Evidence map›Paper›PMID 30099781›Full record

ArticleClinical transplantation2018

Racial disparities in preemptive referral for kidney transplantation in Georgia.

Jennifer C Gander, Xingyu Zhang, Laura Plantinga, Sudeshna Paul, Mohua Basu, Stephen O Pastan, Eric Gibney, Erica Hartmann, Laura Mulloy, Carlos Zayas and 1 more

Abstract read
In one paragraph

Article in Clinical transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing 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

38 citing papers in PubMed.

  1. Mixed-Method, Multilevel Clustered-Randomized Control Trial for Menstrual Health Disparities.Prevention science : the official journal of the Society for Prevention Research · 2024
    Trial
  2. 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
    Article
  3. Article
  4. Article
  5. Article
  6. Competing World Views, Professional Norms, and Conscience.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2025
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. 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 · 2024
    Observational
  14. Article
  15. Article
  16. Care of Adults with Advanced Chronic Kidney Disease.Journal of clinical medicine · 2024
    Review
  17. Article
  18. Article
  19. Health Disparities in Autosomal Dominant Polycystic Kidney Disease (ADPKD) in the United States.Clinical journal of the American Society of Nephrology : CJASN · 2022
    Article
  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

11 authors.

Jennifer C GanderCenter for Research and Evaluation, Kaiser Permanente Georgia, Atlanta, Georgia.ORCID 0000-0002-4798-0750
Xingyu ZhangDivision of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
Laura PlantingaDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Sudeshna PaulNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia.
Mohua BasuDivision of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.
Stephen O PastanRenal Division, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.
Eric GibneyPiedmont Healthcare, Piedmont Transplant Institute, Atlanta, Georgia.
Erica HartmannPiedmont Healthcare, Piedmont Transplant Institute, Atlanta, Georgia.
Laura MulloyDivision of Nephrology, Department of Medicine, Augusta University, Augusta, Georgia.
Carlos ZayasDivision of Nephrology, Department of Medicine, Augusta University, Augusta, Georgia.
Rachel E PatzerDivision of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia.

Funding

Reducing Racial Disparities in Access to Kidney Transplantation: the RaDIANT Regional StudyU01MD010611 · NIMHD · EMORY UNIVERSITY · PI PATZER, RACHEL E · 2016 to 2020
$2.8M
A regionally coordinated intervention to reduce racial disparities in access to kR24MD008077 · NIMHD · EMORY UNIVERSITY · PI PATZER, RACHEL E · 2013 to 2015
$916k
Deciphering the Treatment Risks: a Decision Support Tool for Transplant CandidatesF32DK107191 · NIDDK · EMORY UNIVERSITY · PI GANDER, JENNIFER · 2016 to 2017
$103k
NIDDK NIH HHS F32 DK107191NIMHD NIH HHS R24 MD008077NIMHD NIH HHS U01 MD010611
6 · The paper itself

Abstract

backgroundRacial disparities persist in access to kidney transplantation. Racial differences in preemptive referral, or referral prior to dialysis start, may explain this discrepancy.

methodsPatient-level data on kidney transplant referrals (2005-2012) from all Georgia transplant centers were linked to the United States Renal Data System to examine racial disparities in preemptive referral, waitlisting, and living donor transplant. Adjusted logistic regression and Cox proportional hazard models determined the associations between race (African American vs white) and preemptive referral, and placement on the waitlist and receipt of a living donor kidney, respectively.

resultsAmong 7752 adults referred for transplant evaluation, 20.38% (n = 1580) were preemptively referred. The odds of African Americans being preemptively referred for transplant evaluation were 37% (OR = 0.63; [95% CI: 0.55 0.71]) lower than white patients. Among preemptively referred patients, there was no racial difference (African Americans compared to white patients. HR = 0.96; [95% CI: 0.88, 1.04]) in waitlisting. However, African Americans were 70% less likely than white patients to receive a living donor transplant (HR = 0.30; [95% CI: 0.21, 0.42]).

conclusionRacial disparities in transplant receipt may be partially explained by disparities in preemptive referral. Interventions to reduce racial disparities in kidney transplant access may need to be targeted earlier in the disease process.

Indexed as

Healthcare DisparitiesHealth Services AccessibilityWaiting ListsAdolescentAdultAgedFemaleFollow-Up StudiesHumansKidney Failure, ChronicKidney TransplantationLiving DonorsMaleMiddle AgedPrognosisReferral and Consultation

Identifiers

PMID30099781
PMCPMC6153044

What OpenQuestion holds

Textmetadata
LicenceTDM
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.