Indexed as

Outcome Assessment, Health CareAgedBlack or African AmericanCause of DeathCohort StudiesFemaleHealthcare DisparitiesHispanic or LatinoHumansIncidenceKidney Failure, ChronicMaleMedicareMiddle AgedMinority GroupsOdds Ratiodialysisdisparityend-of-lifeend stage kidney diseaseethnicityrace

Identifiers

PMID30093455
PMCPMC6115657

What OpenQuestion holds

Textmetadata
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.