Evidence map›Paper›PMID 40568321›Full record

ArticleWorld journal of nephrology2025

Association between private insurance and living donor kidney transplant: Affordable Care Act as a natural experiment.

Kathleen Perry, Miko Yu, Joel T Adler, Lindsey M Maclay, David C Cron, Sumit Mohan, Syed A Husain

Abstract read
In one paragraph

Article in World journal of nephrology, 2025. 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
–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

2 citing papers in PubMed.

  1. Trial
  2. 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

7 authors.

Kathleen PerryDepartment of Nephrology, Columbia University, New York, NY 10032, United States.
Miko YuDepartment of Nephrology, Columbia University, New York, NY 10032, United States.
Joel T AdlerDepartment of Surgery and Perioperative Care, Dell Medical School, University of Texas at Austin, Austin, TX 78701, United States.
Lindsey M MaclayDepartment of Nephrology, Columbia University, New York, NY 10032, United States.
David C CronDepartment of Surgery, Massachusetts General Hospital, Boston, MA 02114, United States.
Sumit MohanDepartment of Nephrology, Columbia University Medical Center, New York, NY 10032, United States.
Syed A HusainDepartment of Nephrology, Columbia University Medical Center, New York, NY 10032, United States. sah2134@cumc.columbia.edu.

Funding

Using Decision Making Science to Optimize Deceased Donor Kidney AllocationK23DK133729 · NIDDK · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI HUSAIN, SYED ALI · 2022 to 2025
$678k
NIDDK NIH HHS K23 DK133729
6 · The paper itself

Abstract

backgroundPrivate insurance coverage is associated with higher rates of living donor kidney transplantation (LDKT) but whether this is attributable to confounding is not known.

aimTo study the association between increased access to private health insurance and LDKT.

methodsRetrospective cohort study using United States transplant registry data. We identified incident candidates aged 22-29 years who were waitlisted for a kidney-only transplant from 2005-2014, excluding prior transplant recipients and those with missing data. We calculated the hazard of LDKT after waitlisting for those with private insurance

resultsA total of 13817 candidates were included, of whom 46% were age 22-25 years and 54% were age 26-29 years. Among candidates aged 22-25 years at listing, those listed post-ACA were more likely to have private insurance compared to those listed pre-ACA (42%

conclusionCandidates age 22-25 years were likelier to have private insurance post-ACA, without an increased rate in LDKT. Demonstrations of associations between insurance and LDKT are likely attributable to residual confounding.

Indexed as

End-stage kidney diseaseHealth insuranceHealth policyKidney transplantTransplantation

Identifiers

PMID40568321
PMCPMC12001229

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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.