NDLI: Modifiable patient characteristics and racial disparities in evaluation completion and living donor transplant.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Waterman, Amy D. Peipert, John D. Hyland, Shelley S. McCabe, Melanie S. Schenk, Emily A. Liu, Jingxia
Spatial Coverage	Missouri
Description	Country affiliation: United States Author Affiliation: Waterman AD ( Division of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri 63110, USA. awaterma@dom.wustl.edu)
Abstract	BACKGROUND AND OBJECTIVES: To reduce racial disparities in transplant, modifiable patient characteristics associated with completion of transplant evaluation and receipt of living donor kidney transplant must be identified. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: From 2004 to 2007, 695 black and white patients were surveyed about 15 less-modifiable and 10 more-modifiable characteristics at evaluation onset; whether they had completed evaluation within 1 year and received living donor kidney transplants by 2010 was determined. Logistic regression and competing risks time-to-event analysis were conducted to determine the variables that predicted evaluation completion and living donor kidney transplant receipt. RESULTS: Not adjusting for covariates, blacks were less likely than whites to complete evaluation (26.2% versus 51.8%, P<0.001) and receive living donor kidney transplants (8.7% versus 21.9%, P<0.001). More-modifiable variables associated with completing evaluation included more willing to be on the waiting list (odds ratio=3.4, 95% confidence interval=2.1, 5.7), more willing to pursue living donor kidney transplant (odds ratio=2.7, 95% confidence interval=1.8, 4.0), having access to more transplant education resources (odds ratio=2.2, 95% confidence interval=1.5, 3.2), and having greater transplant knowledge (odds ratio=1.8, 95% confidence interval=1.2, 2.7). Patients who started evaluation more willing to pursue living donor kidney transplant (hazard ratio=4.3, 95% confidence interval=2.7, 6.8) and having greater transplant knowledge (hazard ratio=1.2, 95% confidence interval=1.1, 1.3) were more likely to receive living donor kidney transplants. CONCLUSIONS: Because patients who began transplant evaluation with greater transplant knowledge and motivation were ultimately more successful at receiving transplants years later, behavioral and educational interventions may be very successful strategies to reduce or overcome racial disparities in transplant.
File Format	HTM / HTML
ISSN	15559041
e-ISSN	1555905X
DOI	10.2215/CJN.08880812
Journal	Clinical Journal of the American Society of Nephrology
Issue Number	6
Volume Number	8
Language	English
Publisher	American Society of Nephrology
Publisher Date	2013-06-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Chi-square Distribution Research Support, N.i.h., Extramural Multivariate Analysis Prospective Studies Comparative Study African Americans Living Donors Epidemiology Patient Selection Patient Acceptance Of Health Care Patient Education As Topic Motivation Time Factors Waiting Lists Odds Ratio Adverse Effects Risk Factors Discipline Nephrology European Continental Ancestry Group Ethnology Logistic Models Kidney Transplantation Tissue And Organ Procurement Health Knowledge, Attitudes, Practice Health Behavior Research Support, U.s. Gov't, P.h.s. Healthcare Disparities Statistics & Numerical Data
Content Type	Text
Resource Type	Article
Subject	Transplantation Critical Care and Intensive Care Medicine Nephrology Epidemiology

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Racial and socioeconomic disparities in the allocation of expanded criteria donor kidneys.

Current trends in living donor liver transplantation for primary sclerosing cholangitis.

Modifiable factors in access to living-donor kidney transplantation among diverse populations.

Modifiable Patient Characteristics and Racial Disparities in Evaluation Completion and Living Donor Transplant

Sex differences and attitudes toward living donor kidney transplantation among urban black patients on hemodialysis.

The role of procurement biopsies in acceptance decisions for kidneys retrieved for transplant.

Health-related and psychosocial concerns about transplantation among patients initiating dialysis.

Preemptive deceased donor kidney transplantation: considerations of equity and utility.

Health insurance status of US living kidney donors.

Modifiable patient characteristics and racial disparities in evaluation completion and living donor transplant.

Similar Documents

Racial and socioeconomic disparities in the allocation of expanded criteria donor kidneys.

Current trends in living donor liver transplantation for primary sclerosing cholangitis.

Modifiable factors in access to living-donor kidney transplantation among diverse populations.

Modifiable Patient Characteristics and Racial Disparities in Evaluation Completion and Living Donor Transplant

Sex differences and attitudes toward living donor kidney transplantation among urban black patients on hemodialysis.

The role of procurement biopsies in acceptance decisions for kidneys retrieved for transplant.

Health-related and psychosocial concerns about transplantation among patients initiating dialysis.

Preemptive deceased donor kidney transplantation: considerations of equity and utility.

Health insurance status of US living kidney donors.

Modifiable patient characteristics and racial disparities in evaluation completion and living donor transplant.