Evidence map›Paper›PMID 40814646›Full record

ArticleKidney international reports2025

Divergent Trends by Patient Age in Racial Disparities in Kidney Transplant Access.

Jade Buford, Jessica L Harding, Mengyu Di, Marciana L Laster, Kelsey Drewry, Stephen O Pastan, Rachel E Patzer

Abstract read
In one paragraph

Article in Kidney international reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Pediatric kidney transplant disparities.World journal of clinical pediatrics · 2026
    Article
  2. Article
  3. Review
  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

7 authors.

Jade BufordRegenstrief Institute, Indianapolis, Indiana, USA.
Jessica L HardingDivision of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Mengyu DiRegenstrief Institute, Indianapolis, Indiana, USA.
Marciana L LasterDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Kelsey DrewryDepartment of Surgery, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Stephen O PastanDivision of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Rachel E PatzerRegenstrief Institute, Indianapolis, Indiana, USA.

Funding

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
Vitamin D Genetics and Racial Differences in Pediatric Chronic KidneyDisease-Mineral and Bone DisorderK23DK123378 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI LASTER, MARCIANA LEE · 2020 to 2024
$995k
NIDDK NIH HHS K23 DK123378NIDDK NIH HHS R01 DK122701
6 · The paper itself

Abstract

Introduction: Although non-Hispanic Black (Black) and non-Hispanic White (White) racial disparities in access to transplantation have decreased over the past 2 decades, it remains unclear whether trends are consistent across all ages and transplant steps. Methods: We identified 1,091,206 White or Black adults initiating dialysis (cohort 1) and 226,703 adults waitlisted (cohort 2) in the United States Renal Data System (USRDS) from 2005 to 2019, followed through 2021. Study outcomes were as follows: (i) waitlisting (among patients on dialysis), (ii) living donor kidney transplant (LDKT) (among patients on dialysis), and (iii) deceased donor kidney transplant (DDKT) (among waitlisted adults). Individuals were grouped into eras (2005-2009, 2010-2014, and 2015-2019) based on dialysis initiation or waitlisting date. Multivariable-adjusted subdistribution hazard models assessed changes in racial disparities, overall and by age (18-29, 30-49, 50-64, and 65-80 years) at kidney replacement therapy (KRT) initiation. Results: Racial disparities in waitlisting among patients on dialysis did not improve between 2005-2009 (0.90; 95% confidence interval [CI]: 0.88-0.92) and 2015-2019 (0.92; 95% CI: 0.90-0.94); Conclusion: Strategies to improve access to transplantation, especially among younger and older Black adults, should be revisited.

Indexed as

kidneykidney transplantationmultivariate analysiswaiting lists

Identifiers

PMID40814646
PMCPMC12348215

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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.