2023-09-28 14:46:10 +00:00
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abstract: 'Background: Despite our knowledge of barriers to the early stages of the
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transplant process, we have limited insight into patient-reported
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barriers to the prekidney transplant medical evaluation in populations
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largely at-risk for evaluation failure. Methods: One-hundred consecutive
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adults were enrolled at an urban, Midwestern transplant center.
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Demographic, clinical, and quality of life data were collected prior to
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patients visit with a transplant surgeon/nephrologist (evaluation
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begins). Patient-reported barriers to evaluation completion were
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collected using the Subjective Barriers Questionnaire 90-days after the
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initial medical evaluation appointment (evaluation ends), our center
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targeted goal for transplant work-up completion. Results: At 90 days,
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40\% of participants had not completed the transplant evaluation. Five
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barrier categories were created from the 85 responses to the Subjective
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Barriers Questionnaire. Patient-reported barriers included poor
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communication, physical health, socioeconomics, psychosocial influences,
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and access to care. In addition, determinants for successful evaluation
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completion included being of white race, higher income, free of
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dialysis, a lower comorbid burden, and reporting higher scores on the
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Kidney Disease Quality of Life subscale role-emotional. Conclusion: Poor
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communication between patients and providers, and among providers, was
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the most prominent patient-reported barrier identified. Barriers were
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more prominent in marginalized groups such as ethnic minorities and
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people with low income. Understanding the prevalence of patient-reported
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barriers may aid in the development of patient-centered interventions to
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improve completion rates.'
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affiliation: 'Lockwood, MB (Corresponding Author), Univ Illinois, Coll Nursing, Room
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658,845 S Damen Ave, Chicago, IL 60612 USA.
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Lockwood, Mark B., Univ Illinois, Coll Nursing, Dept Biobehav Sci, Chicago, IL 60680
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USA.
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Saunders, Milda R., Univ Chicago Med, Hosp Med, Chicago, IL USA.
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Saunders, Milda R., MacLean Ctr Clin Med Eth, Chicago, IL USA.
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Nass, Rachel; Cunningham, Patrick N.; Josephson, Michelle A., Univ Chicago Med,
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Dept Med, Chicago, IL USA.
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McGivern, Claire L.; Becker, Yolanda T., Univ Chicago Med, Dept Surg, Chicago, IL
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USA.
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Chon, W. James, Univ Arkansas Med Sci, Dept Med, Little Rock, AR 72205 USA.
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Lee, Christopher S., Oregon Hlth \& Sci Univ, Sch Nursing, Portland, OR 97201 USA.'
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author: Lockwood, Mark B. and Saunders, Milda R. and Nass, Rachel and McGivern, Claire
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L. and Cunningham, Patrick N. and Chon, W. James and Josephson, Michelle A. and
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Becker, Yolanda T. and Lee, Christopher S.
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author-email: lockmar@uic.edu
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author_list:
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- family: Lockwood
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given: Mark B.
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- family: Saunders
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given: Milda R.
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- family: Nass
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given: Rachel
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- family: McGivern
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given: Claire L.
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- family: Cunningham
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given: Patrick N.
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- family: Chon
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given: W. James
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- family: Josephson
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given: Michelle A.
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- family: Becker
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given: Yolanda T.
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- family: Lee
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given: Christopher S.
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da: '2023-09-28'
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doi: 10.1177/1526924817699957
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eissn: 2164-6708
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files: []
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issn: 1526-9248
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journal: PROGRESS IN TRANSPLANTATION
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keywords: inequities; barriers; transplant; evaluation; kidney
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keywords-plus: 'KIDNEY-TRANSPLANT; RACIAL DISPARITIES; COMPLETION; DIALYSIS; RACE;
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DECISION; IMPACT; DONOR; STEPS; TIME'
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language: English
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month: JUN
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number: '2'
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number-of-cited-references: '29'
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orcid-numbers: 'Chon, Woojin James/0000-0002-3167-8549
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Lockwood, Mark/0000-0003-2534-8583
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Lee, Christopher/0000-0002-2510-4071'
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pages: 131-138
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papis_id: 928f5880a7fec7231a3b91173a6aa9c4
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ref: Lockwood2017patientreportedbarri
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researcherid-numbers: 'Chon, Woojin James/F-4684-2010
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'
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times-cited: '18'
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title: Patient-Reported Barriers to the Prekidney Transplant Evaluation in an At-Risk
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Population in the United States
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000401799700004
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usage-count-last-180-days: '0'
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usage-count-since-2013: '4'
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volume: '27'
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web-of-science-categories: Surgery; Transplantation
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year: '2017'
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