Evidence map›Paper›PMID 31242862›Full record

SynthesisBMC nephrology2019

Inequalities and outcomes: end stage kidney disease in ethnic minorities.

Emma Wilkinson, Alison Brettle, Muhammad Waqar, Gurch Randhawa

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC nephrology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 16% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Factors Influencing Kidney Transplantation Experiences for Patients From Culturally and Linguistically Diverse Backgrounds: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  12. Impact of Asian and Black Donor and Recipient Ethnicity on the Outcomes After Deceased Donor Kidney Transplantation in the United Kingdom.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  13. Review
  14. Review
  15. Article
  16. Care processes and outcomes of deprivation across the clinical course of kidney disease: findings from a high-income country with universal healthcare.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2023
    Article
  17. Equity in Transplantation Access in Nepal: An Analysis of Gender, Geographic, and Caste-Based Disparities in Transplants.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Observational
  18. Genetic Variants ofKidney international reports · 2022
    Article
  19. Article
  20. Review
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

4 authors at 2 institutions in 1 country.

Emma WilkinsonInstitute for Health Research, University of Bedfordshire, Luton, Bedfordshire, UK.
Alison BrettleSchool of Health and Society, University of Salford, Manchester, UK.
Muhammad WaqarInstitute for Health Research, University of Bedfordshire, Luton, Bedfordshire, UK.
Gurch RandhawaInstitute for Health Research, University of Bedfordshire, Luton, Bedfordshire, UK. gurch.randhawa@beds.ac.uk.ORCID 0000-0002-2289-5859
University of Bedfordshire · GBUniversity of Salford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe international evidence about outcomes of End Stage Kidney Disease (ESKD) for ethnic minorities was reviewed to identify gaps and make recommendations for researchers and policy makers.

methodsNine databases were searched systematically with 112 studies from 14 different countries included and analysed to produce a thematic map of the literature.

resultsReviews (n = 26) highlighted different mortality rates and specific causes between ethnic groups and by stage of kidney disease associated with individual, genetic, social and environmental factors. Primary studies focussing on uptake of treatment modalities (n = 19) found ethnic differences in access. Research evaluating intermediate outcomes and quality of care in different treatment phases (n = 35) e.g. dialysis adequacy, transplant evaluation and immunosuppression showed ethnic minorities were disadvantaged. This is despite a survival paradox for some ethnic minorities on dialysis seen in studies of longer term outcomes (n = 29) e.g. in survival time post-transplant and mortality. There were few studies which focussed on end of life care (n = 3) and ethnicity. Gaps identified were: limited evidence from all stages of the ESKD pathway, particularly end of life care; a lack of system oriented studies with a reliance on national routine datasets which are limited in scope; a dearth of qualitative studies; and a lack studies from many countries with limited cross country comparison and learning.

conclusionsDifferences between ethnic groups occur at various points and in a variety of outcomes throughout the kidney care system. The combination of individual factors and system related variables affect ethnic groups differently indicating a need for culturally intelligent policy informed by research to prevent disadvantage.

Indexed as

EthnicityMinority GroupsSocioeconomic FactorsHumansKidney Failure, ChronicRenal DialysisTreatment OutcomeEthnic minoritiesInequalitiesKidney diseaseReviewScoping

Identifiers

PMID31242862
PMCPMC6595597
OpenAlexW2956089506

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.