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Dorry Segev, MD, PhD

Arch Surg. 2009;144(10):893. doi:10.1001/archsurg.2009.173

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

JAMA

Access to Kidney Transplantation Among Remote- and Rural-Dwelling Patients With Kidney Failure in the United States

Marcello Tonelli, MD, SM; Scott Klarenbach, MD, MS; Caren Rose, MSc; Natasha Wiebe, MMath; John Gill, MD, MS

Context:  US residents with end-stage renal disease (ESRD) may live far away from the closest transplant center, which could compromise their access to kidney transplantation.

Objective:  To assess access to kidney transplantation as a function of distance from the closest transplant center or as a function of rural rather than urban residence.

Design, Setting, and Participants:  Observational study of 699 751 adult patients with kidney failure who had initiated renal replacement in the United States between 1995 and 2007 and were thus placed on a prospective mandatory registry list.

Main Outcome Measures:  Time to placement on the kidney transplant waiting list and time to kidney transplantation, both measured at the start of . . . [Full Text of this Article]

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