Kidney Transplant Related Knowledge Among African, Caribbean and Black Canadian Patients with Kidney Failure
1University Health Network, Toronto, ON, Canada, 2Houston Methodist Hospital and J.C. Walter Transplant Center, Houston, TX
Meeting: 2022 American Transplant Congress
Abstract number: 1757
Keywords: African-American, Living donor
Topic: Clinical Science » Kidney » 50 - Health Equity and Access
Session Information
Session Time: 7:00pm-8:00pm
Presentation Time: 7:00pm-8:00pm
Location: Hynes Halls C & D
*Purpose: Compared to Whites, African, Caribbean and Black (ACB) Canadians with kidney failure are less likely to receive a living donor kidney transplant (LDKT), possibly due to having less access to information about it. We compared transplant-related knowledge among these patient groups and White ESRD patients using the “Knowledge Assessment of Renal Transplantation” (KART) questionnaire.
*Methods: In a cross-sectional convenience sample of adults with ESKD in Toronto, participants reported their sociodemographic information, ethnicity, and answered KART knowledge questions using an electronic data capture platform (DADOS, Techna Institute, Toronto). Clinical characteristics and laboratory values were abstracted from medical records. Association between ethnicity and KART score and responses to individual items in the KART survey were assessed using univariable and multivariable adjusted linear and logistic regression, respectively. The final models were adjusted for age, sex, immigrant status, marital status, material deprivation, education, comorbidity and history of previous transplant. Multiple imputation by chained equations was used to handle missingness.
*Results: Among the 577 participants (mean [SD] age 57 [14] years, 63% male), 25% were ACB, and 43% were White. 43% of ACB participants vs 64% of Whites had >12 years of education (p<0.001). 77% of ACB participants vs 41% of Whites lived in high deprivation areas. On a scale from 0-28, with higher scores indicating more transplant related knowledge, ACB patients were less knowledgeable kidney transplant (mean [SD] KART score was 15 [6] vs 17 [6] for ACB vs White participants, p<0.001). 21% of ACB vs 43% of White participants scored in the highest tertile of the KART score. In univariable analysis, compared to Whites, the relative risk ratio (RRR) of ACB participants to be in the middle or the lowest tertile of KART score (compared to the highest tertile) was 2.2 (1.29-3.76) and 3.5 (2.5-5.92). The RRR was 1.52 (0.78-2.94) and 2.7 (1.38-5.28) in our final multivariable adjusted model.
*Conclusions: Patients with kidney failure from ACB communities have less kidney- and transplant-related knowledge compared to White patients. The specific areas of knowledge gaps may inform better targeted education efforts to inform ACB patients about kidney transplant and LDKT.
To cite this abstract in AMA style:
Hamid M, Habbal H, Wasim A, Rogers E, Anwar M, Li R, Macanovic S, Waterman AD, Mucsi I. Kidney Transplant Related Knowledge Among African, Caribbean and Black Canadian Patients with Kidney Failure [abstract]. Am J Transplant. 2022; 22 (suppl 3). https://atcmeetingabstracts.com/abstract/kidney-transplant-related-knowledge-among-african-caribbean-and-black-canadian-patients-with-kidney-failure/. Accessed May 30, 2025.« Back to 2022 American Transplant Congress