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Readiness of wait-listed black patients to pursue live donor kidney transplant.
Prog Transplant. 2014 Dec; 24(4):355-61.PT

Abstract

CONTEXT

For adults with end-stage kidney disease, live donor kidney transplant (LDKT) has better outcomes than long-term dialysis and deceased donor kidney transplant. However, black patients receive LDKT at a much lower rate than adults of any other race or ethnicity.

OBJECTIVE

To examine the LDKT readiness stage of black patients on the transplant waiting list and its association with LDKT knowledge, concerns, and willingness.

DESIGN

Cross-sectional analysis of baseline data from a randomized controlled trial to improve knowledge and reduce concerns about LDKT.Patients and Setting-One hundred fifty-two black patients on the kidney transplant waiting list at a single transplant center in the northeastern United States.

MAIN OUTCOME MEASURES

LDKT readiness stage, knowledge, concerns, and willingness to talk to others about living donation.

RESULTS

Sixty percent of patients were not considering or not yet ready to pursue LDKT, and only 11% had taken action to talk to family members or friends about the possibility of living kidney donation. Patients in later stages of LDKT readiness (ie, who had talked to others about donation or were preparing to do so) had significantly more knowledge (P<.001), fewer concerns (P=.002), and more willingness (P=.001) to talk to others about living donation than those in earlier readiness stages.

CONCLUSIONS

The large percentage of black patients who are in the earlier stages of LDKT readiness may account for the low rate of LDKT in this patient population at our transplant center. Innovative and tailored LDKT educational strategies for black patients are needed to help reduce racial disparities in LDKT.

Authors+Show Affiliations

Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.University of California at Los Angeles.Cleveland Clinic, Cleveland, Ohio.Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

25488559

Citation

Rodrigue, James R., et al. "Readiness of Wait-listed Black Patients to Pursue Live Donor Kidney Transplant." Progress in Transplantation (Aliso Viejo, Calif.), vol. 24, no. 4, 2014, pp. 355-61.
Rodrigue JR, Paek MJ, Egbuna O, et al. Readiness of wait-listed black patients to pursue live donor kidney transplant. Prog Transplant. 2014;24(4):355-61.
Rodrigue, J. R., Paek, M. J., Egbuna, O., Waterman, A. D., Schold, J. D., Pavlakis, M., & Mandelbrot, D. A. (2014). Readiness of wait-listed black patients to pursue live donor kidney transplant. Progress in Transplantation (Aliso Viejo, Calif.), 24(4), 355-61. https://doi.org/10.7182/pit2014337
Rodrigue JR, et al. Readiness of Wait-listed Black Patients to Pursue Live Donor Kidney Transplant. Prog Transplant. 2014;24(4):355-61. PubMed PMID: 25488559.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Readiness of wait-listed black patients to pursue live donor kidney transplant. AU - Rodrigue,James R, AU - Paek,Matthew J, AU - Egbuna,Ogo, AU - Waterman,Amy D, AU - Schold,Jesse D, AU - Pavlakis,Martha, AU - Mandelbrot,Didier A, PY - 2014/12/10/entrez PY - 2014/12/10/pubmed PY - 2015/2/13/medline SP - 355 EP - 61 JF - Progress in transplantation (Aliso Viejo, Calif.) JO - Prog Transplant VL - 24 IS - 4 N2 - CONTEXT: For adults with end-stage kidney disease, live donor kidney transplant (LDKT) has better outcomes than long-term dialysis and deceased donor kidney transplant. However, black patients receive LDKT at a much lower rate than adults of any other race or ethnicity. OBJECTIVE: To examine the LDKT readiness stage of black patients on the transplant waiting list and its association with LDKT knowledge, concerns, and willingness. DESIGN: Cross-sectional analysis of baseline data from a randomized controlled trial to improve knowledge and reduce concerns about LDKT.Patients and Setting-One hundred fifty-two black patients on the kidney transplant waiting list at a single transplant center in the northeastern United States. MAIN OUTCOME MEASURES: LDKT readiness stage, knowledge, concerns, and willingness to talk to others about living donation. RESULTS: Sixty percent of patients were not considering or not yet ready to pursue LDKT, and only 11% had taken action to talk to family members or friends about the possibility of living kidney donation. Patients in later stages of LDKT readiness (ie, who had talked to others about donation or were preparing to do so) had significantly more knowledge (P<.001), fewer concerns (P=.002), and more willingness (P=.001) to talk to others about living donation than those in earlier readiness stages. CONCLUSIONS: The large percentage of black patients who are in the earlier stages of LDKT readiness may account for the low rate of LDKT in this patient population at our transplant center. Innovative and tailored LDKT educational strategies for black patients are needed to help reduce racial disparities in LDKT. SN - 1526-9248 UR - https://www.unboundmedicine.com/medline/citation/25488559/Readiness_of_wait_listed_black_patients_to_pursue_live_donor_kidney_transplant_ DB - PRIME DP - Unbound Medicine ER -