Date: Saturday, May 30, 2020
Session Time: 3:15pm-4:45pm
Presentation Time: 3:15pm-3:27pm
*Purpose: All advanced kidney disease and post-transplant patients are not always fortunate enough to be living close to a transplant care center. To this end, travel to and from a transplant center can therefore bring significant hardships to both patients and family. Our main transplant center has multiple outreach transplant care clinics (TCC) in order to provide feasible access and care to the patients. The farthest outreach TCC is around 390 miles from our main center. Our dedicated transplant team put efforts for managing these patients by traveling to these outreach clinics in collaboration with local specialists. We herein present comparison and outcomes among kidney transplant patients who were followed at our outreach TCC and main center.
*Methods: In this retrospective study, evaluated and listed patients at both our outreach TCC and main center were included, that underwent kidney transplant from January 2015 to October 2019. Comparison was then made among patients from both centers for kidney graft quality, graft survival, and acute rejection. Continuous variables were expressed as mean±SD, whereas categorical variables as percentages. Fisher’s Exact test was utilized to make a comparison among patients from both centers, with p-value <0.05 considered statistically significant. In addition, Kaplan-Meier survival analysis was performed and compared using log rank test.
*Results: A total of 335 patients were included; 93 from outreach TCC and 242 from main center, with a mean age of 52 years. Acute rejection was demonstrated in 5% and 7.5% among outreach TCC and main center patients, respectively, with an insignificant p-value. The outcomes and survival analyses are depicted in the table and figure..
*Conclusions: Current study findings advocate successful DTrOM in ensuring excellent post-kidney transplant patient outcomes in terms of kidney graft survival and quality, and likely contributes to overall quality of patient’s life by minimizing travel and financial hardships.
To cite this abstract in AMA style:Mujtaba M, Kueht M, Hussain S, Rizvi A, Shah S, Kulkarni R, Merwat SN, Gamilla-Crudo A, Gugliuzza K, Fair J. Outcomes of Kidney Transplant Patients Evaluated, Listed and Managed Using A Distant Transplant Outreach Care Model (DTrOM) [abstract]. Am J Transplant. 2020; 20 (suppl 3). https://atcmeetingabstracts.com/abstract/outcomes-of-kidney-transplant-patients-evaluated-listed-and-managed-using-a-distant-transplant-outreach-care-model-dtrom/. Accessed October 26, 2020.
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