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Dorry Segev, MD, PhD

Arch Surg. 2009;144(10):893.

	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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