Predicting Kidney Transplant Evaluation Non-attendance.
Kidney transplantation
Non-attendance
Transplant evaluation
Journal
Journal of clinical psychology in medical settings
ISSN: 1573-3572
Titre abrégé: J Clin Psychol Med Settings
Pays: United States
ID NLM: 9435680
Informations de publication
Date de publication:
23 Mar 2023
23 Mar 2023
Historique:
accepted:
28
02
2023
entrez:
24
3
2023
pubmed:
25
3
2023
medline:
25
3
2023
Statut:
aheadofprint
Résumé
Non-attendance to kidney transplant evaluation (KTE) appointments is a barrier to optimal care for those with kidney failure. We examined the medical and socio-cultural factors that predict KTE non-attendance to identify opportunities for integrated medical teams to intervene. Patients scheduled for KTE between May, 2015 and June, 2018 completed an interview before their initial KTE appointment. The interview assessed various social determinants of health, including demographic (e.g., income), medical (e.g. co-morbidities), transplant knowledge, cultural (e.g., medical mistrust), and psychosocial (e.g., social support) factors. We used multiple logistic regression analysis to determine the strongest predictor of KTE non-attendance. Our sample (N = 1119) was 37% female, 76% non-Hispanic White, median age 59.4 years (IQR 49.2-67.5). Of note, 142 (13%) never attended an initial KTE clinic appointment. Being on dialysis predicted higher odds of KTE non-attendance (OR 1.76; p = .02; 64% of KTE attendees on dialysis vs. 77% of non-attendees on dialysis). Transplant and nephrology teams should consider working collaboratively with dialysis units to better coordinate care, (e.g., resources to attend appointment or outreach to emphasize the importance of transplant) adjusting the KTE referral and evaluation process to address access issues (e.g., using tele-health) and encouraging partnership with clinical psychologists to promote quality of life for those on dialysis.
Identifiants
pubmed: 36959431
doi: 10.1007/s10880-023-09953-5
pii: 10.1007/s10880-023-09953-5
pmc: PMC10035980
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : NIDDK NIH HHS
ID : R01DK081325
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1TR001857
Pays : United States
Organisme : Dialysis Clinics
ID : C-3924
Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
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