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Comment & Response
April 21, 2020

Notice of Retraction and Replacement. Gander et al. Association Between Dialysis Facility Ownership and Access to Kidney Transplantation. JAMA. 2019;322(10):957-973

Author Affiliations
  • 1Center for Research and Evaluation, Kaiser Permanente Georgia, Atlanta
  • 2Applied Biostatistics Laboratory, School of Nursing, University of Michigan, Ann Arbor
  • 3Division of Transplantation, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia
  • 4Rollins School of Public Health, Department of Epidemiology, Emory University, Atlanta, Georgia
  • 5Rollins School of Public Health, Department of Health Policy and Management, Emory University, Atlanta, Georgia
  • 6College of Social Work, University of South Carolina, Columbia
  • 7Renal Division, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia
  • 8Health Services Research Center, Emory University School of Medicine, Atlanta, Georgia
JAMA. 2020;323(15):1509-1510. doi:10.1001/jama.2020.2328

To the Editor We write to report a serious coding error that occurred with our Original Investigation titled “Association Between Dialysis Facility Ownership and Access to Kidney Transplantation,” published in the September 10, 2019, issue of JAMA.1

This cohort study included 1 478 564 patients treated at 6511 US dialysis facilities. Adult patients with incident end-stage kidney disease from the US Renal Data System (2000-2016) were linked with facility ownership and characteristics to determine the association between dialysis facility ownership and placement on the deceased donor kidney transplantation waiting list, receipt of a living donor kidney transplant, or receipt of a deceased donor kidney transplant. Dialysis facility ownership was categorized as nonprofit small chains, nonprofit independent facilities, for-profit large chains (>1000 facilities), for-profit small chains (<1000 facilities), and for-profit independent facilities. We defined access to kidney transplantation as time from initiation of dialysis to placement on the deceased donor kidney transplantation waiting list, receipt of a living donor kidney transplant, or receipt of a deceased donor kidney transplant. We used cumulative incidence differences and multivariable regression models to assess the association between dialysis facility ownership and each outcome.

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