Leigh Anne Dageforde|Amanda Box|Irene D. Feurer|Kerri L. Cavanaugh
Understanding Patient Barriers to Kidney Transplant Evaluation
Vanderbilt University Medical Center|University of Tennessee Health Science Center|Vanderbilt University Medical Center|Vanderbilt University Medical Center|Vanderbilt University Medical Center
brief background patients referred kidney transplant evaluation fail attend visit goal compare demographic socioeconomic psychologic factors evaluation visit attendees absentees methods convenience sample patients referred scheduled kidney transplant evaluation single center november 2012 december 2013 participated phone survey reporting socioeconomic demographic clinical characteristics health literacy perceived knowledge concerns transplantation absentees matched race attendees analyses differences groups performed chisquare test fisher exact test tests multivariable logistic regression adjusted relevant demographic characteristics results one hundred four adults participated 61 men 46 white 52 12 years financial concerns prevalent 673 affording medication 641 affording operation previous evaluation different transplant center p 0029 dialysis p 0008 significantly associated absence attendance associated concerns finding living donor p 0038 higher perceived general knowledge transplantation p 0001 differences appreciated demographic socioeconomic health literacy factors groups conclusion attendee absentee patients concerned financial burden kidney transplantation although concerns perceived knowledge important correlates behavior considerations psychologic factors prior medical experiences may influence patients ability complete kidney transplant evaluation process although pilot study conducted small sample limited generalizability findings guide future research barriers patient attendance scheduled transplant evaluations shows financial concerns medications hospitalization paramount additional barriers include length time dialysis prior evaluation another center