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ASN leads the fight to prevent, treat, and cure kidney diseases throughout the world by educating health professionals and scientists, advancing research and innovation, communicating new knowledge, and advocating for the highest quality care for patients.

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Kidney Week

Abstract: TH-PO974

Racial/Ethnic Differences in Barriers to Kidney Transplant Evaluation among Hemodialysis Patients

Session Information

Category: Transplantation

  • 1702 Transplantation: Clinical and Translational

Authors

  • Jones, Derek R, University of Colorado School of Medicine, Denver, Colorado, United States
  • You, Zhiying, UC Denver, Aurora, Colorado, United States
  • Kendrick, Jessica B., University of Colorado Denver and Denver Health Medical Center, Denver, Colorado, United States
Background

Only a small percentage of patients with end stage renal disease receive a transplant and this is particularly the case for racial/ethnic minorities. Our objective was to identify barriers to transplant evaluation in our dialysis centers.

Methods

We conducted a survey of adult hemodialysis patients in the Denver Metro area. Participants completed an 11-item survey with demographic information and questions regarding time on dialysis, if a provider ever spoke to them about a transplant and whether they had been evaluated for a transplant. Reasons for not having an evaluation were explored. Descriptive statistics were used to provide summaries of the responses.

Results

167 patients completed the survey (response rate 63.9%). The majority of participants were male between the ages of 50-79 years and were Hispanic (49%) or Non-Hispanic Black (31.7%). 140 patients (84.0%) reported having a discussion about kidney transplantation with their doctor but only 53% (N=89) reported having a transplant evaluation. Fewer Non-Hispanic Blacks reported having a transplant evaluation than Non-Hispanic whites or Hispanics (43.4% vs. 57.7% (Whites) and 59.7% (Hispanics)) which trended towards statistical significance, p=0.07. 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%). Additionally, compared to Non-Hispanic whites, Blacks and Hispanics reported less understanding of the benefits and/or process of transplant.

Conclusion

Improved patient-provider communication and kidney transplantation education may reduce disparities in access to kidney transplantation.

Funding

  • NIDDK Support