Skip to main content

Main menu

  • Home
  • Content
    • Published Ahead of Print
    • Current Issue
    • JASN Podcasts
    • Article Collections
    • Archives
    • ASN Meeting Abstracts
    • Saved Searches
  • Authors
    • Submit a Manuscript
    • Author Resources
  • Editorial Team
  • Editorial Fellowship
    • Editorial Fellowship Team
    • Editorial Fellowship Application Process
  • More
    • About JASN
    • Advertising
    • Alerts
    • Feedback
    • Impact Factor
    • Reprints
    • Subscriptions
  • ASN Kidney News
  • Other
    • CJASN
    • Kidney360
    • Kidney News Online
    • American Society of Nephrology

User menu

  • Subscribe
  • My alerts
  • Log in
  • My Cart

Search

  • Advanced search
American Society of Nephrology
  • Other
    • CJASN
    • Kidney360
    • Kidney News Online
    • American Society of Nephrology
  • Subscribe
  • My alerts
  • Log in
  • My Cart
Advertisement
American Society of Nephrology

Advanced Search

  • Home
  • Content
    • Published Ahead of Print
    • Current Issue
    • JASN Podcasts
    • Article Collections
    • Archives
    • ASN Meeting Abstracts
    • Saved Searches
  • Authors
    • Submit a Manuscript
    • Author Resources
  • Editorial Team
  • Editorial Fellowship
    • Editorial Fellowship Team
    • Editorial Fellowship Application Process
  • More
    • About JASN
    • Advertising
    • Alerts
    • Feedback
    • Impact Factor
    • Reprints
    • Subscriptions
  • ASN Kidney News
  • Follow JASN on Twitter
  • Visit ASN on Facebook
  • Follow JASN on RSS
  • Community Forum
CLINICAL EPIDEMIOLOGY
You have accessRestricted Access

Racial Composition of Residential Areas Associates with Access to Pre-ESRD Nephrology Care

Suma Prakash, Rudolph A. Rodriguez, Peter C. Austin, Refik Saskin, Alicia Fernandez, Louise M. Moist and Ann M. O'Hare
JASN July 2010, 21 (7) 1192-1199; DOI: https://doi.org/10.1681/ASN.2009101008
Suma Prakash
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Rudolph A. Rodriguez
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Peter C. Austin
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Refik Saskin
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Alicia Fernandez
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Louise M. Moist
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ann M. O'Hare
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data Supps
  • Info & Metrics
  • View PDF
Loading

Abstract

Referral to a nephrologist before initiation of chronic dialysis occurs less frequently for blacks than whites, but the reasons for this disparity are incompletely understood. Here, we examined the contribution of racial composition by zip code on access and quality of nephrology care before initiation of renal replacement therapy (RRT). We retrospectively studied a cohort study of 92,000 white and black adults who initiated RRT in the United States between June 1, 2005, and October 5, 2006. The percentage of patients without pre-ESRD nephrology care ranged from 30% among those who lived in zip codes with <5% black residents to 41% among those who lived in areas with >50% black residents. In adjusted analyses, as the percentage of blacks in residential areas increased, the likelihood of not receiving pre-ESRD nephrology care increased. Among patients who received nephrology care, the quality of care (timing of care and proportion of patients who received a pre-emptive renal transplant, who initiated therapy with peritoneal dialysis, or who had a permanent hemodialysis access) did not differ by the racial composition of their residential area. In conclusion, racial composition of residential areas associates with access to nephrology care but not with quality of the nephrology care received.

Footnotes

    • Copyright © 2010 by the American Society of Nephrology
    View Full Text
    PreviousNext
    Back to top

    In this issue

    Journal of the American Society of Nephrology: 21 (7)
    Journal of the American Society of Nephrology
    Vol. 21, Issue 7
    1 Jul 2010
    • Table of Contents
    • Table of Contents (PDF)
    • Index by author
    View Selected Citations (0)
    Print
    Download PDF
    Sign up for Alerts
    Email Article
    Thank you for your help in sharing the high-quality science in JASN.
    Enter multiple addresses on separate lines or separate them with commas.
    Racial Composition of Residential Areas Associates with Access to Pre-ESRD Nephrology Care
    (Your Name) has sent you a message from American Society of Nephrology
    (Your Name) thought you would like to see the American Society of Nephrology web site.
    CAPTCHA
    This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
    Citation Tools
    Racial Composition of Residential Areas Associates with Access to Pre-ESRD Nephrology Care
    Suma Prakash, Rudolph A. Rodriguez, Peter C. Austin, Refik Saskin, Alicia Fernandez, Louise M. Moist, Ann M. O'Hare
    JASN Jul 2010, 21 (7) 1192-1199; DOI: 10.1681/ASN.2009101008

