Understanding Patient Barriers to Kidney Transplant Evaluation
Understanding Patient Barriers to Kidney Transplant Evaluation
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DOI：
10.1097/tp.0000000000000543
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发表时间：
2015-07-01
期刊：
影响因子：
6.2
通讯作者：
Cavanaugh, Kerri L.
中科院分区：
文献类型：
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作者：
Dageforde, Leigh Anne;Box, Amanda;Cavanaugh, Kerri L.
背景一些转诊接受肾移植评估的患者未能参加访视。我们的目标是比较评估访问的出席者和缺席者之间的人口，社会经济和心理因素。方法. 2012年11月至2013年12月，在一家中心转诊并计划进行肾移植评估的患者的便利样本参加了一项电话调查，报告了社会经济学、人口统计学和临床特征;健康素养;以及对移植的认知和担忧。缺席者按种族与出席者相匹配。组间差异分析采用卡方检验、Fisher精确检验和t检验。根据相关人口统计学特征调整多变量logistic回归。结果104名成人参与（61%男性，46%白色，52 +/- 12岁）。经济问题最为普遍（67.3%的人负担得起药物，64.1%的人负担得起手术）。在不同移植中心的既往评估（P = 0.029）和透析（P = 0.008）与缺席显著相关。参与者对寻找活体供者的担忧（P = 0.038）和对移植的一般知识的认知较高（P
Background. Some patients referred for kidney transplant evaluation fail to attend the visit. Our goal was to compare demographic, socioeconomic, and psychologic factors between evaluation visit attendees and absentees. Methods. A convenience sample of patients referred and scheduled for kidney transplant evaluation at a single center from November 2012 to December 2013 participated in a phone survey reporting socioeconomic, demographic, and clinical characteristics; health literacy; and perceived knowledge and concerns about transplantation. Absentees were matched by race with attendees. Analyses of differences between groups were performed with chi-square test, Fisher exact test, and t tests. Multivariable logistic regression was adjusted for relevant demographic characteristics. Results. One hundred four adults participated (61% men, 46% white, 52 +/- 12 years). Financial concerns were the most prevalent (67.3% affording medication, 64.1% affording operation). Previous evaluation at a different transplant center (P = 0.029) and being on dialysis (P = 0.008) were significantly associated with absence. Attendance was associated with concerns about finding a living donor (P = 0.038) and higher perceived general knowledge about transplantation (P