Evidence map›Paper›PMID 38635122›Full record

ArticleJournal of nephrology2024

The association of socioeconomic status on kidney transplant access and outcomes: a nationwide cohort study in Taiwan.

Tung-Ling Chung, Nai-Ching Chen, Chun-Hao Yin, Ching-Chih Lee, Chien-Liang Chen

Open access · hybridAbstract read
In one paragraph

Article in Journal of nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 28% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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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

5 authors at 4 institutions in 1 country.

Tung-Ling ChungDivision of Nephrology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Nai-Ching ChenDepartments of Neurology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Chun-Hao YinDepartment of Medical Education and Research, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Ching-Chih LeeDivision of Otolaryngology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Chien-Liang ChenDivision of Nephrology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. cclchen@seed.net.tw.ORCID 0000-0002-9508-8396
Kaohsiung Veterans General Hospital · TWChang Gung University · TWNational Sun Yat-sen University · TWNational Yang Ming Chiao Tung University · TW

Funding

Kaohsiung Veterans General Hospital KSVGH111-159Kaohsiung Veterans General Hospital KSVGH111-D08-1Kaohsiung Veterans General Hospital VGHKS109-154
6 · The paper itself

Abstract

backgroundConflicting evidence exists regarding the relationship between socioeconomic status and access to or outcomes after kidney transplantation. This study analyzed the effects of individual and neighborhood socioeconomic status on kidney transplant access and outcomes in Taiwan.

methodsWe used a retrospective cohort study design and performed comparisons using the Cox proportional hazards model after adjusting for risk factors. Data were collected from the National Health Insurance Bureau of Taiwan data (2003-2012).

resultsPatients with high individual and neighborhood socioeconomic status had higher chances of receiving kidney transplants than those with low individual and neighborhood socioeconomic status [adjusted hazard ratio (aHR) = 2.04; 95% CI: (1.81-2.31), p < 0.001]. However, there were no significant differences in post-transplant graft failure or patient mortality in Taiwan between individuals of varying socioeconomic status after five years. When we stratified kidney transplants by domestic and overseas transplantation, there were no significant differences in post-transplant mortality and graft failure, but individuals who received a kidney graft in Taiwan with high individual and neighborhood socioeconomic status experienced lower risks of graft failure (aHR = 0.55; [95% CI 0.33-0.89], p = 0.017).

conclusionA relevant disparity exists in accessing kidney transplantation in Taiwan, depending on individual and neighborhood socioeconomic status. However, results post transplantation were not different after five years. Improved access to waitlisting, education, and welfare support may reduce disparities.

Indexed as

Healthcare DisparitiesHealth Services AccessibilityKidney TransplantationProportional Hazards ModelsSocial ClassAdultAgedFemaleGraft SurvivalHumansMaleMiddle AgedResidence CharacteristicsRetrospective StudiesRisk FactorsTaiwanKidney transplant accessKidney transplant outcomeSocioeconomic statusSurvival

Identifiers

PMID38635122
PMCPMC11473664
OpenAlexW4394920289

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LicenceCC BY
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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.