Dominic Taylor|J. Andrew Bradley|Clare Bradley|Heather Draper|Christopher Dudley|Damian Fogarty|Simon Fraser|Johnson Rj|Geraldine Leydon|Wendy Metcalfe|Gabriel C. Oniscu|Matthew Robb|Charles Tomson|Christopher J. Watson|Rommel Ravanan|Paul Roderick
Limited health literacy is associated with reduced access to kidney transplantation
National Health Service|University of Southampton|National Institute for Health Research|University of Cambridge|Royal Holloway University of London|University of Warwick|National Health Service|Belfast Health and Social Care Trust|University of Southampton|National Health Service|University of Southampton|Renal Association|Edinburgh Royal Infirmary|National Health Service|Freeman Hospital|National Institute for Health Research|University of Cambridge|National Health Service|University of Southampton
limited health literacy common patients chronic kidney disease ckd variably associated adverse clinical outcomes prevalence limited health literacy lower kidney transplant recipients individuals starting dialysis suggesting selection patients higher health literacy transplantation investigated relationship limited health literacy clinical outcomes including access kidney transplantation prospective uk cohort study 2274 incident dialysis patients aged 1875 years limited health literacy defined validated single item literacy screener sils multivariable regression used test association outcomes adjusting age sex socioeconomic status educational level car ownership ethnicity first language primary renal diagnosis comorbidity fully adjusted analyses limited health literacy associated mortality late presentation nephrology dialysis modality haemodialysis vascular access preemptive kidney transplant listing associated reduced likelihood listing deceaseddonor transplant hazard ratio hr 068 95 confidence interval ci 051090 receiving livingdonor transplant hr 041 95 ci 019088 receiving transplant donor type hr 065 95 ci 044096 limited health literacy associated reduced access kidney transplantation independent patient demographics socioeconomic status comorbidity interventions ameliorate effects low health literacy may improve access kidney transplantation