Evidence map›Paper›PMID 34871085›Full record

ArticleHealth affairs (Project Hope)2021

Despite National Declines In Kidney Failure Incidence, Disparities Widened Between Low- And High-Poverty US Counties.

Kevin H Nguyen, Rebecca Thorsness, Shailender Swaminathan, Rajnish Mehrotra, Rachel E Patzer, Yoojin Lee, Daeho Kim, Maricruz Rivera-Hernandez, Amal N Trivedi

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

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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

9 authors.

Kevin H NguyenKevin H. Nguyen (kevin_nguyen2@brown.edu) is an investigator in the Department of Health Services, Policy, and Practice, Brown University School of Public Health, in Providence, Rhode Island.
Rebecca ThorsnessRebecca Thorsness is a research associate in the Department of Health Services, Policy, and Practice, Brown University School of Public Health, and a fellow in the Veterans Affairs New England Healthcare System, in Bedford, Massachusetts.
Shailender SwaminathanShailender Swaminathan is a professor of economics and the dean of the Division of Social Sciences at Sai University, in Chennai, India.
Rajnish MehrotraRajnish Mehrotra is the David S. and Nayda Utterberg Endowed Professor and interim head of the Division of Nephrology, University of Washington School of Medicine, in Seattle, Washington.
Rachel E PatzerRachel E. Patzer is a professor in the Department of Surgery and the Department of Epidemiology at the Emory University Rollins School of Public Health and director of the Health Services Research Center at the Emory University School of Medicine, in Atlanta, Georgia.
Yoojin LeeYoojin Lee is a biostatistician in the Department of Health Services, Policy, and Practice, Brown University School of Public Health.
Daeho KimDaeho Kim is an adjunct assistant professor in the Department of Health Services, Policy, and Practice, Brown University School of Public Health.
Maricruz Rivera-HernandezMaricruz Rivera-Hernandez is an assistant professor in the Department of Health Services, Policy, and Practice, Brown University School of Public Health.
Amal N TrivediAmal N. Trivedi is a professor in the Department of Health Services, Policy, and Practice, Brown University School of Public Health, and a research health scientist at the Providence Veterans Affairs Medical Center, in Providence, Rhode Island.

Funding

Medicaid Expansion, Coverage Loss, and Disparities in Kidney Health in the COVID-19 EraR01DK113298 · NIDDK · BROWN UNIVERSITY · PI TRIVEDI, AMAL N. · 2017 to 2023
$2.2M
AHRQ HHS T32 HS000011NIDDK NIH HHS R01 DK113298
6 · The paper itself

Abstract

National estimates suggest that kidney failure incidence is declining in the US. However, whether this trend is evident in areas with socioeconomic disadvantage is unknown. We examined trends in kidney failure incidence by county-level poverty between 2000 and 2017 and divided the study period into period 1 (2000-05), period 2 (2006-11), and period 3 (2012-17). The magnitude of disparity in kidney failure incidence between high- and low-poverty counties increased from 42.8 more incident cases per million in high-poverty counties in period 1 to 100.1 more in period 3. Despite a national decline, kidney failure incidence increased in high-poverty counties, and disparities between high- and low-poverty counties widened from 2000 to 2017. Achieving the Department of Health and Human Services objective of reducing incident kidney failure cases by 25 percent by 2030 will require focused attention on preventing kidney failure in counties with higher poverty.

Identifiers

PMID34871085
PMCPMC10076227

What OpenQuestion holds

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Registered trials

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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.