Pediatric kidney transplant disparities

doi:10.5409/wjcp.117940

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World Journal of Clinical Pediatrics

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2219-2808

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Retrospective Study

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Clin Pediatr. Sep 9, 2026; 15(3): 117940
Published online Sep 9, 2026. doi: 10.5409/wjcp.117940

Table 1 Demographics and characteristics of admissions by performance of kidney transplantation, n (%) or median (IQR)

Total discharges	Kidney transplant	Severe CKD	Univariate		Multivariate
Total discharges	Kidney transplant	Severe CKD	P value	OR	95%CI lower	95%CI upper	P value
Unweighted	636	3733
Weighted	859	5038
Age, years			< 0.001^b
0-1	10 (1.6)	371 (9.9)		1
2-5	105 (24.1)	593 (15.9)		7.76	3.96	17.57	< 0.0001^b
6-11	153 (24.1)	893 (23.9)		7.50	3.87	16.83	< 0.0001^b
12-18	368 (57.9)	1876 (50.3)		8.87	4.65	19.72	< 0.0001^b
Sex			1.0
Male	380 (59.8)	2234 (59.8)		1
Female	256 (40.3)	1499 (40.2)		0.995	0.83	1.19	0.96
Race			< 0.05^a
White	271 (42.6)	1365 (36.6)		1
Black	102 (16.0)	784 (21.0)		0.69	0.53	0.89	0.01^a
Hispanic	181 (28.5)	1012 (27.1)		0.92	0.73	1.15	0.44
Asian/Pacific Islander	20 (3.1)	144 (3.9)		0.69	0.41	1.10	0.14
Native American	10 (1.6)	44 (1.2)		1.29	0.57	2.62	0.50
Other	24 (3.8)	195 (5.2)		0.70	0.43	1.08	0.12
Zip code income quartile			< 0.05^a
Lowest	179 (28.1)	1220 (32.7)		1
Second	141 (22.2)	907 (24.3)		0.99	0.77	1.27	0.94
Third	179 (28.1)	870 (23.3)		1.22	0.95	1.55	0.12
Highest	130 (20.4)	672 (18.0)		1.13	0.86	1.49	0.37
Hospital region			< 0.05^a
Northeast	102 (16.0)	553 (14.8)		1
Midwest	143 (22.5)	724 (19.4)		1.13	0.84	1.52	0.41
South	215 (33.8)	1498 (40.1)		0.85	0.65	1.12	0.24
West	176 (27.7)	958 (25.7)		0.88	0.67	1.18	0.40
Primary payer			< 0.001^b
Medicare	131 (20.6)	868 (23.3)		1
Medicaid	227 (35.7)	1607 (43.0)		0.95	0.75	1.22	0.69
Private insurance	208 (32.7)	1025 (27.5)		1.18	0.92	1.53	0.20
Self-pay	20 (3.1)	43 (1.2)		4.06	2.13	7.60	< 0.0001^b
No charge	0 (0)	2 (0.1)		NA	NA	NA
Other	50 (7.9)	180 (4.8)		1.95	1.30	2.88	0.001^a
Mortality	4 (0.6)	16 (0.4)	0.71
Total charges, $	303106 (187057)	38429.5 (60987.5)	< 0.001^b
Length of stay, days 9[5] 3[4]			< 0.001^b

^aP < 0.05.

^bP < 0.001.

P values are the result of univariate analysis (χ² or Fischer test for categorical data, and Wilcoxon rank sum test for continuous non-parametric data) and of multivariate logistic regression analysis. CKD: Chronic kidney disease; OR: Odds ratio; CI: Confidence interval.

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Citation: Burjonrappa SC, Eranki S, Capellan J. Pediatric kidney transplant disparities. World J Clin Pediatr 2026; 15(3): 117940
URL: https://www.wjgnet.com/2219-2808/full/v15/i3/117940.htm
DOI: https://dx.doi.org/10.5409/wjcp.117940

Burjonrappa SC, Eranki S, Capellan J. Pediatric kidney transplant disparities. World J Clin Pediatr 2026; 15(3): 117940 [DOI: 10.5409/wjcp.117940]

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