Evidence map›Paper›PMID 41615295›Full record

ArticleClinical transplantation2026

New Tools and a Population-Based Approach to Improve Kidney Transplant Opportunity and Preemptive Waitlisting.

Aklilu A Yishak, Megha S Bhatnagar, Allison V Tomimatsu, Rebecca LaLonde, Atif Jensen, Karishma N Mohadikar, R Clayton Bishop, Adrienne N Deneal, Jennifer C Gander, Ronald Potts

Abstract read
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In one paragraph

Article in Clinical transplantation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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

10 authors.

Aklilu A YishakMid-Atlantic Permanente Medical Group, Kaiser Permanente Mid-Atlantic States, McLean, Virginia, USA.ORCID https://orcid.org/0000-0001-9345-4033
Megha S BhatnagarKaiser Permanente National Transplant Services, Kaiser Permanente Health Plan and Hospital Quality, Oakland, California, USA.
Allison V TomimatsuKaiser Permanente National Transplant Services, Kaiser Permanente Health Plan and Hospital Quality, Oakland, California, USA.
Rebecca LaLondeKaiser Permanente National Transplant Services, Kaiser Permanente Health Plan and Hospital Quality, Oakland, California, USA.
Atif JensenThe Permanente Medical Group (TPMG)-Kaiser Permanente Northern California, Oakland, California, USA.
Karishma N MohadikarMid-Atlantic Permanente Research Institute, Mid-Atlantic Permanente Medical Group, Washington, District of Columbia, USA.
R Clayton BishopMid-Atlantic Permanente Research Institute, Mid-Atlantic Permanente Medical Group, Washington, District of Columbia, USA.
Adrienne N DenealMid-Atlantic Permanente Research Institute, Mid-Atlantic Permanente Medical Group, Washington, District of Columbia, USA.
Jennifer C GanderCenter for Research and Evaluation, Kaiser Permanente Georgia, Atlanta, Georgia, USA.
Ronald PottsKaiser Permanente National Transplant Services, Kaiser Permanente Health Plan and Hospital Quality, Oakland, California, USA.

Funding

Kaiser Permanente National Transplant ServicesMid-Atlantic Permanente Medical Group
6 · The paper itself

Abstract

backgroundWhile kidney transplantation provides longer survival and improved quality of life, there are numerous barriers to access. Provider-led discussions and early referrals are critical for improving access. However, reducing variability in referrals and addressing barriers through standardizing documentation of transplant option discussion and systematically tracking CKD care can be impactful.

methodsWe identified advanced CKD patients from an integrated health care system using a population-based approach. We used new electronic health record (EHR) tools, searchable system-wide, to require documentation of transplant discussion and evaluated over five years the number of CKD patients within the kidney transplant continuum and individual patient characteristics.

resultsAt baseline, we identified 1747 patients with an eGFR ≤20 mL/min/1.73 m

conclusionThis study demonstrates that a new, yet simple, EHR tool can be impactful for sustainably increasing documentation of transplant option discussion, waitlisted members, and transplant opportunity.

Indexed as

Electronic Health RecordsKidney Failure, ChronicKidney TransplantationQuality of LifeReferral and ConsultationWaiting ListsAdultFemaleFollow-Up StudiesGlomerular Filtration RateHumansMaleMiddle AgedPrognosischronic kidney diseaseelectronic health recordestimated glomerular filtration ratekidney transplantationpreemptive wait‐listingquality improvement

Identifiers

PMID41615295
PMCPMC12857599

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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.