ArticleKidney3602026
Longitudinal Changes in the Impact of Socioeconomic Status on Graft Failure in Kidney Transplantation.
Article in Kidney360, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
key pointsEmployment status and insurance type consistently affected graft survival in KT, whereas the influence of education level varied over time post-transplant. The area deprivation index was linked to graft failure in KT from the early to the long-term post-transplantation period. Follow-up strategies to optimize long-term KT outcomes should address socioeconomic factors at both individual and area levels.
backgroundSocioeconomic status is recognized as a factor influencing graft survival in adult kidney transplantation (KT). However, limited research has examined whether socioeconomic factors influence transplant outcomes differently across post-transplantation periods. We evaluated the longitudinal impact of socioeconomic factors on graft failure post-KT over time.
methodsAdult KT alone performed from 2003 to 2013 were evaluated using the Organ Procurement and Transplantation Network database. The period of post-transplantation was divided into three categories, and the outcome of each group is as follows; group 1: graft failure within 1 year in all patients, group 2: graft failure within 5 years in 1-year graft survivors, and group 3: graft failure within 10 years in 5-year graft survivors. We explored the influence of socioeconomic factors on outcomes in living donor kidney transplantation (LDKT) and deceased donor kidney transplantation (DDKT), separately. Socioeconomic factors included patient education level, employment status at transplantation, insurance status, and area deprivation index (ADI). Higher ADI scores represent greater socioeconomic deprivation.
resultsIn total, 153,660 adult KT were performed from 2003 to 2013 (group 1), of which 140,699 recipients survived at 1 year (group 2) and 106,238 recipients survived at 5 years (group 3) post-transplantation. While employment status and insurance status consistently influenced graft failure over time, the impact of education level was time-dependent. High school education was associated with a high risk of graft failure, compared with post-college education only in the later post-transplantation periods (group 3) for both DDKT (hazard ratio, 1.09; P = 0.025) and LDKT (hazard ratio, 1.26; P < 0.001), but not in the early period (group 1). ADI-based analysis showed that recipients from highly deprived areas had worse post-transplantation outcomes across all periods in both DDKT and LDKT.
conclusionsThe impact of individual-level socioeconomic factors on post-KT outcomes varied over time. Socioeconomically disadvantaged patients had an increased risk of graft failure from the early to the long-term post-KT period. To optimize long-term outcomes, follow-up strategies should incorporate both individual-level and area-level socioeconomic factors.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.