Evidence map›Paper›PMID 32026285›Full record

ArticleJournal of racial and ethnic health disparities2020

Racial/Ethnic Inequities in Access to High-Quality Dialysis Treatment in Chicago: Does Neighborhood Racial/Ethnic Composition Matter?

Haena Lee, Julia T Caldwell, Chieko Maene, Kathleen A Cagney, Milda R Saunders

Open access · greenAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  4. Quality Metrics in Dialysis: It Takes a Village.Advances in kidney disease and health · 2025
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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

5 authors at 2 institutions in 1 country.

Haena LeeLeonard Davis School of Gerontology, University of Southern California, 3715 McClintock Avenue Room 221, Los Angeles, CA, 90089-0191, USA. haenal@usc.edu.ORCID 0000-0001-5061-2564
Julia T CaldwellGeneral Internal Medicine, Department of Medicine, University of Chicago, Chicago, IL, USA.
Chieko MaeneCenter for Asian Health Equity, University of Chicago, Chicago, IL, USA.
Kathleen A CagneyDepartment of Sociology, University of Chicago, Chicago, IL, USA.
Milda R SaundersGeneral Internal Medicine, Department of Medicine, University of Chicago, Chicago, IL, USA.
University of Chicago · USUniversity of Southern California · US

Funding

RESEARCH TRAINING IN GERONTOLOGYT32AG000037 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JENNIFER A AILSHIRE, EILEEN M CRIMMINS · 1985 to 2026
$13.2M
NRSA INSTITUTIONAL TRAINING GRANTT32HS000078 · AHRQ · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HOLL, JANE LOUISE · 1998 to 2018
$5.6M
Patient Referral and Education Program prior to Renal Replacement Therapy (PREP RRT) - Resubmission 01K23DK103111 · NIDDK · UNIVERSITY OF CHICAGO · PI SAUNDERS, MILDA RENNE · 2015 to 2017
$545k
AHRQ HHS T32 HS000078NIA NIH HHS T32 AG000037NIDDK NIH HHS K23 DK103111
6 · The paper itself

Abstract

objectivesBlacks and Hispanics face a higher incidence rate of end-stage renal disease (ESRD) and tend to experience poorer access to quality health care compared with Whites. Income, education, and insurance coverage differentials are typically identified as risk factors, but neighborhood-level analyses may provide additional insights. We examine whether neighborhood racial composition contributes to racial/ethnic inequities in access to high-quality dialysis care in Chicago.

methodsData are drawn from the United States Renal Data System merged to the ESRD Quality Incentive Program file and the American Community Survey (2005-2009) for facility and neighborhood characteristics (N = 2797). Outcomes included (1) spatial access (travel time to dialysis facilities) and (2) realized access (actual use of quality care). Neighborhood racial/ethnic composition was categorized into four types: predominantly White, Black, and Hispanic neighborhoods, and racially integrated neighborhoods.

resultsBlacks lived closer to a dialysis facility but traveled the same distance to their own dialysis compared with Whites. Hispanics had longer travel time to any dialysis than Whites, and the difference between Hispanics and Whites became no longer significant after adjusting for neighborhood racial/ethnic composition. Blacks and Hispanics had better access to a high-quality facility if they lived in integrated neighborhoods (OR = 1.85 and 3.77, respectively, p < 0.01) or in neighborhoods with higher concentrations of their own race/ethnicity (OR = 1.68 for Blacks in Black neighborhoods and 1.92 for Hispanics in Hispanic neighborhoods, p < 0.05) compared with Whites in predominantly White neighborhoods.

conclusionExpanding opportunities for Blacks and Hispanics to gain access to racially integrated and minority neighborhoods may help alleviate racial/ethnic inequities in access to quality care among kidney disease patients.

Indexed as

Quality of Health CareAdolescentAdultAgedBlack or African AmericanChicagoFemaleHealthcare DisparitiesHispanic or LatinoHumansKidney Failure, ChronicMaleMiddle AgedRenal DialysisResidence CharacteristicsWhite PeopleAccess to health careNeighborhood integrationNeighborhood segregationRacial/ethnic inequitiesTravel time

Identifiers

PMID32026285
PMCPMC7787163
OpenAlexW3005374635

What OpenQuestion holds

Textmetadata
LicenceTDM
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.