ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2020
Association of sociocultural factors with initiation of the kidney transplant evaluation process.
Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed.
- Healthcare-Related Sociocultural Factors, Racial Disparities, and Kidney Transplant Outcomes in the Kidney Transplant Fast Track Program.Clinical transplantation · 2026Observational
- Education Intervention for Evaluation and Living Donor Kidney Transplantation: A randomized trial.medRxiv : the preprint server for health sciences · 2026Article
- Understanding the Role of Trust in Healthcare and Intentions to Pursue Live Donor Kidney Transplant Among African American End Stage Kidney Disease Patients.Journal of racial and ethnic health disparities · 2026Article
- Healthcare-related sociocultural factors, racial disparities, and kidney transplant outcomes in the Kidney Transplant Fast Track program.medRxiv : the preprint server for health sciences · 2026Article
- Association Between Primary Language and Evaluation Completion Among Kidney Transplant Candidates.Kidney medicine · 2026Article
- Non-Medical Barriers in Access to Kidney Transplantation: Perspectives from Dialysis and Transplant Center Staff Across Four US Regions.The journal of nephrology social work · 2026Article
- Forging a path toward kidney transplant equity through multilevel interventions.Current opinion in organ transplantation · 2025Review
- Divergent Trends by Patient Age in Racial Disparities in Kidney Transplant Access.Kidney international reports · 2025Article
- Policy innovations to advance equity in solid organ transplantation.Lancet (London, England) · 2025Review
- Psychosocial information sharing to improve equity in kidney transplant evaluation.Current opinion in organ transplantation · 2025Review
- Medical Mistrust: A Concept Analysis.Nursing reports (Pavia, Italy) · 2025Review
- Sociodemographic Barriers to Starting the Kidney Transplantation Evaluation Process and Waitlisting in the Ohio River Valley.American journal of nephrology · 2025Article
- Health Care Perceptions and a Concierge-Based Transplant Evaluation for Patients With Kidney Disease.JAMA network open · 2024Article
- The Association between Residential Segregation and Access to Kidney Transplantation: Evidence from a Multistate Cohort Study.Clinical journal of the American Society of Nephrology : CJASN · 2024Article
- Medical Distrust Among Kidney Transplant Candidates.Clinical transplantation · 2024Article
- Social Risk and Dialysis Facility Performance in the First Year of the ESRD Treatment Choices Model.JAMA · 2024Article
- Systems Connected to Inequities in Access to Kidney Transplantation and the Value of Intersectionality.Transplant international : official journal of the European Society for Organ Transplantation · 2024Article
- The Determinants and Consequences of Living Donor Discussion Direction.Progress in transplantation (Aliso Viejo, Calif.) · 2023Article
- Race, Age, and Kidney Transplant Waitlisting Among Patients Receiving Incident Dialysis in the United States.Kidney medicine · 2023Article
- Breaking Barriers and Bridging Gaps: Advancing Diversity, Equity, and Inclusion in Kidney Transplant Care for Black and Hispanic Patients in the United States.Transplant international : official journal of the European Society for Organ Transplantation · 2023Review
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Authors and funding
12 authors.
Funding
Abstract
Although research shows that minorities exhibit higher levels of medical mistrust, perceived racism, and discrimination in healthcare settings, the degree to which these underlying sociocultural factors preclude end-stage renal disease (ESRD) patients from initiating kidney transplant evaluation is unknown. We telephone surveyed 528 adult ESRD patients of black or white race referred for evaluation to a Georgia transplant center (N = 3) in 2014-2016. We used multivariable logistic regression to examine associations between sociocultural factors and evaluation initiation, adjusting for demographic, clinical, and socioeconomic characteristics. Despite blacks (n = 407) reporting higher levels of medical mistrust (40.0% vs 26.4%, P < .01), perceived racism (55.5% vs 18.2%, P < .01), and experienced discrimination (29.0% vs 15.7%, P < .01) than whites (n = 121), blacks were only slightly less likely than whites to initiate evaluation (49.6% vs 57.9%, P = .11). However, after adjustment, medical mistrust (odds ratio [OR]: 0.59; 95% confidence interval [CI]: 0.39, 0.91), experienced discrimination (OR: 0.62, 95% CI: 0.41, 0.95), and perceived racism (OR: 0.61; 95% CI: 0.40, 0.92) were associated with lower evaluation initiation. Results suggest that sociocultural disparities exist in early kidney transplant access and occur despite the absence of a significant racial disparity in evaluation initiation. Interventions to reduce disparities in transplantation access should target underlying sociocultural factors, not just race.
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