Evidence map›Paper›PMID 41327164›Full record

ArticleBMC nephrology2025

Women at disadvantage - sex differences in time between dialysis initiation and kidney transplant evaluation or listing: a single-center experience.

Lena-Sophia Wandinger, Lara Ploeger, Julia Menne, Birgit Kortus-Goetze, Joachim Hoyer, Martin Russwurm, Johannes Wild

Abstract read
In one paragraph

Article in BMC nephrology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Lena-Sophia WandingerDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Marburg, 35043, Marburg, Germany.
Lara PloegerDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Marburg, 35043, Marburg, Germany.
Julia MenneDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Marburg, 35043, Marburg, Germany.
Birgit Kortus-GoetzeDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Marburg, 35043, Marburg, Germany.
Joachim HoyerDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Marburg, 35043, Marburg, Germany.
Martin RusswurmDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Marburg, 35043, Marburg, Germany.
Johannes WildDepartment of Internal Medicine and Nephrology, Marburg University, University Hospital Marburg, 35043, Marburg, Germany. wildjo@med.uni-marburg.de.ORCID 0000-0002-1446-8101

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundKidney transplantation remains the most effective treatment for end-stage kidney disease, but sociodemographic differences, including sex and gender differences, remain a significant challenge. There is evidence that women receive fewer transplants than men, but whether gender influences the timing of transplant evaluation and waitlisting has not been analyzed yet. Therefore, we aimed to investigate gender differences in the time intervals between dialysis initiation, transplant evaluation and waitlisting.

methodsWe retrospectively analyzed 182 patients listed for kidney transplantation in the last quarter of 2023 (Key date 1st October 2023) or positively evaluated for listing for kidney transplantation from 2017 to 2023 at the University Medical Center Marburg, Germany. Besides baseline characteristics, we collected data on dialysis initiation, start of transplant evaluation and time from evaluation to waitlisting (Ethics approval Nr. 24-97RS, Philipps University Marburg, Germany).

resultsIn our cohort, we did not find significant overall gender differences in the time intervals from dialysis initiation to transplant evaluation or listing. However, male patients undergoing peritoneal dialysis or scheduled for living donor transplants had significantly shorter evaluation and waitlisting times compared to their female counterparts.

conclusionsThe findings from our single-center analysis with a limited sample size suggest that gender disparities are pronounced in specific subgroups, with men generally benefiting from faster access to the waitlist. The results highlight the importance of recognizing gender disparities in transplantation processes to ensure equitable access for all patients. Future research should focus on interventions that address these inequalities and promote gender-sensitive nephrology care.

Indexed as

Healthcare DisparitiesKidney Failure, ChronicKidney TransplantationRenal DialysisWaiting ListsAdultFemaleGermanyHumansMaleMiddle AgedRetrospective StudiesSex FactorsTime FactorsTreatment DelayBarriers for transplantationGender inequalitiesKidney transplantationTransplant evaluation process

Identifiers

PMID41327164
PMCPMC12696951

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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.