Rachel E. Patzer|Jennie P. Perryman|Stephen O. Pastan|Sandra Amaral|Julie A. Gazmararian|Mitch Klein|Nancy G. Kutner|William M. McClellan
Impact of a Patient Education Program on Disparities in Kidney Transplant Evaluation
Emory University|Emory University|Emory University|Children's Hospital of Philadelphia|Emory University|Emory University|Emory University|Emory University
summary background objectives 2007 emory transplant center etc kidney transplant program implemented required educational session esrd patients referred renal transplant evaluation increase patient awareness decrease loss followup purpose study evaluate association etc education program completion transplant evaluation process design setting participants amp measurements incident adult esrd patients referred 2005 2008 included patient data abstracted medical records linked data united states renal data system evaluation completion compared pre posteducational intervention groups binomial regression models accounting temporal confounding results total 1126 adult esrd patients examined two transplant evaluation eras 75 pre 25 postintervention oneyear evaluation completion higher post versus preintervention group 804 versus 447 p lt00001 adjusted analyses controlling time trends adjusted probability evaluation completion 1 year higher among intervention versus nonintervention group risk ratio138 95 confidence interval112171 effect intervention stronger among black patients patients living poor neighborhoods likelihood ratio test interaction p lt005 conclusions standardizing transplant education may help reduce racial socioeconomic disparities observed kidney transplantation