    Citation Manager Formats

    • BibTeX
    • Bookends
    • EasyBib
    • EndNote (tagged)
    • EndNote 8 (xml)
    • Medlars
    • Mendeley
    • Papers
    • RefWorks Tagged
    • Ref Manager
    • RIS
    • Zotero
    Request Permissions
    Share
    Racial Composition of Residential Areas Associates with Access to Pre-ESRD Nephrology Care
    Suma Prakash, Rudolph A. Rodriguez, Peter C. Austin, Refik Saskin, Alicia Fernandez, Louise M. Moist, Ann M. O'Hare
    JASN Jul 2010, 21 (7) 1192-1199; DOI: 10.1681/ASN.2009101008
    del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
    • Tweet Widget
    • Facebook Like

    Jump to section

    • Article
      • Abstract
      • Results
      • Discussion
      • Concise Methods
      • Disclosures
      • Acknowledgments
      • Footnotes
      • REFERENCES
    • Figures & Data Supps
    • Info & Metrics
    • View PDF

    More in this TOC Section

    • Initial Effects of COVID-19 on Patients with ESKD
    • Medicaid Expansion and Incidence of Kidney Failure among Nonelderly Adults
    • Cardiovascular Risk Based on ASCVD and KDIGO Categories in Chinese Adults: A Nationwide, Population-Based, Prospective Cohort Study
    Show more Clinical Epidemiology

    Cited By...

    • Racial and Sex Disparities in Catheter Use and Dialysis Access in the United States Medicare Population
    • Expanded Prospective Payment System and Use of and Outcomes with Home Dialysis by Race and Ethnicity in the United States
    • Racial Differences in Home Dialysis Utilization and Outcomes in Canada
    • Home Dialysis Utilization Among Racial and Ethnic Minorities in the United States at the National, Regional, and State Level
    • Racial and Ethnic Disparities in Use of and Outcomes with Home Dialysis in the United States
    • Border Health: State-Level Variation in Predialysis Nephrology Care
    • Interstate Variation in Receipt of Nephrologist Care in US Patients Approaching ESRD: Race, Age, and State Characteristics
    • Travel Distance and Home Dialysis Rates in the United States
    • Neighborhood Socioeconomic Status and Barriers to Peritoneal Dialysis: A Mixed Methods Study
    • Geographic Variation in Black-White Differences in End-of-Life Care for Patients with ESRD
    • Racial and Ethnic Disparities in End Stage Renal Disease: Access Failure
    • Is the Malnutrition-Inflammation Complex the Secret behind Greater Survival of African-American Dialysis Patients?
    • Racial and Ethnic Differences in Kidney Function Decline among Persons without Chronic Kidney Disease
    • Immature Public Policy for Vascular Access
    • Neighborhoods, Race, and Nephrology Care
    • Google Scholar

    Similar Articles

    Related Articles

    • Neighborhoods, Race, and Nephrology Care
    • PubMed
    • Google Scholar

    Articles

    • Current Issue
    • Early Access
    • Subject Collections
    • Article Archive
    • ASN Annual Meeting Abstracts

    Information for Authors

    • Submit a Manuscript
    • Author Resources
    • Editorial Fellowship Program
    • ASN Journal Policies
    • Reuse/Reprint Policy

    About

    • JASN
    • ASN
    • ASN Journals
    • ASN Kidney News

    Journal Information

    • About JASN
    • JASN Email Alerts
    • JASN Key Impact Information
    • JASN Podcasts
    • JASN RSS Feeds
    • Editorial Board

    More Information

    • Advertise
    • ASN Podcasts
    • ASN Publications
    • Become an ASN Member
    • Feedback
    • Follow on Twitter
    • Password/Email Address Changes
    • Subscribe to ASN Journals

    © 2021 American Society of Nephrology

    Print ISSN - 1046-6673 Online ISSN - 1533-3450

    Powered by HighWire