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2016 ; 30
(4
): 365-71
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Kidney transplant referral practices in southeastern dialysis units
#MMPMID26782140
Browne T
; Patzer RE
; Gander J
; Amamoo MA
; Krisher J
; Sauls L
; Pastan S
Clin Transplant
2016[Apr]; 30
(4
): 365-71
PMID26782140
show ga
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.
|*Kidney Transplantation
[MESH]
|*Renal Dialysis
[MESH]
|Aged
[MESH]
|Female
[MESH]
|Follow-Up Studies
[MESH]
|Hemodialysis Units, Hospital/*statistics & numerical data
[MESH]
|Humans
[MESH]
|Kidney Failure, Chronic/*surgery
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|North Carolina
[MESH]
|Practice Patterns, Physicians'/*standards
[MESH]
|Prognosis
[MESH]
|Referral and Consultation/*statistics & numerical data
[MESH]