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      Predialysis nephrologist care and access to kidney transplantation in the United States.

      American Journal of Transplantation

      Female, Health Services Accessibility, organization & administration, statistics & numerical data, Humans, Kidney Diseases, classification, surgery, therapy, Kidney Transplantation, Male, Nephrology, standards, Questionnaires, Renal Dialysis, Socioeconomic Factors, United States

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          Abstract

          Predialysis nephrologist care is associated with morbidity and mortality in incident dialysis patients, but the relationship with access to kidney transplantation (KT) is unclear. From a national study of incident US dialysis patients, we identified 2253 patients with detailed information about predialysis care, sociodemographic characteristics and comorbidities. We used multivariate Cox proportional hazards models to study associations between predialysis nephrology care and two outcomes: time from first dialysis to the first day on the KT wait-list, and time to first KT. Two-thirds of patients first encountered a nephrologist >3 months prior to dialysis and one-third

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          17391130
          10.1111/j.1600-6143.2006.01689.x

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