A Randomized Trial to Reduce Disparities in Referral for Transplant Evaluation

• DOI: 10.1681/asn.2016030320
• Publication Date: 2016-10-13T21:54:50Z
• Authors: Rachel E. Patzer; Sudeshna Paul; Laura Plantinga; Jennifer Gander; Leighann Sauls; Jenna Krisher; Laura L. Mulloy; Eric M. Gibney; Teri Browne; Carlos F. Zayas; William M. McClellan; Kimberly Jacob Ar...; Stephen O. Pastan
• Keywords: Nephrology

Georgia has the lowest kidney transplant rates in United States and substantial racial disparities transplantation. We determined effectiveness of a multicomponent intervention to increase referral patients on dialysis for evaluation Reducing Disparities Access kidNey Transplantation Community Study (RaDIANT), randomized, facility–based, controlled trial involving >9000 receiving from 134 facilities Georgia. In December 2013, we selected with either low or disparity referral. The consisted education engagement activities targeting facility leadership, staff, conducted January 2014. examined proportion prevalent ESRD each referred within 1 year as primary outcome, black white secondary outcome. Compared control facilities, higher at 12 months (adjusted mean difference [aMD], 7.3%; 95% confidence interval [95% CI], 5.5% 9.2%; odds ratio, 1.75; CI, 1.36 2.26). between was among (aMD, 6.4%; 4.3% 8.6%) than 3.7%; 1.6% 5.9%; P <0.05). conclusion, this increased improved equity Georgia; long-term follow-up is needed determine whether these effects led more transplants.