Kidney transplant referral practices in southeastern dialysis units

Clin Transplant. 2016 Apr;30(4):365-71. doi: 10.1111/ctr.12693. Epub 2016 Feb 12.

Abstract

Background: The Southeastern Kidney Transplant Coalition was created in 2010 to improve kidney transplant (KTx) rates in Georgia, North Carolina, and South Carolina. To identify dialysis staff-reported barriers to transplant, the Coalition developed a survey of dialysis providers in the region.

Methods: All dialysis units in the ESRD Network (n = 586) were sent a survey to be completed by the professional responsible for helping patients get transplants.

Results: One staff member at almost all (n = 546) of the dialysis units in Network 6 completed the survey (93% response rate). Almost all respondents reported being very comfortable (51.47%) or comfortable (46.89%) discussing the KTx process with patients. Just over half (56%) of facilities reported discussing KTx as a treatment option with patients on an annual basis. Fewer than one quarter of respondents (19%) perceived that more than 50% of their patients were interested in kidney transplant, and most of the staff surveyed (68%) reported that <25% of their dialysis patients completed the evaluation process and been wait-listed for a kidney transplant.

Conclusion: The survey results provide insight into KTx referral practices in southeastern dialysis units that may be contributing to low KTx rates in this region.

Keywords: South; dialysis; provider; referral; transplant.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Female
  • Follow-Up Studies
  • Hemodialysis Units, Hospital / statistics & numerical data*
  • Humans
  • Kidney Failure, Chronic / surgery*
  • Kidney Transplantation*
  • Male
  • Middle Aged
  • North Carolina
  • Practice Patterns, Physicians' / standards*
  • Prognosis
  • Referral and Consultation / statistics & numerical data*
  • Renal Dialysis*
  • Surveys and Questionnaires