Document Detail


Impact of a chronic kidney disease clinic on preemptive kidney transplantation and transplant wait times.
MedLine Citation:
PMID:  20929105     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Despite the known benefits of preemptive kidney transplantation, its rate of use remains low.
OBJECTIVE: To determine whether focused, comprehensive education provided at a clinic for patients with chronic kidney disease would improve the rate of preemptive transplantation and transplant wait times.
METHODS: A retrospective cohort study design was used. The rate of preemptive transplantation and transplant wait times were compared between patients with end-stage renal disease who had been followed in a chronic kidney disease clinic for more than 3 months and patients with end-stage kidney disease who had not been followed for chronic kidney disease care during the same period.
RESULTS: More African Americans than others had initiated dialysis without having had previous care for chronic kidney disease. The rate of preemptive transplantation was 24% for patients followed in the clinic. For those patients without living donor options, mean transplant referral time was significantly different between patients followed at the clinic and patients who were not: 234 (SD, 392) days before dialysis was started versus 161 (SD, 525) days after dialysis was started (P = .01).
CONCLUSION: A chronic kidney disease clinic can influence rates of preemptive kidney transplantation and transplantation referral times.
Authors:
Neenoo Khosla; Elisa Gordon; Laura Nishi; Cybele Ghossein
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Progress in transplantation (Aliso Viejo, Calif.)     Volume:  20     ISSN:  1526-9248     ISO Abbreviation:  Prog Transplant     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-10-08     Completed Date:  2010-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100909380     Medline TA:  Prog Transplant     Country:  United States    
Other Details:
Languages:  eng     Pagination:  216-20     Citation Subset:  N    
Affiliation:
Northwestern University, Chicago, Illinois, USA.
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MeSH Terms
Descriptor/Qualifier:
African Americans / statistics & numerical data
Ambulatory Care / organization & administration*
Analysis of Variance
Chi-Square Distribution
Cohort Studies
Curriculum
Female
Humans
Illinois / epidemiology
Kidney Failure, Chronic / epidemiology,  etiology,  therapy*
Kidney Transplantation / statistics & numerical data*
Male
Middle Aged
Outcome Assessment (Health Care)
Patient Care Team / organization & administration
Patient Education as Topic / organization & administration*
Program Evaluation
Referral and Consultation / organization & administration
Retrospective Studies
Total Quality Management / organization & administration
Waiting Lists*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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