Evidence map›Paper›PMID 39081771›Full record

ArticleKidney international reports2024

Sex/Gender Disparities in Preemptive Referrals for Kidney Transplantation.

Jessica L Harding, Annika Gompers, Mengyu Di, Kelsey Drewery, Stephen Pastan, Ana Rossi, Derek DuBay, Jennifer C Gander, Rachel E Patzer

Abstract read
In one paragraph

Article in Kidney international reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
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.

Jessica L HardingDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Annika GompersDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, USA.
Mengyu DiWilliam M. Tierney Center for Health Services Research, Regenstrief Institute, Indianapolis, Indiana, USA.
Kelsey DreweryDepartment of Surgery, School of Medicine, Indiana University, Indianapolis, IN, USA.
Stephen PastanDepartment of Medicine, Renal Division, Emory University School of Medicine, Atlanta, Georgia, USA.
Ana RossiPiedmont Transplant Institute, Atlanta, Georgia, USA.
Derek DuBayPrisma Healthcare, Charleston, South Carolina, USA.
Jennifer C GanderCenter for Research and Evaluation, Kaiser Permanente Georgia, Atlanta, Georgia, USA.
Rachel E PatzerDepartment of Surgery, School of Medicine, Indiana University, Indianapolis, IN, USA.

Funding

Reducing Racial Disparities in Access to Kidney Transplantation: the RaDIANT Regional StudyU01MD010611 · NIMHD · EMORY UNIVERSITY · PI PATZER, RACHEL E · 2016 to 2020
$2.8M
Improving Quality and Access to Early Steps in Kidney TransplantationR01DK122701 · NIDDK · INDIANA UNIVERSITY INDIANAPOLIS · PI PASTAN, STEPHEN, PATZER, RACHEL E · 2019 to 2022
$2.5M
NIDDK NIH HHS R01 DK122701NIMHD NIH HHS U01 MD010611
6 · The paper itself

Abstract

Introduction: Sex/gender inequities persist in access to kidney transplantation. Whether differences in preemptive referral (i.e., referral before dialysis start) explain this inequity remains unknown. Methods: All adults (aged 18-79 years; Results: Overall, men and women were similarly likely to be preemptively referred (odds ratio [OR]: 0.99 [0.95-1.04]). Preemptively referred women (vs. men) were, on average, younger and with fewer comorbidities. There were no sex/gender differences in waitlisting once patients were preemptively referred (hazard ratio [HR]: 0.97 [0.91-1.03]); however, women (vs. men) who were preemptively referred remained 25% (HR: 0.75 [0.66-0.86]) less likely to receive a living donor transplant. Conclusion: In the Southeast US, men and women initiating KRT are similarly likely to be preemptively referred for a kidney transplant, and this appears, at least in part, to mitigate known sex/gender inequities in access to waitlisting, but not living donor transplant. Despite this, preemptively referred women, on average, had a more favorable medical profile relative to preemptively referred men.

Indexed as

epidemiologygender disparitieshealth services researchkidney transplanttransplant referral

Identifiers

PMID39081771
PMCPMC11284440

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.