Evidence map›Paper›PMID 30541404›Full record

ArticleProgress in transplantation (Aliso Viejo, Calif.)2019

A National Survey of Transplant Surgeons and Nephrologists on Implementing

Elisa J Gordon, Catherine Wicklund, Jungwha Lee, Richard R Sharp, John Friedewald

Open access · bronzeAbstract read
In one paragraph

Article in Progress in transplantation (Aliso Viejo, Calif.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Contextual factors of implementing APOL1 genetic testing into living kidney donor clinical evaluation.Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Opinions of African American adults about the use of apolipoprotein L1 (ApoL1) genetic testing in living kidney donation and transplantation.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  15. Article
  16. Apolipoprotein L1: role in the evaluation of kidney transplant donors.Current opinion in nephrology and hypertension · 2020
    Article
  17. Variation ofProgress in transplantation (Aliso Viejo, Calif.) · 2020
    Article
  18. Article
  19. African American Living Donors' Attitudes About APOL1 Genetic Testing: A Mixed Methods Study.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2018
    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 at 2 institutions in 1 country.

Elisa J GordonDivision of Transplantation, Department of Surgery, Center for Healthcare Studies, Center for Bioethics and Medical Humanities, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID 0000-0003-0969-1998
Catherine WicklundCenter for Genetic Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Jungwha LeeDepartment of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Richard R SharpBiomedical Ethics Research Program Mayo Clinic, Rochester, MN, USA.
John FriedewaldNorthwestern University Feinberg School of Medicine, Chicago, IL, USA.
Northwestern University · USMayo Clinic in Florida · US

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Ethical and Sociocultural Implications of Genetic Testing in TransplantationR03AI126090 · NIAID · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GORDON, ELISA J · 2016 to 2017
$156k
NCATS NIH HHS UL1 TR001422NIAID NIH HHS R03 AI126090
6 · The paper itself

Abstract

introductionThere is debate over whether Apolipoprotein L1 (APOL1) gene risk variants contribute to African American (AA) live donors' (LD) increased risk of kidney failure. Little is known about factors influencing physicians' integration of APOL1 genetic testing of AA LDs into donor evaluation.

designWe conducted a cross-sectional survey, informed by Roger's Diffusion of Innovations theory, among nephrology and surgeon members of the American Society of Nephrology, American Society of Transplantation, and American Society of Transplant Surgeons about their practices of and attitudes about APOL1 genetic testing of AA potential LDs. Descriptive statistics and bivariate analyses were performed.

resultsOf 383 completed surveys, most physicians believed that APOL1 testing can help AA LDs make more informed donation decisions (87%), and the addition of APOL1 testing offers better clinical information about AA LD's eligibility for donation than existing evaluation approaches (74%). Among respondents who evaluate LDs (n = 345), 63% would definitely or probably begin or continue using APOL1 testing in the next year, however, few use APOL1 testing routinely (4%) or on a case-by-case basis (14%). Most did not know the right clinical scenario to order APOL1 testing (59%), but would use educational materials to counsel AA LDs about APOL1 testing (97%). DISCUSSION: Although physicians were highly supportive of APOL1 genetic testing for AA LDs, few physicians use APOL1 testing. As more physicians intend to use APOL1 testing, an ethical framework and clinical decision support are needed presently to assist clinicians in clarifying the proper indication of APOL1 genetic testing.

Indexed as

Genetic TestingKidney TransplantationLiving DonorsPractice Patterns, Physicians'AdultAgedApolipoprotein L1Black or African AmericanCross-Sectional StudiesFemaleHumansMaleMiddle AgedNephrologistsSurgeonsSurveys and QuestionnairesAPOL1 protein, humanApolipoprotein L1African Americanclinical practicediffusion of innovationsethicsgenetic testinghealth disparitiesinformed consentkidney transplantationliving donation

Identifiers

PMID30541404
PMCPMC9527710
OpenAlexW2903875130

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.