ArticleTransplantation2015
Understanding Patient Barriers to Kidney Transplant Evaluation.
Article in Transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 5 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
40 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Associations of health literacy with self-management behaviours and health outcomes in chronic kidney disease: a systematic review.Journal of nephrology · 2023Pooled it
- Robotic-assisted versus laparoscopic living donor nephrectomy for renal transplantation: a systematic review and meta-analysis.Annals of the Royal College of Surgeons of England · 2023Pooled it
- Health Literacy in Surgery.Health literacy research and practice · 2020Pooled it
- Health Literacy Among Surgical Patients: A Systematic Review and Meta-analysis.World journal of surgery · 2019Pooled it
- A Systematic Review of the Prevalence and Associations of Limited Health Literacy in CKD.Clinical journal of the American Society of Nephrology : CJASN · 2017Pooled it
- Transplant social worker and donor financial assistance to increase living donor kidney transplants among African Americans: The TALKS Study, a randomized comparative effectiveness trial.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021Trial
- Your Path to Transplant: A randomized controlled trial of a tailored expert system intervention to increase knowledge, attitudes, and pursuit of kidney transplant.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021Trial
- Process evaluation of the RaDIANT community study: a dialysis facility-level intervention to increase referral for kidney transplantation.BMC nephrology · 2018Trial
- Non-Medical Barriers in Access to Kidney Transplantation: Perspectives from Dialysis and Transplant Center Staff Across Four US Regions.The journal of nephrology social work · 2026Article
- Forging a path toward kidney transplant equity through multilevel interventions.Current opinion in organ transplantation · 2025Review
- Developing and Validating Machine Learning-Driven Risk Indices to Predict Patient Dropout During Referral, Evaluation, and Waitlisting for Kidney Transplant.Clinical transplantation · 2025Article
- Experiential Evidence of Systemic Racism for Indigenous Peoples Navigating Transplantation in Canada.Kidney international reports · 2025Article
- Examining the efficacy of treatment outcomes for patients with pulmonary tuberculosis in Western China: A retrospective study in a region of high incidence.BMC public health · 2025Article
- Role of Educational Level in Kidney Transplant Outcomes.Biomedicines · 2025Article
- Challenges to establishing and maintaining kidney transplantation programs in developing countries: What are the coping strategies?World journal of methodology · 2024Review
- Predicting Kidney Transplant Evaluation Non-attendance.Journal of clinical psychology in medical settings · 2024Article
- Disparities Persist Among Hispanic Patients: Completing Evaluation, Waitlisting, and Receiving a Kidney Transplant.Transplantation direct · 2024Article
- Sociodemographic and Clinical Factors Associated with Nonattendance at the Hepatology Clinic.Digestive diseases and sciences · 2023Article
- How COVID-19 Outbreak Influenced Transplantation in Poland.Journal of clinical medicine · 2023Article
- Access to treatment in chronic kidney disease, dialysis and transplantation. Is there gender equality?Frontiers in medicine · 2023Review
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundSome patients referred for kidney transplant evaluation fail to attend the visit. Our goal was to compare demographic, socioeconomic, and psychologic factors between evaluation visit attendees and absentees.
methodsA convenience sample of patients referred and scheduled for kidney transplant evaluation at a single center from November 2012 to December 2013 participated in a phone survey reporting socioeconomic, demographic, and clinical characteristics; health literacy; and perceived knowledge and concerns about transplantation. Absentees were matched by race with attendees. Analyses of differences between groups were performed with chi-square test, Fisher exact test, and t tests. Multivariable logistic regression was adjusted for relevant demographic characteristics.
resultsOne hundred four adults participated (61% men, 46% white, 52 ± 12 years). Financial concerns were the most prevalent (67.3% affording medication, 64.1% affording operation). Previous evaluation at a different transplant center (P = 0.029) and being on dialysis (P = 0.008) were significantly associated with absence. Attendance was associated with concerns about finding a living donor (P = 0.038) and higher perceived general knowledge about transplantation (P ≤ 0.001). No differences were appreciated in demographic, socioeconomic, or health literacy factors between groups.
conclusionBoth attendee and absentee patients were most concerned with the financial burden of kidney transplantation. Although concerns and perceived knowledge are important correlates of behavior, other considerations such as psychologic factors and prior medical experiences may influence patients' ability to complete the kidney transplant evaluation process. Although this pilot study was conducted in a small sample and has limited generalizability, our findings can guide future research.
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