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.
RCT Entities:
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: James R Rodrigue; Matthew J Paek; Jesse D Schold; Martha Pavlakis; Didier A Mandelbrot Journal: J Racial Ethn Health Disparities Date: 2016-09-08
Authors: Alvin H Li; Marcus Lo; Jacob E Crawshaw; Alexie J Dunnett; Kyla L Naylor; Amit X Garg; Justin Presseau Journal: Cochrane Database Syst Rev Date: 2021-04-04
Authors: Nicole DePasquale; Matthew J Ellis; Debra L Sudan; Patti L Ephraim; Lisa M McElroy; Dinushika Mohottige; Clemontina A Davenport; Xiyuan Zhang; Sarah B Peskoe; Tara S Strigo; Ashley N Cabacungan; Iris Pounds; Jennie A Riley; Margaret Falkovic; L Ebony Boulware Journal: Clin Transplant Date: 2021-01-25 Impact factor: 2.863
Authors: Ashley N Cabacungan; Matthew J Ellis; Debra Sudan; Tara S Strigo; Iris Pounds; Jennie A Riley; Margaret Falkovic; Aviel N Alkon; Sarah B Peskoe; Clemontina A Davenport; Jane F Pendergast; Patti L Ephraim; Dinushika Mohottige; Clarissa J Diamantidis; Jennifer St Clair Russell; Nicole DePasquale; L Ebony Boulware Journal: Clin Transplant Date: 2020-03-02 Impact factor: 2.863
Authors: Christine Park; Mandisa-Maia Jones; Samantha Kaplan; Felicitas L Koller; Julius M Wilder; L Ebony Boulware; Lisa M McElroy Journal: Int J Equity Health Date: 2022-02-12
Authors: Seychelle Yohanna; Mackenzie Wilson; Kyla L Naylor; Amit X Garg; Jessica M Sontrop; Dmitri Belenko; Lori Elliott; Susan McKenzie; Sara Macanovic; Istvan Mucsi; Rachel Patzer; Irina Voronin; Iris Lui; Peter G Blake; Amy D Waterman; Darin Treleaven; Justin Presseau Journal: Can J Kidney Health Dis Date: 2022-03-19