Evidence map›Paper›PMID 37554528›Full record

ArticleTranslational andrology and urology2023

Effects of recipient education disparity on living donor kidney transplant outcomes across different ethnic groups: a retrospective study in the United States.

Shuai Huang, Xinze Xia, Wenhui Lai, Xiaowei Hao, Yangyang Wu, Kaikai Lv, Zhenjun Luo, Elen Almeida Romão, Gaetano Ciancio, Chao Lv and 3 more

Erratum issuedOpen access · diamondAbstract read
In one paragraph

Article in Translational andrology and urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.4field-weighted citation impact, top 18% of its field
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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 3 countries.

Shuai Huang *Department of Urology, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Xinze Xia *Department of Urology, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Wenhui Lai *Department of Urology, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Xiaowei HaoDepartment of Urology, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Yangyang WuDepartment of Urology, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Kaikai LvDepartment of Urology, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Zhenjun LuoDepartment of Urology, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Elen Almeida RomãoDepartment of Internal Medicine, Division of Nephrology, Ribeirao Preto Medical School, University of Sao Paulo, Ribeirao Preto, SP, Brazil.
Gaetano CiancioDepartment of Surgery, Urology, Miami Transplant Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Chao LvDepartment of Urology, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Qingyang MengDepartment of Urology, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Tao YuOrgan Transplant Management Division, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Qing YuanDepartment of Urology, The Third Medical Center, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Chinese People's Liberation Army · CNHebei North University · CNMiami Transplant Institute · USThe 309th Hospital of Chinese People's Liberation Army · CNUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Previous studies have shown that education level is associated with the prognosis of cadaveric kidney transplant recipients. However, it is unclear whether education affects the prognosis of living kidney transplant (LDKT) recipients. In addition, it remains to be determined whether the uneven distribution of educational levels consistently affects the prognosis of LDKT recipients across ethnic groups (White, Black, Hispanic and Asian). Methods: After establishing inclusion and exclusion criteria, we conducted a retrospective study of LDKT recipients who received their first single LDKT between 2005 and 2020. The LDKT recipients were divided into lower- and higher-education groups according to categorize the educational level of recipients, and transplant outcomes, including graft survival, patient survival, and death-censored graft survival (DCGS), were analyzed and compared. Results: Graft survival, DCGS and patient mortality were significantly better in the higher-education group compared with those in the lower-education group (P<0.001), with the risk of graft failure, death censored graft failure (DCGF) and patient mortality increasing by 11%, 15% and 7% in the lower-education group, respectively. Furthermore, compared with the higher-education group, the risk of graft failure in Black recipients increased by 18% [adjusted hazard ratio (aHR), 1.18; 95% confidence interval (CI): 1.07 to 1.30], and the risk of patient mortality among White recipients decreased by 7% (aHR, 0.93; 95% CI: 0.87 to 0.99). However, there were no significant differences in graft failure and patient mortality among Hispanic and Asian recipients, respectively. Conclusions: This study revealed that LDKT recipients with a higher education level had better transplant outcomes. However, these transplant outcome differences were mainly found in White and Black recipients. These data confirm the significant effect of different levels of education on the prognosis of LDKT recipients.

Indexed as

death censored graft survival (DCGS)education disparitygraft survivalLiving donor kidney transplant (LDKT)patient survival

Identifiers

PMID37554528
PMCPMC10406545
OpenAlexW4385365417

What OpenQuestion holds

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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.