ArticleTransplantation reviews (Orlando, Fla.)2021
Non-medical barriers in access to early steps of kidney transplantation in the United States - A scoping review.
Article in Transplantation reviews (Orlando, Fla.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed.
- Clinician Perspectives on Barriers and Facilitators to Abdominal Organ Transplant Access.JAMA network open · 2026Article
- Characterizing Middle Eastern and North African Patients in US Transplant Data.Transplantation direct · 2026Article
- Pre-dialysis care and access type are associated with transplant referral, evaluation, and waitlisting.Communications medicine · 2026Article
- Regional Variation in Early Kidney Transplant Access Across Dialysis Facilities in 4 US Regions.Kidney international reports · 2026Article
- Factors influencing willingness to pursue living kidney donation among relatives of patients with kidney disease in the United States.BMC nephrology · 2026Article
- Trainee Awareness of Transplant Barriers for Undocumented Immigrants.Journal of immigrant and minority health · 2026Article
- New Tools and a Population-Based Approach to Improve Kidney Transplant Opportunity and Preemptive Waitlisting.Clinical transplantation · 2026Article
- Factors associated with transplant workup completion in a regional kidney program in Ontario, Canada: a retrospective cohort study.Frontiers in nephrology · 2026Article
- Evolving Medication Adherence in the Early Post-Kidney Transplant Period: Recipients' Lived Experiences from a Single-Center Qualitative Study in Taiwan.Patient preference and adherence · 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
- Factors Influencing Willingness to Pursue Living Kidney Donation Among Relatives of Patients with Kidney Disease in the United States.Research square · 2025Article
- Unpacking the "black box" of transplant candidate selection.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025Article
- Geospatial Insights into Access to Kidney Transplantation in Underserved Hispanic Communities.Journal of racial and ethnic health disparities · 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
- Early Steps of the Kidney Transplant Process: What Are the Experiences of Dialysis Social Workers?Clinical transplantation · 2025Article
- Language and cultural concordance to promote equity in organ transplantation for Hispanics with limited English proficiency.Current opinion in organ transplantation · 2025Review
- Review
- Lower access to kidney transplantation for women in France is not explained by comorbidities and social deprivation.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2024Article
- Setting reasonable goals for kidney transplant referral among dialysis facilities.BMC nephrology · 2024Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundIn the United States (US), barriers in access to later steps in the kidney transplantation process (i.e. waitlisting) have been well documented. Barriers in access to earlier steps (i.e. referral and evaluation) are less well described due to the lack of national surveillance data. In this review, we summarize the available literature on non-medical barriers in access to kidney transplant referral and evaluation.
methodsFollowing PRISMA guidelines, we conducted a scoping review of the literature through June 3, 2021. We included all studies (quantitative and qualitative) reporting on barriers to kidney transplant referral and evaluation in the US published from 1990 onwards in English and among adult end-stage kidney disease (ESKD) patients (PROSPERO registration number: CRD42014015027). We narratively synthesized results across studies.
resultsWe retrieved information from 33 studies published from 1990 to 2021 (reporting data between 1990 and 2018). Most studies (n = 28, 85%) described barriers among patient populations, three (9%) among provider populations, and two (6%) included both patients and providers. Key barriers were identified across multiple levels and included patient- (e.g. demographic, socioeconomic, sociocultural, and knowledge), provider- (e.g. miscommunication, staff availability, provider perceptions and attitudes), and system- (e.g. geography, distance to care, healthcare logistics) level factors.
conclusionsA multi-pronged approach (e.g. targeted and systemwide interventions, and policy change) implemented at multiple levels of the healthcare system will be necessary to reduce identified barriers in access to early kidney transplant steps. Collection of national surveillance data on these early kidney transplant steps is also needed to enhance our understanding of barriers to referral and evaluation.
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