{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T09:21:27Z","timestamp":1782033687032,"version":"3.54.5"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T00:00:00Z","timestamp":1725235200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1 OT2 OD026549"],"award-info":[{"award-number":["1 OT2 OD026549"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1 OT2 OD026554"],"award-info":[{"award-number":["1 OT2 OD026554"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1 OT2 OD026557"],"award-info":[{"award-number":["1 OT2 OD026557"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1 OT2 OD026556"],"award-info":[{"award-number":["1 OT2 OD026556"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1 OT2 OD026550"],"award-info":[{"award-number":["1 OT2 OD026550"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1 OT2 OD 026552"],"award-info":[{"award-number":["1 OT2 OD 026552"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1 OT2 OD026553"],"award-info":[{"award-number":["1 OT2 OD026553"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1 OT2 OD026548"],"award-info":[{"award-number":["1 OT2 OD026548"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["1 OT2 OD026551"],"award-info":[{"award-number":["1 OT2 OD026551"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Federally Qualified Health Centers","award":["HHSN 263201600085U"],"award-info":[{"award-number":["HHSN 263201600085U"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Disparity in kidney transplant access has been demonstrated by a disproportionately low rate of kidney transplantation in socioeconomically disadvantaged patients. However, the information is not from national representative populations with end-stage kidney disease (ESKD). We aim to examine whether socioeconomic disparity for kidney transplant access exists by utilizing data from the All of Us Research Program.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Materials and Methods<\/jats:title>\n                  <jats:p>We analyzed data of adult ESKD patients using the All of Us Researcher Workbench. The association of socioeconomic data including types of health insurance, levels of education, and household incomes with kidney transplant access was evaluated by multivariable logistic regression analysis adjusted by baseline demographic, medical comorbidities, and behavioral information.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Among 4078 adults with ESKD, mean diagnosis age was 54 and 51.64% were male. The majority had Medicare (39.6%), were non-graduate college (75.79%), and earned $10\u00a0000-24\u00a0999 annual income (20.16%). After adjusting for potential confounders, insurance status emerged as a significant predictor of kidney transplant access. Individuals covered by Medicaid (adjusted odds ratio [AOR] 0.45; 95% confidence interval [CI], 0.35-0.58; P-value &amp;lt; .001) or uninsured (AOR 0.21; 95% CI, 0.12-0.37; P-value &amp;lt; .001) exhibited lower odds of transplantation compared to those with private insurance.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion\/Conclusion<\/jats:title>\n                  <jats:p>Our findings reveal the influence of insurance status and socioeconomic factors on access to kidney transplantation among ESKD patients. Addressing these disparities through expanded insurance coverage and improved healthcare access is vital for promoting equitable treatment and enhancing health outcomes in vulnerable populations.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jamia\/ocae178","type":"journal-article","created":{"date-parts":[[2024,9,2]],"date-time":"2024-09-02T23:32:58Z","timestamp":1725319978000},"page":"2781-2788","source":"Crossref","is-referenced-by-count":6,"title":["Socioeconomic disparities in kidney transplant access for patients with end-stage kidney disease within the <i>All of Us<\/i> Research Program"],"prefix":"10.1093","volume":"31","author":[{"given":"Jiayuan","family":"Wang","sequence":"first","affiliation":[{"name":"American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center, Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine , Orange, CA 92868,","place":["United States"]},{"name":"Donald Bren School of Information and Computer Sciences, University of California Irvine , Irvine, CA 92697,","place":["United States"]},{"name":"Department of Clinical Pharmacy Practice, University of California Irvine , Irvine, CA 92697,","place":["United States"]},{"name":"University of California Irvine DREAM Center, University of California Irvine , Irvine, CA 92697,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kellie C","family":"Cho","sequence":"additional","affiliation":[{"name":"American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center, Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine , Orange, CA 92868,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0883-6892","authenticated-orcid":false,"given":"Ekamol","family":"Tantisattamo","sequence":"additional","affiliation":[{"name":"American Heart Association Comprehensive Hypertension Center at the University of California Irvine Medical Center, Division of Nephrology, Hypertension and Kidney Transplantation, Department of Medicine, University of California Irvine School of Medicine , Orange, CA 92868,","place":["United States"]},{"name":"Nephrology Section, Department of Medicine, Tibor Rubin Veterans Affairs Medical Center, Veterans Affairs Long Beach Healthcare System , Long Beach, CA 90822,","place":["United States"]},{"name":"Multi-Organ Transplant Center, Section of Nephrology, Department of Internal Medicine, William Beaumont Hospital, Oakland University William Beaumont School of Medicine , Royal Oak, MI 48073,","place":["United 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transplant waitlist status and posttransplantation outcomes in the United States after implementation of the Affordable Care Act","volume":"9","author":"Morenz","year":"2023","journal-title":"Transplant Direct"},{"key":"2024121023405045800_ocae178-B11","author":"National Institutes of Health","year":"2023"},{"issue":"7","key":"2024121023405045800_ocae178-B12","doi-asserted-by":"crossref","first-page":"668","DOI":"10.1056\/NEJMsr1809937","article-title":"The \"All of Us\" Research Program","volume":"381","author":"Denny","year":"2019","journal-title":"N Engl J Med"},{"issue":"1","key":"2024121023405045800_ocae178-B13","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1353\/hpu.2017.0005","article-title":"Race, racism, and access to kidney transplantation among African Americans","volume":"28","author":"Arriola","year":"2017","journal-title":"J Health Care Poor 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