ArticleTransplantation2020
Enhanced Advocacy and Health Systems Training Through Patient Navigation Increases Access to Living-donor Kidney Transplantation.
Article in Transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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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.
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.
Who cites it
18 citing papers in PubMed, 38 citations in OpenAlex.
- Randomized Controlled Trial of a Digital Intervention (KidneyTIME) to Promote Live Donor Kidney Transplantation.Clinical transplantation · 2026Trial
- Patients' Attitudes on the Use of Expanded Outreach to Find a Kidney Donor: A Mixed-Methods Study.Kidney medicine · 2026Article
- Transplant House Calls Plus Peer Mentorship: Assessing Impact on Living Donor Kidney Transplant Access and Patient-Reported Outcomes for Black Patients.Journal of racial and ethnic health disparities · 2026Article
- From Evidence to Action in Living Kidney Donor Transplantation.Kidney360 · 2026Article
- Factors Associated With Willingness to Become a Living Organ Donor.JAMA network open · 2025Article
- Policy innovations to advance equity in solid organ transplantation.Lancet (London, England) · 2025Review
- Experiential Evidence of Systemic Racism for Indigenous Peoples Navigating Transplantation in Canada.Kidney international reports · 2025Article
- Determining Predictors of Actual Living Kidney Donation Based on Potential Donor Characteristics.Clinical transplantation · 2024Article
- A Transplant-Inclusive Value-Based Kidney Care Payment Model.Kidney international reports · 2024Review
- Relationship of Social Deprivation Among Living Kidney Donor-Recipient Pairs.Transplantation direct · 2024Article
- Interpersonal Connections Are Important for Virtual Kidney Transplant Educational Program Development.Progress in transplantation (Aliso Viejo, Calif.) · 2023Article
- Racial Equity in Living Donor Kidney Transplant Centers, 2008-2018.JAMA network open · 2023Article
- Social network interventions to reduce race disparities in living kidney donation: Design and rationale of the friends and family of kidney transplant patients study (FFKTPS).Clinical transplantation · 2023Article
- Patient Navigators for CKD and Kidney Failure: A Systematic Review.Kidney medicine · 2022Article
- Greater community vulnerability is associated with poor living donor navigator program fidelity.Surgery · 2022Article
- Donor-reported barriers to living kidney donor follow-up.Clinical transplantation · 2022Article
- Mandating COVID-19 vaccination prior to kidney transplantation in the United States: No solutions, only decisions.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2022Article
- Self-advocacy is associated with lower likelihood of living donor kidney transplantation.American journal of surgery · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundTo date, no living donation program has simultaneously addressed the needs of both transplant candidates and living donors by separating the advocacy role from the candidate and improving potential donor comfort with the evaluation process. We hypothesized that the development of a novel program designed to promote both advocacy and systems training among transplant candidates and their potential living kidney donors would result in sustained increases in living-donor kidney transplantation (LDKT). To this end, we developed and implemented a Living Donor Navigator (LDN) Program at the University of Alabama at Birmingham.
methodsWe included adult patients awaiting kidney-only transplant in a retrospective cohort analysis. Using time-varying Cox proportional hazards regression, we explored likelihood of living donor screening and approval by participation in the LDN program.
resultsThere were 56 LDN participants and 1948 nonparticipants (standard of care). LDN was associated with a 9-fold increased likelihood of living donor screenings (adjusted hazard ratio, 9.27; 95% confidence interval, 5.97-14.41, P < 0.001) and a 7-fold increased likelihood of having an approved living donor (adjusted hazard ratio, 7.74; 95% confidence interval, 3.54-16.93; P < 0.001) compared with the standard of care. Analyses by participant race demonstrated higher likelihood of screened donors and a similar likelihood of having an approved donor among African Americans compared with Caucasians.
conclusionsThese data suggest that both advocacy and systems training are needed to increase actual LDKT rates, and that LDN programs may mitigate existing racial disparities in access to LDKT.
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Registered trials
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.