Format

Send to

Choose Destination
Transplantation. 2014 Nov 15;98(9):979-86. doi: 10.1097/TP.0000000000000165.

Making house calls increases living donor inquiries and evaluations for blacks on the kidney transplant waiting list.

Author information

1
1 Center for Transplant Outcomes and Quality Improvement, The Transplant Institute, Beth Israel Deaconess Medical Center and the Harvard Medical School, Boston, MA. 2 Amgen, Inc., Thousand Oaks, CA. 3 Department of Medicine, University of California at Los Angeles, Los Angeles, CA. 4 Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH. 5 Address correspondence to: James R. Rodrigue, Ph.D., The Transplant Institute, Beth Israel Deaconess Medical Center, 110 Francis St., 7th Floor, Boston, MA 02215.

Abstract

BACKGROUND:

Blacks receive live donor kidney transplant (LDKT) less often than patients of all other races. We evaluated the effectiveness of educational interventions in removing barriers to LDKT for blacks.

METHODS:

Patients were randomized to three interventions in which health educator(s) delivered an intervention to (a) the patient and his/her guests in the patient's home (house calls [HC], n=54), (b) clusters of patients and their guests in the transplant center (group based [GB], n=49), and (c) the individual patient alone in the transplant center (individual counseling [IC], n=49).

RESULTS:

At the 2-year endpoint, 15% (n=8), 8% (n=4), and 6% (n=3) of HC, GB, and IC patients, respectively, received LDKT (P=0.30). Patients in the HC group were more likely than patients in the GB and IC groups to have at least one donor inquiry (82% vs. 61% vs. 47%, P=0.001) and evaluation (65% vs. 39% vs. 27%, P<0.001). Patients in the HC group also were more likely to have higher knowledge, fewer concerns, and higher willingness to talk to others about donation 6 weeks after intervention.

CONCLUSIONS:

These findings underscore the importance of including the patient's social network in LDKT education and the potential of the HC intervention to reduce racial disparity in LDKT rates.

PMID:
24825528
PMCID:
PMC4218873
DOI:
10.1097/TP.0000000000000165
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Wolters Kluwer Icon for PubMed Central
Loading ...
Support Center