Do pre‐transplant cultural factors predict health‐related quality of life after kidney transplantation?

• DOI: 10.1111/ctr.15256
• Publication Date: 2024-02-24T09:03:42Z
• Authors: Jamie M. Loor; C. Graham Ford; Yuridia Leyva; Samuel Swift; Yue Harn Ng; Yiliang Zhu; Mary Amanda Dew; J. Devin Peipert; Mark L. Unruh; Emilee Croswell; Kellee Kendall; Chethan Puttarajappa; Ron Shapiro; Larissa Myaskovsky
• Keywords: Male; 03 medical and health sciences; 0302 clinical medicine; Quality of Life; Humans; Female; Prospective Studies; Middle Aged; Trust; Kidney; Kidney Transplantation

Abstract Background Post‐transplant health‐related quality of life (HRQOL) is associated with health outcomes for kidney transplant (KT) recipients. However, pretransplant predictors improvements in post‐transplant HRQOL remain incompletely understood. Namely, important cultural factors, such as experience discrimination, perceived racism healthcare, or mistrust the healthcare system, have not been examined potential predictors. Also, few decline post‐transplant. Methods Using data from a prospective cohort study, we change pre‐ to post‐transplant, and novel change. We measured physical, mental, kidney‐specific outcomes, used factors predictors, controlling demographic, clinical, psychosocial, knowledge covariates. Results Among 166 KT recipients (57% male; mean age 50.6 years; 61.4% > high school graduates; 80% non‐Hispanic White), found mental but kidney‐specific, significantly improved No culturally related outside medical predicted any outcome. Instead, knowledge, clinical each domain: physical HRQOL—older age, more post‐KT complications, higher pre‐KT HRQOL; HRQOL—having less information pre‐KT, greater and, HRQOL—poorer functioning post‐KT, lower expectations condition improve, HRQOL. Conclusions Instead included factors. These findings are useful identifying patient groups that may be at risk poorer order target individualized support patients.