Residential Neighborhood Disadvantage and Access to Kidney Transplantation
In this cohort study of adults with ESKD and KT candidates, residence in high-disadvantage neighborhoods was associated with reduced access to waitlisting and KT; it also was associated with persistent racial and ethnic disparities in LDKT and preemptive KT. These results suggest that to support equitable access, clinicians and transplant programs should work with social workers and community advocates to implement initiatives (eg, outreach and financial support) that address structural barriers and direct resources to affected neighborhoods.
Authors
- Sarah L. Szanton (ORCID: https://orcid.org/0000-0001-5418-4982)
- Deidra C. Crews (ORCID: https://orcid.org/0000-0003-3425-5776)
- Roland J. Thorpe (ORCID: https://orcid.org/0000-0002-4448-4997)
- Sunjae Bae (ORCID: https://orcid.org/0000-0003-0098-8816)
- Yiting Li (ORCID: https://orcid.org/0000-0001-6279-5740)
- Babak John Orandi (ORCID: https://orcid.org/0000-0001-6026-7135)
- B. Kim
- Tanjala S. Purnell (ORCID: https://orcid.org/0000-0002-8661-7911)
- Gayathri Menon (ORCID: https://orcid.org/0000-0002-5354-4840)
- Mara A. McAdams-DeMarco
- Mario P. DeMarco
- Dorry L. Segev
- Wenbo Wu
Institutions
- Johns Hopkins University (US)
- Johns Hopkins Medicine (US)
- New York University (US)
- University of Pennsylvania (US)
Publication Details
- Journal
- JAMA Network Open
- Published
- 2025-12-30
- DOI
- https://doi.org/10.1001/jamanetworkopen.2025.49679
- Citations
- 2
- Primary Topic
- Renal Transplantation Outcomes and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 3.97