Elizabeth C. Lorenz|Tanya M. Petterson|Carrie A. Schinstock|Brynte H. Johnson|Aleksandra Kukla|Walter K. Kremers|William Sánchez|Kathleen J. Yost
The Relationship Between Health Literacy and Outcomes Before and After Kidney Transplantation
Mayo Clinic|Mayo Clinic in Florida|Mayo Clinic|Mayo Clinic in Florida|Mayo Clinic|Mayo Clinic|Mayo Clinic in Florida|Mayo Clinic|Mayo Clinic in Arizona|Mayo Clinic in Florida
limited health literacy hl associated decreased kidney function death patients chronic kidney disease less known impact hl kidney transplant kt outcomes aim study examine relationship hl kt outcomes including rates waitlisting healthcare utilization acute rejection renal allograft function renal allograft failure deathwe performed retrospective review hl data previously collected center hl assessed convenience sample consecutive englishspeaking patients age 18 evaluated kt mayo clinic minnesota june 2015 march 2017 part practice improvement feasibility project n 690 hl assessed using 4item brief health literacy screening tool modified outpatient kt evaluation process 4 items assess confidence completing forms reading comprehension oral literacyoverall 304 patients limited marginal hl patients limited marginal hl less likely adequate hl waitlisted kt hazard ratio 062 069 respectively even adjusting age marital status body mass index charlson comorbidity index dialysis dependency patient hl associated postkt healthcare utilization acute rejection renal allograft function patients limited marginal hl appeared experience higher risk renal allograft failure postkt death number events small relationship statistically significant marginal hlinadequate hl common kt candidates independently associated decreased waitlisting kt observed statistically significant relationship hl posttransplant outcomes cohort efforts improve communication patients inadequate hl may improve access kt