Evidence map›Paper›PMID 40591642›Full record

ArticleHealth & social work2025

Designing a Patient-Centered Interdisciplinary Intervention to Promote Equitable Access to Kidney Transplantation across Health Systems: The STEPS Study.

Teri Browne, Clarissa J Diamantidis, Jamie A Green, Patti L Ephraim, Julisa Tindall, Ashley Cabacungan, Tariq Shafi, George L Jackson, Emily L Obermiller, Ranee Chatterjee and 12 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Health & social work, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

22 authors.

Teri BrowneTeri Browne, PhD, MSW, is dean and professor, College of Social Work, University of South Carolina, 1512 Pendleton Street, Columbia, SC 29208, USA.
Clarissa J DiamantidisClarissa J. Diamantidis, MD, MHS, is professor of medicine, general internal medicine, nephrology, and epidemiology and prevention; and interim director, Maya Angelou Research Center for Healthy Communities, School of Medicine, Wake Forest University, Winston-Salem, NC, USA.
Jamie A GreenJamie A. Green, MD, MS, is associate professor, Department of Population Health Sciences, and codirector, Center for Kidney Health Research, Geisinger College of Health Sciences, Danville, PA, USA.
Patti L EphraimPatti L. Ephraim, MPH, is director of clinical research and prevention programs, Feinstein Institute for Medical Research, Manhasset, NY, USA.
Julisa TindallJulisa Tindall, MSW, LISW-CP, is PhD student, College of Social Work, University of South Carolina, Columbia, SC, USA.
Ashley CabacunganAshley Cabacungan, BS, is program manager II, Maya Angelou Research Center for Healthy Communities, School of Medicine, Wake Forest University, Winston-Salem, NC, USA.
Tariq ShafiTariq Shafi, MD, MHS, is director, Division of Nephrology, Baylor Scott & White Health, Temple, TX, USA.
George L JacksonGeorge L. Jackson, PhD, MHA, is professor, Department of Health Economics, Systems, and Policy, and director, Advancing Implementation & Improvement Science Program, Peter O'Donnell Jr. School of Public Health; professor, Division of General Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA; and research health scientist, Center of Innovation to Accelerate Discovery and Practice Transformation, Durham Veterans Affairs Health Care System, Durham, NC, USA.
Emily L ObermillerEmily L. Obermiller, BS, MEd, is clinical protocol and grant writer, Clinical and Translational Science Institute, Wake Forest University School of Medicine, Winston-Salem, NC, USA.
Ranee ChatterjeeRanee Chatterjee, MD, MPH, is associate professor and vice chief of research, Division of General Internal Medicine, Department of Medicine, and director, Primary Care Research Consortium, Duke University; and primary care doctor, Duke Primary Care South Durham, Durham, NC, USA.
Tyffany LocklearTyffany Locklear, MMCi, BS, BA, is research program leader, Duke General Internal Medicine, and clinical research coordinator, Department of Medicine, Duke University School of Medicine, Durham, NC, USA.
Sherri Swan-NesbitSherri Swan-Nesbit, MSN, is lead nurse research coordinator, Duke University Medical Center, , Durham, NC, USA.
Jennie RileyJennie Riley is research interventionist, Department of Population Health Sciences, School of Medicine, Duke University, Durham, NC, USA.
Lauren BrubakerLauren Brubaker, MPH, is research project manager II, Center for Kidney Health Research, , Danville, PA, USA.
Autumn BayoumiAutumn Bayoumi, LSW, is social worker, Geisinger Medical Center, Danville, PA, USA.
Karen Szczepanik-RileyKaren Szczepanik-Riley, BSN, RN, is transplant nurse coordinator, Geisinger Medical Center, Danville, PA, USA.
Pradeep K VaitlaPradeep K. Vaitla, MD, is associate professor of medicine, medical director of kidney and pancreas transplantation, and program director for the nephrology fellowship, School of Medicine, Department of Medicine.
Lynette GrayLynette Gray, RN, is transplant nurse coordinator, University of Mississippi Medical Center, Jackson, MS, USA.
Terri LynchardTerri Lynchard, MSW, LCSW, is social worker, University of Mississippi Medical Center, Jackson, MS, USA.
Evangeline D SnellEvangeline D. Snell, MSW, LCSWA, is clinical social worker and research interventionist, Duke University Hospital, Durham, NC, USA.
Tara S StrigoTara S. Strigo, MPH, is program director IV, School of Medicine, Wake Forest University, Winston-Salem, NC, USA.
L Ebony BoulwareL. Ebony Boulware, MD, MPH, is dean, School of Medicine, Wake Forest University, and chief science officer, Advocate Health, Winston-Salem, NC, USA.

Funding

Health system outreach to eliminate disparities in living kidney transplants (System Interventions to Achieve Early and Equitable Transplants (STEPS) StudyU01DK127918 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BOULWARE, LEIGH E · 2020 to 2020
$5.6M
Board of Governors or Methodology CommitteeNIDDK NIH HHS U01 DK127918NIH HHS $7,026,371NIH HHS 1U01DK127918-01Patient-Centered Outcomes Research Institute IHS-2020C1-19350Patient-Centered Outcomes Research Institute IHS-2020C1-19350-ICPCORI
6 · The paper itself

Abstract

In the United States, health inequities persist in the management of chronic kidney disease and end-stage kidney disease, including unequal access to kidney transplantation. These disparities are deeply rooted in complex social and structural determinants of health, including socioeconomic status, race, geographic location, and healthcare access. Addressing these inequities necessitates a patient-centered interdisciplinary approach to improve outcomes and promote transplant access equity. This article describes the conceptualization and design of the System Interventions to Achieve Early and Equitable Transplants (STEPS) intervention. The STEPS intervention was developed by patients, family members, professional and community stakeholders, social workers, nurses, physicians, and other health professionals to address multifactorial barriers to kidney transplantation in three large health systems in Mississippi, North Carolina, and Pennsylvania. By addressing transplant barriers through collaborative interdisciplinary interventions provided by social workers and transplant nurses, STEPS aims to empower individuals and promote systemic changes in healthcare delivery and access to kidney transplants. This intervention can be used as a model for other interdisciplinary approaches to address social and structural determinants of health to improve access to care and promote health equity.

Indexed as

Healthcare DisparitiesHealth EquityHealth Services AccessibilityKidney TransplantationPatient-Centered CareHumansKidney Failure, ChronicMississippiNorth CarolinaPatient Care TeamPennsylvaniadisparitiesinterdisciplinary interventionkidney diseasesocial determinants of healthtransplantation

Identifiers

PMID40591642
PMCPMC12277683

What Socratic holds

Textmetadata
LicenceTDM
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.