Barriers facing patients referred for kidney transplant cause loss to follow-up.
Barriers facing patients referred for kidney transplant cause loss to follow-up.
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DOI：
10.1038/ki.2012.255
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发表时间：
2012-11
影响因子：
19.6
通讯作者：
中科院分区：
文献类型：
--
作者：
终末期肾病影响许多美国人，然而，移植是最好的治疗选择，可以增加生命年数，并提供比透析更高的生活质量。具有讽刺意味的是，许多有资格接受移植的人并没有按照要求被列入移植等待名单的复杂的工作方案进行。在这里，我们调查了一个学术医疗中心的血管通路诊所的病人，他们被转诊进行移植，但没有进行必要的检查，被添加到国家移植等待名单中。83名患者对不寻求移植的最常见反应是，患者认为他们不会通过医学测试，他们害怕接受移植，他们负担不起药物或移植。这些障碍可能是由于提供者沟通不明确，从同行或其他来源收到的错误信息，与移植手术相关的误解，或有限的健康素养/健康决策能力。因此，终末期肾病患者在转诊接受肾移植后失去随访，在寻求移植时面临着真实的和感知的障碍。
End stage renal disease impacts many Americans, however, transplant is the best treatment option increasing life years and offering a higher quality of life than possible with dialysis. Ironically, many who are eligible for transplant do not follow through on the complex work-up protocols required to be placed on the transplant waiting list. Here we surveyed vascular access clinic patients at an academic medical center referred for transplant that did not follow up on the needed work-up to be added to the national transplant waiting list. The most frequent responses of 83 patients for not pursuing transplantation were that the patients did not think they would pass the medical tests, they were scared of getting a transplant, and they could not afford the medicine or the transplantation. These impediments may result from unclear provider communication, misinformation received from peers or other sources, misperceptions related to transplant surgery, or limited health literacy/health decision making capacity. Thus, patients with end stage renal disease lost to follow up after referral for kidney transplant faced both real and perceived barriers pursuing transplantation.
DOI：
10.2215/cjn.08620910
发表时间：
2011-07-01
影响因子：
9.8
作者：
Schold, Jesse D.;Gregg, Jon A.;Meier-Kriesche, Herwig-Ulf
通讯作者：
Meier-Kriesche, Herwig-Ulf
影响因子：
13.2
作者：
Brown, WW;Peters, RM;Flack, JM
通讯作者：
Flack, JM
影响因子：
120.7
作者：
Axelrod, David A.;Guidinger, Mary K.;Merion, Robert M.
通讯作者：
Merion, Robert M.