Kidney transplant referral practices in southeastern dialysis units.

Abstract:

BACKGROUND:The Southeastern Kidney Transplant Coalition was created in 2010 to improve kidney transplant (KTx) rates in Georgia, North Carolina, and South Carolina. To identify dialysis staff-reported barriers to transplant, the Coalition developed a survey of dialysis providers in the region. METHODS:All dialysis units in the ESRD Network (n = 586) were sent a survey to be completed by the professional responsible for helping patients get transplants. RESULTS:One staff member at almost all (n = 546) of the dialysis units in Network 6 completed the survey (93% response rate). Almost all respondents reported being very comfortable (51.47%) or comfortable (46.89%) discussing the KTx process with patients. Just over half (56%) of facilities reported discussing KTx as a treatment option with patients on an annual basis. Fewer than one quarter of respondents (19%) perceived that more than 50% of their patients were interested in kidney transplant, and most of the staff surveyed (68%) reported that <25% of their dialysis patients completed the evaluation process and been wait-listed for a kidney transplant. CONCLUSION:The survey results provide insight into KTx referral practices in southeastern dialysis units that may be contributing to low KTx rates in this region.

journal_name

Clin Transplant

journal_title

Clinical transplantation

authors

Browne T,Patzer RE,Gander J,Amamoo MA,Krisher J,Sauls L,Pastan S

doi

10.1111/ctr.12693

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

365-71

issue

4

eissn

0902-0063

issn

1399-0012

journal_volume

30

pub_type

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