ArticleJournal of the American Society of Nephrology : JASN2020
Racial and Sex Disparities in Catheter Use and Dialysis Access in the United States Medicare Population.
Article in Journal of the American Society of Nephrology : JASN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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.
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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.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Gender disparity in access to care across the continuum of chronic kidney disease: a systematic review.BMC nephrology · 2026Pooled it
- Timely AVF creation in late-referral hemodialysis patients, a two-cohort study: Too late to plan, not too late to act.The journal of vascular access · 2026Article
- Article
- The Rate of Procedures Required to Maintain Hemodialysis Vascular Access: A Data Linkage Analysis.Kidney360 · 2025Article
- Is there inequity in access to health care for geriatric patients from the perspective of operation waiting time?Aging clinical and experimental research · 2025Article
- Strategies to Prevent Hemodialysis Catheter Dysfunction.Journal of the American Society of Nephrology : JASN · 2025Review
- Care Fragmentation, Social Determinants of Health, and Postoperative Mortality in Older Veterans.The Journal of surgical research · 2024Article
- Disparities in access to endovenous treatment options in chronic lower extremity superficial venous insufficiency: A national 7-year analysis.Journal of vascular surgery. Venous and lymphatic disorders · 2024Article
- Inherent Bias in Electronic Health Records: A Scoping Review of Sources of Bias.medRxiv : the preprint server for health sciences · 2024Article
- Social Risk and Dialysis Facility Performance in the First Year of the ESRD Treatment Choices Model.JAMA · 2024Article
- Arteriovenous Graft Failure in the Veterans Health Administration: Outcome Disparities Associated with Race.Radiology · 2023Article
- Addressing kidney health disparities with new national policy: the time is now.Cardiovascular diagnosis and therapy · 2023Review
- Study protocol of a randomized controlled trial of fistula vs. graft arteriovenous vascular access in older adults with end-stage kidney disease on hemodialysis: the AV access trial.BMC nephrology · 2023Article
- Vital Signs: Health Disparities in Hemodialysis-Associated Staphylococcus aureus Bloodstream Infections - United States, 2017-2020.MMWR. Morbidity and mortality weekly report · 2023Article
- Prevalence of Central Venous Stenosis among Black and White ESKD Patients with Dysfunctional Dialysis Access.Journal of health disparities research and practice · 2023Article
- Is there sex disparity in vascular access at dialysis initiation in France? A mediation analysis using data from the Renal Epidemiology and Information Network registry.Clinical kidney journal · 2022Article
- Performance of Multiple Pretrained BERT Models to Automate and Accelerate Data Annotation for Large Datasets.Radiology. Artificial intelligence · 2022Article
- Racial Disparities in Arteriovenous Fistula Use Among Hemodialysis Patients: The Role of Surgeon Supply.Kidney international reports · 2022Article
- Healthcare disparities in vascular surgery: A critical review.Journal of vascular surgery · 2021Review
- Sex-related disparities in intervention rates and type of intervention in patients with aortic and peripheral arterial diseases in the National Inpatient Sample Database.Journal of vascular surgery · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundDespite efforts to increase arteriovenous fistula and graft use, 80% of patients in the United States start hemodialysis on a central venous catheter (CVC).
methodsTo better understand in incident hemodialysis patients how sex and race/ethnicity are associated with time on a central venous catheter and transition to an arteriovenous fistula and graft, our observational cohort study analyzed US Renal Data System data for patients with incident ESKD aged ≥66 years who started hemodialysis on a CVC in July 2010 through 2013.
resultsAt 1 year, 32.7% of 74,194 patients transitioned to an arteriovenous fistula, 10.8% transitioned to an arteriovenous graft, 32.1% stayed on a CVC, and 24.5% died. Women spent a significantly longer time on a CVC than men. Compared with white patients, patients who were black, Hispanic, or of another racial/ethnicity minority spent significantly more days on a CVC. In competing risk regression, women were significantly less likely than men to transition to a fistula and more likely to transition to a graft. Compared with white patients, blacks were significantly less likely to transition to a fistula but more likely to transition to a graft, Hispanics were significantly more likely to transition to a fistula, and other races/ethnicities were significantly more likely to transition to either a fistula or a graft.
conclusionsFemale patients spend a longer time on a CVC and are less likely to transition to permanent access. Compared with white patients, minorities also spend longer time on a CVC, but are more likely to eventually transition to permanent access. Strategies to speed transition to permanent access should target groups that currently lag in this area.
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