Evidence map›Paper›PMID 37656389›Full record

ArticleJournal of nephrology2024

Identifying the barriers to kidney transplantation for patients in rural and remote areas: a scoping review.

Tara K Watters, Beverley D Glass, Andrew J Mallett

Abstract readScoping Review
In one paragraph

Article in Journal of nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed.

  1. Article
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  10. Supporting equitable access to kidney transplant in remote Western Australia using continuous quality improvement.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025
    Article
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  15. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Tara K WattersCollege of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia. tara.watters@my.jcu.edu.au.
Beverley D GlassCollege of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia.ORCID 0000-0002-5444-3312
Andrew J MallettCollege of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia.ORCID 0000-0002-8752-2551

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPopulations in rural and remote areas have higher rates of chronic kidney disease and kidney failure than those in urban or metropolitan areas, and mortality rates for chronic kidney disease are almost twice as high in remote areas compared to major cities. Despite this, patients residing in regional, rural, or remote areas are less likely to be wait-listed for or receive a kidney transplant. The objective of this scoping review is to identify specific barriers to kidney transplantation for adult patients residing in rural and remote areas from the perspectives of health professionals and patients/carers.

methodsStudies were identified through database (MEDLINE, CINAHL, Emcare, Scopus) searches and assessed against inclusion criteria to determine eligibility. A descriptive content analysis was undertaken to identify and describe barriers as key themes.

resultsThe 24 selected studies included both quantitative (n = 5) and qualitative (n = 19) methodologies. In studies conducted in health professional populations (n = 10) the most prevalent themes identified were perceived social and cultural issues (80%), burden of travel and distance from treatment (60%), and system-level factors as barriers (60%). In patient/carer populations (n = 14), the most prevalent themes were limited understanding of illness and treatment options (71%), dislocation from family and support network (71%), and physical and psychosocial effects of treatment (71%).

conclusionsPatients in regional, rural, and remote areas face many additional barriers to kidney transplantation, which are predominantly associated with the need to travel or relocate to access required medical testing and transplantation facilities.

Indexed as

Health Services AccessibilityKidney TransplantationHealth Knowledge, Attitudes, PracticeHumansRenal Insufficiency, ChronicRural Health ServicesRural PopulationTravelBarriers to healthcareChronic kidney diseaseIndigenous healthKidney transplantRural and remote

Identifiers

PMID37656389
PMCPMC11473485

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.