ReviewAdvances in chronic kidney disease2021
A Cascade of Structural Barriers Contributing to Racial Kidney Transplant Inequities.
Review in Advances in chronic kidney disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Health insurance and kidney transplantation outcomes in the United States: a systematic review and AI-driven analysis of disparities in access and survival.Renal failure · 2025Pooled it
- Family support and caregiver involvement are important for access to pediatric pre-emptive kidney transplantation.Pediatric nephrology (Berlin, Germany) · 2026Article
- Neighborhood Disadvantage and Dementia Risk Among Older Patients With Kidney Failure: Differences by Race/Ethnicity and Urbanicity.Kidney medicine · 2026Article
- Clinician Perspectives on Barriers and Facilitators to Abdominal Organ Transplant Access.JAMA network open · 2026Article
- Kidney Replacement Therapy Sequences: Racial/Ethnic Disparities in End-Stage Kidney Disease Patients' 10-Year Treatment Histories.Kidney medicine · 2026Article
- Addressing Unmet Needs in the Management of Chronic Kidney Disease.International journal of general medicine · 2026Review
- Residential Neighborhood Disadvantage and Access to Kidney Transplantation.JAMA network open · 2025Article
- Geospatial Insights into Access to Kidney Transplantation in Underserved Hispanic Communities.Journal of racial and ethnic health disparities · 2025Article
- Development of a natural language processing algorithm to extract social determinants of health from clinician notes.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2025Article
- Public Insurance and Language Preferences Are Associated With a Longer Time to Surgery for Distal Radius Fractures.The Journal of the American Academy of Orthopaedic Surgeons · 2025Article
- Embedding Equity and Inclusion Principles Into Nephrology Board Examinations: An Essential Part of Our Path Toward Kidney Health Justice.Advances in kidney disease and health · 2025Review
- Sociodemographic Barriers to Starting the Kidney Transplantation Evaluation Process and Waitlisting in the Ohio River Valley.American journal of nephrology · 2025Article
- Relationships, race/ethnicity, gender, age, and living kidney donation evaluation willingness.Transplant immunology · 2024Article
- Disparities Persist Among Hispanic Patients: Completing Evaluation, Waitlisting, and Receiving a Kidney Transplant.Transplantation direct · 2024Article
- The Role of Peer Support for Minoritized Individuals With Kidney Disease.Kidney international reports · 2024Article
- The Determinants and Consequences of Living Donor Discussion Direction.Progress in transplantation (Aliso Viejo, Calif.) · 2023Article
- Racial Equity in Living Donor Kidney Transplant Centers, 2008-2018.JAMA network open · 2023Article
- Implementation of a culturally competentBMJ open · 2023Article
- A comparison of deprivation indices and application to transplant populations.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2023Article
- Social support criteria in vascularized composite allotransplantation versus solid organ transplantation: Should the same ethical considerations apply?Frontiers in psychology · 2022Review
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
Stark racial disparities in access to and receipt of kidney transplantation, especially living donor and pre-emptive transplantation, have persisted despite decades of investigation and intervention. The causes of these disparities are complex, are inter-related, and result from a cascade of structural barriers to transplantation which disproportionately impact minoritized individuals and communities. Structural barriers contributing to racial transplant inequities have been acknowledged but are often not fully explored with regard to transplant equity. We describe longstanding racial disparities in transplantation, and we discuss contributing structural barriers which occur along the transplant pathway including pretransplant health care, evaluation, referral processes, and the evaluation of transplant candidates. We also consider the role of multilevel socio-contextual influences on these processes. We believe focused efforts which apply an equity lens to key transplant processes and systems are required to achieve greater structural competency and, ultimately, racial transplant equity.
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Registered trials
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.