{"id":"https://openalex.org/W8160096","doi":null,"title":"Unequal access to cadaveric kidney transplantation in California based on insurance status.","display_name":"Unequal access to cadaveric kidney transplantation in California based on insurance status.","publication_year":1999,"publication_date":"1999-10-01","ids":{"openalex":"https://openalex.org/W8160096","mag":"8160096","pmid":"https://pubmed.ncbi.nlm.nih.gov/10536975","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1089047"},"language":"en","primary_location":{"id":"pmh:oai:europepmc.org:214529","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1089047","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},"volume":null,"type":"article","indexed_in":["pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1089047","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5059642911","display_name":"Mae Thamer","orcid":"https://orcid.org/0000-0002-7559-7193","observed_orcids":["https://orcid.org/0000-0002-7559-7193"]},"institutions":[{"id":"https://openalex.org/I4210086984","display_name":"Medical Technology and Practice Patterns Institute","ror":"https://ror.org/001hsnn10","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I4210086984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"M Thamer","raw_affiliation_strings":["Medical Technology and Practice Patterns Institute, Bethesda, MD 20814, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Medical Technology and Practice Patterns Institute, Bethesda, MD 20814, USA","institution_ids":["https://openalex.org/I4210086984"]}]},{"author_position":"middle","author":{"id":null,"display_name":"S C Henderson","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"S C Henderson","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004466041","display_name":"N F Ray","orcid":"https://orcid.org/0009-0004-6010-2700","observed_orcids":["https://orcid.org/0009-0004-6010-2700"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"N F Ray","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113659041","display_name":"Cheryl S. Rinehart","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"C S Rinehart","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041094787","display_name":"Joel W. Greer","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"J W Greer","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5064120425","display_name":"Gabriel M. Danovitch","orcid":"https://orcid.org/0000-0002-6114-8709","observed_orcids":["https://orcid.org/0000-0002-6114-8709"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"G M Danovitch","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.1864,"has_fulltext":false,"cited_by_count":35,"citation_normalized_percentile":{"value":0.78810062,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"34","issue":"4","first_page":"879","last_page":"900"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11163","display_name":"Organ Donation and Transplantation","score":0.9520999789237976,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11163","display_name":"Organ Donation and Transplantation","score":0.9520999789237976,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10291","display_name":"Dialysis and Renal Disease Management","score":0.014100000262260437,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10373","display_name":"Renal Transplantation Outcomes and Treatments","score":0.013899999670684338,"subfield":{"id":"https://openalex.org/subfields/2747","display_name":"Transplantation"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/kidney-transplantation","display_name":"kidney transplantation","score":0.972000002861023},{"id":"https://openalex.org/keywords/insurance-status","display_name":"insurance status","score":0.7699999809265137},{"id":"https://openalex.org/keywords/medicare","display_name":"Medicare","score":0.5899999737739563},{"id":"https://openalex.org/keywords/medicaid","display_name":"Medicaid","score":0.9980000257492065},{"id":"https://openalex.org/keywords/dialysis-patients","display_name":"dialysis patients","score":0.8289999961853027},{"id":"https://openalex.org/keywords/end-stage-renal-disease","display_name":"end-stage renal disease","score":0.878000020980835},{"id":"https://openalex.org/keywords/transplant-waiting-list","display_name":"transplant waiting list","score":0.6759999990463257},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.574999988079071},{"id":"https://openalex.org/keywords/access-to-transplantation","display_name":"access to transplantation","score":0.5509999990463257}],"concepts":[{"id":"https://openalex.org/C2776534028","wikidata":"https://www.wikidata.org/wiki/Q1141363","display_name":"Medicaid","level":3,"score":0.9083101749420166},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.83194500207901},{"id":"https://openalex.org/C2779978075","wikidata":"https://www.wikidata.org/wiki/Q202301","display_name":"Dialysis","level":2,"score":0.697986364364624},{"id":"https://openalex.org/C2780303639","wikidata":"https://www.wikidata.org/wiki/Q740909","display_name":"Kidney transplantation","level":3,"score":0.655808687210083},{"id":"https://openalex.org/C2911091166","wikidata":"https://www.wikidata.org/wiki/Q106419912","display_name":"Transplantation","level":2,"score":0.5979282259941101},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.5371376276016235},{"id":"https://openalex.org/C2909794420","wikidata":"https://www.wikidata.org/wiki/Q7888988","display_name":"United Network for Organ Sharing","level":4,"score":0.5304141640663147},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.43781623244285583},{"id":"https://openalex.org/C82789193","wikidata":"https://www.wikidata.org/wiki/Q2142611","display_name":"Relative risk","level":3,"score":0.4341965317726135},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.4249136447906494},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3928455710411072},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.38615652918815613},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.3565842807292938},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.33313554525375366},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.15924367308616638},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.10465046763420105},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.0},{"id":"https://openalex.org/C2779609443","wikidata":"https://www.wikidata.org/wiki/Q1368191","display_name":"Liver transplantation","level":3,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002102","descriptor_name":"Cadaver","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002140","descriptor_name":"California","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006278","descriptor_name":"Medicare","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006435","descriptor_name":"Renal