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Racial/Ethnic Differences in Barriers to Kidney Transplant Evaluation among Hemodialysis Patients
- Source :
- American Journal of Nephrology. 47:1-7
- Publication Year :
- 2017
- Publisher :
- S. Karger AG, 2017.
-
Abstract
- Background: Only a small percentage of dialysis patients receive a transplant and this is particularly the case for racial/ethnic minorities. Our objective was to identify barriers to initial transplant evaluation in our dialysis centers. Methods: We conducted a survey of adult hemodialysis patients from 4 dialysis units in the Denver Metro area in 2016. Participants completed an 11-item survey with demographic information and questions regarding time on dialysis, if a provider ever spoke to them about transplant, and whether they had been evaluated for a transplant. Reasons for not having an evaluation were explored. Descriptive statistics, chi-square analyses, and multivariate analyses were used to examine the responses. Results: A total of 167 patients completed the survey (response rate 63.9%). The majority of participants were male and were Hispanic (49%) or Non-Hispanic black (31.7%). Of these, 140 patients (84.0%) reported discussing kidney transplantation with their doctor but only 53% reported having a transplant evaluation. After adjustment for age, gender, and time on dialysis, significantly fewer blacks reported having an evaluation than Non-Hispanic whites or Hispanics (43.4 vs. 57.7% [whites] and 59.7% [Hispanics], p = 0.03). The most frequent responses of the patients who had not been evaluated were the following: not referred by their provider (46%), did not know how to proceed (43.4%), or did not understand the benefits (39.5%) or transplant process (38.2%). Compared to Non-Hispanic whites, blacks and Hispanics reported less understanding of the benefits and process of transplant. Conclusion: Timely referral by providers and improved kidney transplantation education may reduce disparities in access to kidney transplantation.
- Subjects :
- Adult
Male
medicine.medical_specialty
Multivariate analysis
Waiting Lists
Referral
medicine.medical_treatment
030232 urology & nephrology
Ethnic group
030204 cardiovascular system & hematology
Article
Health Services Accessibility
White People
03 medical and health sciences
0302 clinical medicine
Renal Dialysis
Internal medicine
medicine
Humans
Healthcare Disparities
Dialysis
Kidney transplantation
Aged
Aged, 80 and over
Response rate (survey)
business.industry
Hispanic or Latino
Middle Aged
medicine.disease
Kidney Transplantation
United States
Black or African American
Nephrology
Kidney Failure, Chronic
Female
Racial/ethnic difference
Hemodialysis
business
Subjects
Details
- ISSN :
- 14219670 and 02508095
- Volume :
- 47
- Database :
- OpenAIRE
- Journal :
- American Journal of Nephrology
- Accession number :
- edsair.doi.dedup.....ec760ebcc8c4458360d96adae63148de
- Full Text :
- https://doi.org/10.1159/000484484