ArticleBMC nephrology2022
Reducing disparities in kidney transplantation for Spanish-speaking patients through creation of a dedicated center.
Article in BMC nephrology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 21 citations in OpenAlex.
- Structural Barriers Underlying Kidney and Liver Transplant Inequity in Hispanic Americans.Cureus · 2026Review
- Trainee Awareness of Transplant Barriers for Undocumented Immigrants.Journal of immigrant and minority health · 2026Article
- Association Between Primary Language and Evaluation Completion Among Kidney Transplant Candidates.Kidney medicine · 2026Article
- Developing and Validating Machine Learning-Driven Risk Indices to Predict Patient Dropout During Referral, Evaluation, and Waitlisting for Kidney Transplant.Clinical transplantation · 2025Article
- Impact of public versus non public insurance on hispanic kidney transplant outcomes using UNOS database.Scientific reports · 2025Article
- Language and cultural concordance to promote equity in organ transplantation for Hispanics with limited English proficiency.Current opinion in organ transplantation · 2025Review
- Advancing health equity: evaluating AI translations of kidney donor information for Spanish speakers.Frontiers in public health · 2025Article
- Review
- AI-driven translations for kidney transplant equity in Hispanic populations.Scientific reports · 2024Article
- The Transplant Experience for Undocumented Immigrant Patients Formerly Receiving Emergency Dialysis and Caregivers.JAMA network open · 2024Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
introductionHispanic Americans receive disproportionately fewer organ transplants than non-Hispanic whites. In 2018, the Hispanic Kidney Transplant Program (HKTP) was established as at the University of Colorado Hospital (UCH). The purpose of this quality improvement study was to examine the effect of this culturally sensitive program in reducing disparities in kidney transplantation.
methodsWe performed a mixed-methods analysis of data from 436 Spanish-speaking patients referred for transplant to UCH between 2015 and 2020. We compared outcomes for patients referred between 2015-2017 (n = 156) to those referred between 2018-2020 (n = 280). Semi-structured phone interviews were conducted with 6 patients per time period and with 6 nephrology providers in the Denver Metro Area. Patients and providers were asked to evaluate communication, transplant education, and overall experience.
resultsWhen comparing the two time periods, there was a significant increase in the percentage of patients being referred (79.5% increase, p-0.008) and evaluated for transplant (82.4% increase, p = 0.02) during 2018-2020. While the number of committee reviews and number waitlisted increased during 2018-2020, it did not reach statistical significance (82.9% increase, p = 0.37 and 79.5% increase, p = 0.75, respectively. During patient and provider interviews, we identified 4 themes reflecting participation in the HKTP: improved communication, enhanced patient education, improved experience and areas for advancement. Overall, patients and providers reported a positive experience with the HKTP and noted improved patient understanding of the transplantation process.
conclusionsThe establishment of the HKTP is associated with a significant increase in Spanish-speaking Hispanic patients being referred and evaluated for kidney transplantation.
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