Evidence map›Paper›PMID 32808730›Full record

ArticleAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2021

Kidney transplant program waitlisting rate as a metric to assess transplant access.

Sudeshna Paul, Taylor Melanson, Sumit Mohan, Katherine Ross-Driscoll, Laura McPherson, Raymond Lynch, Denise Lo, Stephen O Pastan, Rachel E Patzer

Abstract read
In one paragraph

Article in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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 · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Sudeshna PaulNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-1113-7200
Taylor MelansonDepartment of Surgery, Division of Transplantation, Emory University School of Medicine, Atlanta, Georgia, USA.
Sumit MohanDepartment of Medicine, Vagelos College of Physicians & Surgeons, New York, New York, USA.ORCID 0000-0002-5305-9685
Katherine Ross-DriscollDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.ORCID 0000-0002-1176-3172
Laura McPhersonDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.ORCID 0000-0001-8135-1408
Raymond LynchDepartment of Surgery, Division of Transplantation, Emory University School of Medicine, Atlanta, Georgia, USA.
Denise LoDepartment of Surgery, Division of Transplantation, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0002-1302-5886
Stephen O PastanDepartment of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0003-2638-6354
Rachel E PatzerDepartment of Surgery, Division of Transplantation, Emory University School of Medicine, Atlanta, Georgia, USA.ORCID 0000-0003-2573-9963

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
J: NRSA Training CoreTL1TR002382 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Vasiliki Michopoulos · 2017 to 2026
$8.5M
Reducing Racial Disparities in Access to Kidney Transplantation: the RaDIANT Regional StudyU01MD010611 · NIMHD · EMORY UNIVERSITY · PI PATZER, RACHEL E · 2016 to 2020
$2.8M
NCATS NIH HHS TL1 TR002382NCATS NIH HHS UL1 TR002378NIMHD NIH HHS U01 MD010611NIMHD NIH HHS U01MD010611
6 · The paper itself

Abstract

Kidney transplant program performance in the United States is commonly measured by posttransplant outcomes. Inclusion of pretransplant measures could provide a more comprehensive assessment of transplant program performance and necessary information for patient decision-making. In this study, we propose a new metric, the waitlisting rate, defined as the ratio of patients who are waitlisted in a center relative to the person-years referred for evaluation to a program. Furthermore, we standardize the waitlisting rate relative to the state average in Georgia, North Carolina, and South Carolina. The new metric was used as a proof-of-concept to assess transplant-program access compared to the existing transplant rate metric. The study cohorts were defined by linking 2017 United States Renal Data System (USRDS) data with transplant-program referral data from the Southeastern United States between January 1, 2012 and December 31, 2016. Waitlisting rate varied across the 9 Southeastern transplant programs, ranging from 10 to 22 events per 100 patient-years, whereas the program-specific waitlisting rate ratio ranged between 0.76 and 1.33. Program-specific waitlisting rate ratio was uncorrelated with the transplant rate ratio (r = -.15, 95% CI, -0.83 to 0.57). Findings warrant collection of national data on early transplant steps, such as referral, for a more comprehensive assessment of transplant program performance and pretransplant access.

Indexed as

Kidney Failure, ChronicKidney TransplantationHumansNorth CarolinaReferral and ConsultationUnited StatesWaiting Listsethics and public policyhealth services and outcomes researchkidney diseasekidney transplantation/nephrologypatient referralquality of care/care deliveryregistry/registry analysisScientific Registry for Transplant Recipients (SRTR)

Identifiers

PMID32808730
PMCPMC7980228

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.