ArticlePediatric nephrology (Berlin, Germany)2023
Language barriers and kidney transplantation in children.
Article in Pediatric nephrology (Berlin, Germany), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 9 citations in OpenAlex.
- Beyond biological risk: socioeconomic vulnerability and adverse pediatric kidney transplant outcomes.Pediatric nephrology (Berlin, Germany) · 2026Article
- Local environment, socioeconomic status, and health literacy: key modifiers of adherence in pediatric nephrology.Pediatric nephrology (Berlin, Germany) · 2026Review
- Language barriers in acute care in pediatric traumatology - Level 1 trauma center analysis.European journal of pediatrics · 2026Article
- Language preference and acute care utilization in the first year after pediatric kidney transplant.Pediatric nephrology (Berlin, Germany) · 2026Article
- Association Between Primary Language and Evaluation Completion Among Kidney Transplant Candidates.Kidney medicine · 2026Article
- Social determinants of health and pediatric kidney transplant outcomes.Pediatric nephrology (Berlin, Germany) · 2025Article
- Language and cultural concordance to promote equity in organ transplantation for Hispanics with limited English proficiency.Current opinion in organ transplantation · 2025Review
- Progress made toward equitable transplantation in children and young adults with kidney disease.Pediatric nephrology (Berlin, Germany) · 2024Review
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundUnderstanding disparities in pediatric kidney transplants is important to provide equitable care. We compared transplant outcomes between English-speaking (ES) and interpreter-needing (IN) pediatric kidney transplant recipients.
methodsThrough retrospective review, primary kidney transplant recipients, 0-21 years transplanted between 2005 and 2019, were divided into ES and IN cohorts. Continuous and categorical variables were compared using Wilcoxon rank-sum, Welch two-sample t-test, and chi-squared analyses. Patient survival, graft survival, and rejection-free survival were evaluated using Kaplan-Meier methods and Cox regression. Days hospitalized were evaluated using negative binomial regression.
resultsOur sample included 211 ES and 37 IN transplant recipients. Compared with the ES, the IN cohort was older at transplant (14.56 vs. 11.03 years; p < 0.01), had more time between kidney failure and transplant (0.9 vs. 0.3 years; p < 0.01), and more often received deceased over living donor transplants (78.4% vs. 30.4%; p < 0.01). Multivariate Cox proportional-hazard models evaluating adjusted 5-year patient survival demonstrated decreased 5-year post-transplant survival in the IN cohort (aHR = 10.10, 95% CI: 1.5, 66.8; p = 0.02). We did not identify differences in 5-year death-censored graft survival (aHR = 0.57; 95% CI: 0.14, 2.4; p = 0.4) nor rejection-free survival (aHR = 0.8; 95% CI: 0.4, 1.5; p = 0.5). We found significantly fewer hospitalization events in the IN cohort during the first year post-transplant (aRR: 0.62; 95% CI: 0.4, 0.9; p = 0.01) but no difference 5-year post-transplant. The IN cohort had more missed outpatient appointments (10.4% vs. 2.8%; p = 0.03) and undetectable serum immunosuppressant levels (mean: 3.8% vs. 1.3%; p = 0.02) 5 years post-transplant.
conclusionsPediatric kidney transplant recipients requiring interpreter services for healthcare delivery demonstrate fewer post-transplant interactions with their healthcare team (fewer hospitalizations and more no-show visits) and lower 5-year patient survival compared with recipients not requiring interpreters. A higher resolution version of the Graphical abstract is available as Supplementary information.
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