Racial/Ethnic Differences in Barriers to Kidney Transplant Evaluation among Hemodialysis Patients.
Racial/Ethnic Differences in Barriers to Kidney Transplant Evaluation among Hemodialysis Patients.
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DOI：
10.1159/000484484
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发表时间：
2018
影响因子：
4.2
通讯作者：
Kendrick JB
中科院分区：
文献类型：
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作者：
Jones D;You Z;Kendrick JB
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. 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. 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%). 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: 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. Timely referral by providers and improved kidney transplantation education may reduce disparities in access to kidney transplantation.
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影响因子：
13.2
作者：
Sequist, TD;Narva, AS;Ayanian, JZ
通讯作者：
Ayanian, JZ
影响因子：
2.9
作者：
Purnell, Tanjala S.;Hall, Yoshio N.;Boulware, L. Ebony
通讯作者：
Boulware, L. Ebony
影响因子：
158.5
作者：
EVANS, RW;MANNINEN, DL;LOWRIE, EG
通讯作者：
LOWRIE, EG
影响因子：
0.9
作者：
Wachterman, M. W.;McCarthy, E. P.;Ersek, M.
通讯作者：
Ersek, M.
影响因子：
19.6
作者：
通讯作者：
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