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But it means that our findings many definitely not reflect what’s going on nationally,’ added Patzer, who is also an assistant professor in the division of transplantation within the section of surgery at Emory University’s School of Medicine. Patzer and her colleagues report their findings in the Aug. 11 issue of the Journal of the American Medical Association. More than 600,000 Americans now have end-stage renal disease, the study authors said. For them, the first step towards a kidney transplant is often a dialysis middle referral for evaluation at a the nearest transplantation facility. To see how well this process was working in Georgia, investigators reviewed data from more than 15,000 such individuals obtained from the U.S.