Rachel E. Patzer|Mohua Basu|Sumit Mohan|Kayla Smith|Michael S. Wolf|Daniela P. Ladner|John J. Friedewald|Mariana C. Chiles|Allison L. Russell|Laura McPherson|Jennifer Gander|Stephen O. Pastan
A Randomized Controlled Trial of a Mobile Clinical Decision Aid to Improve Access to Kidney Transplantation: iChoose Kidney
Emory Healthcare|Emory Healthcare|Columbia University Irving Medical Center|Emory Healthcare|Northwestern University|Northwestern University|Northwestern University|Columbia University Irving Medical Center|Northwestern University|Emory Healthcare|Emory Healthcare|Emory Healthcare
kidney transplantation preferred treatment patients endstage renal disease substantially increases patients survival cost saving compared lifetime dialysis however transplantation universally chosen patients renal failure limited knowledge survival benefit transplantation vs dialysis may play role created mobile application clinical decision aid called ichoose kidney improve access individualized prognosis information comparing dialysis transplantation outcomes describe ichoose kidney study randomized controlled trial designed test clinical efficacy mobile health decision aid among endstage renal disease patients referred kidney transplantation three large diverse transplant centers across us approximately 450 patients randomized receive either 1 standard care usual transplantation education 2 standard care plus ichoose kidney primary outcome change knowledge survival benefit kidney transplantation vs dialysis baseline immediate followup secondary outcomes include change treatment preferences improved decisional conflict increased access kidney transplantation analyses also planned examine effectiveness across subgroups race socioeconomic status health literacy health numeracy engaging patients health care choices increase patient empowerment improve knowledge understanding treatment choices effectiveness ichoose kidney greater impact patients low health literacy lower socioeconomic status minority race decision aid could help reduce disparities access kidney transplantation