ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2020
Dialysis facility referral and start of evaluation for kidney transplantation among patients treated with dialysis in the Southeastern United States.
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 57 papers.
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Who cites it
57 citing papers in PubMed.
- Leveraging Natural Language Processing to Identify Variation in Kidney Transplant Access.Kidney international reports · 2026Article
- Characterizing Middle Eastern and North African Patients in US Transplant Data.Transplantation direct · 2026Article
- Promoting Transplant Access Through Dialysis Facility Performance Metrics: A Double-Edged Sword.Health services research · 2026Article
- Pre-dialysis care and access type are associated with transplant referral, evaluation, and waitlisting.Communications medicine · 2026Article
- Gaps in Dialysis Staff Knowledge of the Kidney Transplantation Process.Kidney international reports · 2026Article
- Regional Variation in Early Kidney Transplant Access Across Dialysis Facilities in 4 US Regions.Kidney international reports · 2026Article
- What is Medicare Advantage and Why is it the Most Important Contemporary Policy Affecting Kidney Disease?American journal of kidney diseases : the official journal of the National Kidney Foundation · 2026Review
- Association Between Sex and Kidney Transplant Referral, Living Donor Contacts, Waitlisting and Kidney Transplant: A Population-Based Cohort Study.Canadian journal of kidney health and disease · 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
- Barriers Limiting Equity in Access to Pretransplant Evaluation Among Predialysis Patients: A Cohort Study.Transplantation direct · 2025Article
- Variation of eGFR Wait Time Modifications for Black Kidney Transplant Candidates in the United States.Journal of the American Society of Nephrology : JASN · 2025Article
- Effect of pre-end-stage kidney disease nephrology care on the association between neighborhood poverty and referral for kidney transplantation among patients with end-stage kidney disease.Journal of clinical epidemiology · 2025Article
- Divergent Trends by Patient Age in Racial Disparities in Kidney Transplant Access.Kidney international reports · 2025Article
- Dialysis Preparedness and Access to the Transplant Waitlist: Evidence From a National United States Cohort Study.Kidney international reports · 2025Article
- Sex and Gender Disparities in Kidney Transplantation.Advances in kidney disease and health · 2025Review
- Early Steps of the Kidney Transplant Process: What Are the Experiences of Dialysis Social Workers?Clinical transplantation · 2025Article
- Transforming transplantation access: A federal directive for comprehensive pre-waitlisting data collection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025Article
- Equity and the operational considerations of the kidney transplant allocation system.Current opinion in organ transplantation · 2025Review
- Disentangling Dialysis Facility and Transplant Center Factors on Evaluation Start Following Referral for Kidney Transplantation: A Regional Study in the United States.Kidney medicine · 2025Article
- Evaluating Challenges in Access To Transplantation for Persons with HIV.Current HIV/AIDS reports · 2025Review
Corrections and comments
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Authors and funding
13 authors.
Funding
Abstract
Variability in transplant access exists, but barriers to referral and evaluation are underexplored due to lack of national surveillance data. We examined referral for kidney transplantation evaluation and start of the evaluation among 34 857 incident, adult (18-79 years) end-stage kidney disease patients from 690 dialysis facilities in the United States Renal Data System from January 1, 2012 through August 31, 2016, followed through February 2018 and linked data to referral and evaluation data from nine transplant centers in Georgia, North Carolina, and South Carolina. Multivariable-adjusted competing risk analysis examined each outcome. The median within-facility cumulative percentage of patients referred for kidney transplantation within 1 year of dialysis at the 690 dialysis facilities in Network 6 was 33.7% (interquartile range [IQR]: 25.3%-43.1%). Only 48.3% of referred patients started the transplant evaluation within 6 months of referral. In multivariable analyses, factors associated with referral vs evaluation start among those referred at any time differed. For example, black, non-Hispanic patients had a higher rate of referral (hazard ratio [HR]: 1.22; 95% confidence interval [CI]: 1.18-1.27), but lower evaluation start among those referred (HR: 0.93; 95% CI: 0.88-0.98), vs white non-Hispanic patients. Barriers to transplant varied by step, and national surveillance data should be collected on early transplant steps to improve transplant access.
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