Evidence map›Paper›PMID 33413873›Full record

ArticleAmerican journal of surgery2021

Self-advocacy is associated with lower likelihood of living donor kidney transplantation.

A Cozette Killian, Rhiannon D Reed, Alexis Carter, M Chandler McLeod, Brittany A Shelton, Vineeta Kumar, Haiyan Qu, Paul A MacLennan, Babak J Orandi, Robert M Cannon and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

A Cozette KillianUniversity of Alabama at Birmingham Comprehensive Transplant Institute, 701 19th Street South, LHRB 790, Birmingham, AL, 35233, USA. Electronic address: akale@uabmc.edu.
Rhiannon D ReedUniversity of Alabama at Birmingham Comprehensive Transplant Institute, 701 19th Street South, LHRB 790, Birmingham, AL, 35233, USA. Electronic address: rdeierhoi@uabmc.edu.
Alexis CarterUniversity of Alabama at Birmingham Comprehensive Transplant Institute, 701 19th Street South, LHRB 790, Birmingham, AL, 35233, USA. Electronic address: alexiscarter@uabmc.edu.
M Chandler McLeodUniversity of Alabama at Birmingham Comprehensive Transplant Institute, 701 19th Street South, LHRB 790, Birmingham, AL, 35233, USA. Electronic address: marshallcmcleod@uabmc.edu.
Brittany A SheltonUniversity of Alabama at Birmingham Comprehensive Transplant Institute, 701 19th Street South, LHRB 790, Birmingham, AL, 35233, USA. Electronic address: brittanyshelton@uabmc.edu.
Vineeta KumarUniversity of Alabama at Birmingham Comprehensive Transplant Institute, 701 19th Street South, LHRB 790, Birmingham, AL, 35233, USA. Electronic address: vkumar@uabmc.edu.
Haiyan QuUniversity of Alabama at Birmingham Comprehensive Transplant Institute, 701 19th Street South, LHRB 790, Birmingham, AL, 35233, USA. Electronic address: hyqu@uab.edu.
Paul A MacLennanUniversity of Alabama at Birmingham Comprehensive Transplant Institute, 701 19th Street South, LHRB 790, Birmingham, AL, 35233, USA. Electronic address: pmaclennan@uabmc.edu.
Babak J OrandiUniversity of Alabama at Birmingham Comprehensive Transplant Institute, 701 19th Street South, LHRB 790, Birmingham, AL, 35233, USA. Electronic address: borandi@uabmc.edu.
Robert M CannonUniversity of Alabama at Birmingham Comprehensive Transplant Institute, 701 19th Street South, LHRB 790, Birmingham, AL, 35233, USA. Electronic address: rmcannon@uabmc.edu.
Douglas AndersonUniversity of Alabama at Birmingham Comprehensive Transplant Institute, 701 19th Street South, LHRB 790, Birmingham, AL, 35233, USA. Electronic address: douglasanderson@uabmc.edu.
Michael J HanawayUniversity of Alabama at Birmingham Comprehensive Transplant Institute, 701 19th Street South, LHRB 790, Birmingham, AL, 35233, USA. Electronic address: mhanaway@uabmc.edu.
Jayme E LockeUniversity of Alabama at Birmingham Comprehensive Transplant Institute, 701 19th Street South, LHRB 790, Birmingham, AL, 35233, USA. Electronic address: jlocke@uabmc.edu.

Funding

TRAINING IN CELLULAR PHYSIOLOGY MEMBRANE TRANSPORTT32DK007545 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUTIERREZ, ORLANDO M · 1987 to 2023
$4.5M
CKD Risk Prediction among Obese Living Kidney DonorsR01DK113980 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LOCKE, JAYME ELIZABETH · 2018 to 2022
$3.4M
Short-Term Research Experiences Advancing Medical Students (STREAMS)T35DK116670 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI HERBERT CHEN, Daniel I Chu · 2019 to 2026
$371k
NIDDK NIH HHS R01 DK113980NIDDK NIH HHS T32 DK007545NIDDK NIH HHS T35 DK116670
6 · The paper itself

Abstract

backgroundThe Living Donor Navigator (LDN) Program pairs kidney transplant candidates (TC) with a friend or family member for advocacy training to help identify donors and achieve living donor kidney transplantation (LDKT). However, some TCs participate alone as self-advocates.

methodsIn this retrospective cohort study of TCs in the LDN program (04/2017-06/2019), we evaluated the likelihood of LDKT using Cox proportional hazards regression and rate of donor screenings using ordered events conditional models by advocate type.

resultsSelf-advocates (25/127) had lower likelihood of LDKT compared to patients with an advocate (adjusted hazard ratio (aHR): 0.22, 95% confidence interval (CI): 0.03-1.66, p = 0.14). After LDN enrollment, rate of donor screenings increased 2.5-fold for self-advocates (aHR: 2.48, 95%CI: 1.26-4.90, p = 0.009) and 3.4-fold for TCs with an advocate (aHR: 3.39, 95%CI: 2.20-5.24, p < 0.0001).

conclusionsAdvocacy training was beneficial for self-advocates, but having an independent advocate may increase the likelihood of LDKT.

Indexed as

Black or African AmericanDonor SelectionFemaleHealthcare DisparitiesHealth Services AccessibilityHumansKidney Failure, ChronicKidney TransplantationLiving DonorsMaleMarital StatusMiddle AgedPatient AdvocacyRetrospective StudiesSex FactorsWhite PeopleAdvocacyDisparities in LDKTLiving donor kidney transplantation (LDKT)Navigator programTransplantation

Identifiers

PMID33413873
PMCPMC8217080

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.