Dialysis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007182","descriptor_name":"Income","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007676","descriptor_name":"Kidney Failure, Chronic","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D007676","descriptor_name":"Kidney Failure, Chronic","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008484","descriptor_name":"Medicaid","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011203","descriptor_name":"Poverty","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014481","descriptor_name":"United States","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D014850","descriptor_name":"Waiting Lists","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015982","descriptor_name":"Bias","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016030","descriptor_name":"Kidney Transplantation","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D016030","descriptor_name":"Kidney Transplantation","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D019458","descriptor_name":"Insurance Coverage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"pmh:oai:europepmc.org:214529","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1089047","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:1089047","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1089047","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health Serv Res","raw_type":"Text"},{"id":"pmid:10536975","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10536975","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Health services research","raw_type":"Comparative Study"},{"id":"pmh:oai:repository.library.georgetown.edu:10822/927646","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/10822/927646","pdf_url":null,"source":{"id":"https://openalex.org/S4306402467","display_name":"DigitalGeorgetown (Georgetown University Library)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210145449","host_organization_name":"Center for Security and Emerging Technology","host_organization_lineage":["https://openalex.org/I4210145449"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"eweb:207997","raw_type":null},{"id":"mag:8160096","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/10536975","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":{"id":"pmh:oai:europepmc.org:214529","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1089047","pdf_url":null,"source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},"sustainable_development_goals":[{"score":0.9763000011444092,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.9629999995231628,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":20,"referenced_works":["https://openalex.org/W108201141","https://openalex.org/W124184892","https://openalex.org/W1969944132","https://openalex.org/W1992481037","https://openalex.org/W1996999137","https://openalex.org/W2015160190","https://openalex.org/W2041023687","https://openalex.org/W2054616151","https://openalex.org/W2056770992","https://openalex.org/W2078658513","https://openalex.org/W2089103462","https://openalex.org/W2112952537","https://openalex.org/W2134153861","https://openalex.org/W2153017891","https://openalex.org/W2165770404","https://openalex.org/W2317275032","https://openalex.org/W2337805689","https://openalex.org/W2402219539","https://openalex.org/W2411427597","https://openalex.org/W4233051876"],"related_works":["https://openalex.org/W2103666738","https://openalex.org/W4383871999","https://openalex.org/W2110558936","https://openalex.org/W2054616151","https://openalex.org/W2171720784","https://openalex.org/W2809357791","https://openalex.org/W2135774299","https://openalex.org/W6939720277","https://openalex.org/W3136087316","https://openalex.org/W2773394725"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"assess":[2],"the":[3,63,86,108,120,149,158,193,222],"impact":[4],"of":[5,78,98,206,231],"insurance":[6,207,225],"status":[7,226],"on":[8,85,119,148],"access":[9],"to":[10,62,92,107,116,163,191],"kidney":[11,87,121],"transplantation":[12],"among":[13],"California":[14,19,28,56,79,173],"dialysis":[15,23,30,81,174],"patients.":[16],"STUDY":[17,25],"SETTING:":[18],"Medicare":[20,37,54,103,111,153,178],"and":[21,55,66,95,102,185,213],"Medicaid":[22,39,57,80,109],"populations.":[24],"DESIGN:":[26],"All":[27],"ESRD":[29],"patients":[31,82,140,175],"under":[32],"age":[33],"65":[34],"eligible":[35,100,139],"for":[36],"or":[38],"in":[40,47,221],"1991":[41],"(n":[42],"=":[43,129,142],"9,102)":[44],"took":[45],"part":[46],"this":[48],"cohort":[49],"analytic":[50],"study.":[51],"DATA":[52],"COLLECTION:":[53],"Program":[58],"data":[59],"were":[60,83,113,137],"matched":[61],"Organ":[64],"Procurement":[65],"Transplantation":[67],"Network":[68],"Kidney":[69],"Wait":[70],"List":[71],"files.":[72],"PRINCIPAL":[73],"FINDINGS:":[74],"Only":[75],"31.4":[76],"percent":[77,94,97],"placed":[84,118],"transplant":[88,122,168,195],"waiting":[89,123,150,161],"list":[90,124],"compared":[91],"38.8":[93],"45.0":[96],"dually":[99,138],"Medicate/Medicaid":[101],"patients,":[104],"respectively.":[105],"Compared":[106],"population,":[110],"enrollees":[112],"more":[114],"likely":[115,190],"be":[117],"(adjusted":[125],"Relative":[126],"Risk":[127],"[RR]":[128],"2.10,":[130],"Confidence":[131],"Interval":[132],"[CI]":[133],"1.68,":[134],"2.62)":[135],"as":[136,209,211],"(RR":[141],"1.54,":[143],"CI":[144],"1.24,":[145],"1.91).":[146],"Once":[147,220],"list,":[151],"however,":[152,224],"enrollment":[154],"did":[155],"not":[156,228],"influence":[157,229],"adjusted":[159],"median":[160],"time":[162],"acquire":[164],"a":[165,232],"first":[166],"cadaveric":[167,233],"(p":[169],">":[170],".05).":[171],"CONCLUSIONS:":[172],"excluded":[176],"from":[177],"coverage,":[179],"who":[180],"are":[181,187,216],"disproportionately":[182],"minority,":[183],"female,":[184],"poor,":[186],"much":[188],"less":[189],"enter":[192],"U.S.":[194],"system.":[196],"We":[197],"hypothesize":[198],"that":[199],"patient":[200],"concerns":[201],"with":[202],"potential":[203],"subsequent":[204],"loss":[205],"coverage":[208],"well":[210],"cultural":[212],"educational":[214],"barriers":[215],"possible":[217],"explanatory":[218],"factors.":[219],"system,":[223],"does":[227],"receipt":[230],"renal":[234],"transplant.":[235]},"counts_by_year":[{"year":2022,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2014,"cited_by_count":3},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}