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Am J Nephrol. 2018;47(2):115-119. doi: 10.1159/000486648. Epub 2018 Feb 22.

Awareness of the New Kidney Allocation System among United States Dialysis Providers with Low Waitlisting.

Author information

1
Department of Surgery, Division of Transplantation, Emory University School of Medicine, Atlanta, Georgia, USA.
2
Department of Epidemiology, Rollins School of Public Health, Atlanta, Georgia, USA.
3
Department of Medicine, Division of Renal Medicine, Emory University School of Medicine, Atlanta, Georgia, USA.
4
Department of Medicine, Division of Nephrology, College of Physicians and Surgeons, and Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, New York, USA.
5
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Atlanta, Georgia, USA.
6
Department of Health Policy Management, Rollins School of Public Health, Atlanta, Georgia, USA.

Abstract

It is unknown whether dialysis facility staff are aware of the new kidney allocation system implemented in December 2014, which changed how deceased donor kidneys are allocated and waiting time is calculated. U.S. dialysis facilities with low annual waitlisting (<15.2%) were surveyed as part of a large randomized study. Among 653 facilities, 57.9% of staff were aware of the policy change, with medical directors (84.4%) being more aware than social workers (73.3%), facility administrators (53.1%), nurse managers (46.4%), and other staff (43.8%). Targeted education among dialysis facilities with low waitlisting may help extend the reach of the new policy.

KEYWORDS:

Kidney allocation policy; Kidney transplantation; Provider knowledge; Racial disparities

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