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Addressing Racial Disparities in Live Donor Kidney Transplantation Through Education and Advocacy Training
BACKGROUND. The Live Donor Champion (LDC) program trains kidney transplant (KT) candidates and their family/friends (“champions”) as educator-advocates for live donor KT (LDKT). This program was created to empower patients and champions, particularly African American (AA) waitlist candidates that hi...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7423916/ https://www.ncbi.nlm.nih.gov/pubmed/32851126 http://dx.doi.org/10.1097/TXD.0000000000001041 |
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author | King, Elizabeth A. Ruck, Jessica M. Garonzik-Wang, Jacqueline Bowring, Mary G. Kumar, Komal Purnell, Tanjala Cameron, Andrew Segev, Dorry L. |
author_facet | King, Elizabeth A. Ruck, Jessica M. Garonzik-Wang, Jacqueline Bowring, Mary G. Kumar, Komal Purnell, Tanjala Cameron, Andrew Segev, Dorry L. |
author_sort | King, Elizabeth A. |
collection | PubMed |
description | BACKGROUND. The Live Donor Champion (LDC) program trains kidney transplant (KT) candidates and their family/friends (“champions”) as educator-advocates for live donor KT (LDKT). This program was created to empower patients and champions, particularly African American (AA) waitlist candidates that historically had lower access to LDKT. We assessed changes in knowledge about and comfort discussing live donation and donor referral associated with LDC participation, both overall and by participant race. METHODS. We compared 163 adult KT candidates who were LDC participants from October 2013 to May 2016 with 489 matched controls, both overall and by race. We compared changes in comfort and knowledge post-LDC using rank-sum tests among participants by race. We compared time to first live donor referral for participants versus controls, by race, using Cox regression. RESULTS. Post-LDC versus pre-LDC, participants had higher median knowledge (83% versus 63% on 12-question quiz; P < 0.001) and comfort (1.8 versus 1 on 4-point Likert scale; P < 0.001). Among participants, AAs had similar baseline and final knowledge (P = 0.9 and P = 0.1, respectively) and baseline comfort (P > 0.9) as non-AAs but higher final comfort (2 versus 1.4; P = 0.005) than non-AAs. LDC participants were 5.8 times as likely as controls to have a live donor referral (aHR (3.76)5.78(8.89); P < 0.001); the impact of LDC participation was similar among non-AAs and AAs (p-interaction = 0.6). CONCLUSIONS. The LDC program increased knowledge, comfort, and live donor referral for non-AA and AA participants, underscoring the effectiveness in the program in promoting LDKT in a population with historically lower access to LDKT. |
format | Online Article Text |
id | pubmed-7423916 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-74239162020-08-25 Addressing Racial Disparities in Live Donor Kidney Transplantation Through Education and Advocacy Training King, Elizabeth A. Ruck, Jessica M. Garonzik-Wang, Jacqueline Bowring, Mary G. Kumar, Komal Purnell, Tanjala Cameron, Andrew Segev, Dorry L. Transplant Direct Organ Donation and Procurement BACKGROUND. The Live Donor Champion (LDC) program trains kidney transplant (KT) candidates and their family/friends (“champions”) as educator-advocates for live donor KT (LDKT). This program was created to empower patients and champions, particularly African American (AA) waitlist candidates that historically had lower access to LDKT. We assessed changes in knowledge about and comfort discussing live donation and donor referral associated with LDC participation, both overall and by participant race. METHODS. We compared 163 adult KT candidates who were LDC participants from October 2013 to May 2016 with 489 matched controls, both overall and by race. We compared changes in comfort and knowledge post-LDC using rank-sum tests among participants by race. We compared time to first live donor referral for participants versus controls, by race, using Cox regression. RESULTS. Post-LDC versus pre-LDC, participants had higher median knowledge (83% versus 63% on 12-question quiz; P < 0.001) and comfort (1.8 versus 1 on 4-point Likert scale; P < 0.001). Among participants, AAs had similar baseline and final knowledge (P = 0.9 and P = 0.1, respectively) and baseline comfort (P > 0.9) as non-AAs but higher final comfort (2 versus 1.4; P = 0.005) than non-AAs. LDC participants were 5.8 times as likely as controls to have a live donor referral (aHR (3.76)5.78(8.89); P < 0.001); the impact of LDC participation was similar among non-AAs and AAs (p-interaction = 0.6). CONCLUSIONS. The LDC program increased knowledge, comfort, and live donor referral for non-AA and AA participants, underscoring the effectiveness in the program in promoting LDKT in a population with historically lower access to LDKT. Lippincott Williams & Wilkins 2020-08-12 /pmc/articles/PMC7423916/ /pubmed/32851126 http://dx.doi.org/10.1097/TXD.0000000000001041 Text en Copyright © 2020 The Author(s). Transplantation Direct. Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. |
spellingShingle | Organ Donation and Procurement King, Elizabeth A. Ruck, Jessica M. Garonzik-Wang, Jacqueline Bowring, Mary G. Kumar, Komal Purnell, Tanjala Cameron, Andrew Segev, Dorry L. Addressing Racial Disparities in Live Donor Kidney Transplantation Through Education and Advocacy Training |
title | Addressing Racial Disparities in Live Donor Kidney Transplantation Through Education and Advocacy Training |
title_full | Addressing Racial Disparities in Live Donor Kidney Transplantation Through Education and Advocacy Training |
title_fullStr | Addressing Racial Disparities in Live Donor Kidney Transplantation Through Education and Advocacy Training |
title_full_unstemmed | Addressing Racial Disparities in Live Donor Kidney Transplantation Through Education and Advocacy Training |
title_short | Addressing Racial Disparities in Live Donor Kidney Transplantation Through Education and Advocacy Training |
title_sort | addressing racial disparities in live donor kidney transplantation through education and advocacy training |
topic | Organ Donation and Procurement |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7423916/ https://www.ncbi.nlm.nih.gov/pubmed/32851126 http://dx.doi.org/10.1097/TXD.0000000000001041 |
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