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Pre-Kidney Transplant Patient Education: Information Retention is Associated with Improved Waitlist Outcomes

S. Patel, J. Ptasinski-Anderson, G. Dela Torre, S. Akkina

Transplant Nephrology, Loyola University Medical Center, Maywood, IL

Meeting: 2019 American Transplant Congress

Abstract number: C121

Keywords: Kidney transplantation, Patient education, Waiting lists

Session Information

Session Name: Poster Session C: Kidney Psychosocial

Session Type: Poster Session

Date: Monday, June 3, 2019

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Hall C & D

*Purpose: Patients who present for a kidney transplant (KT) evaluation undergo extensive education in a short period of time in the form of a one hour group education session at their first clinic visit. They come in for re-evaluation (RE) visits annually. There is no formal education at this time. To measure patients’ education retention of the transplant process, we administered a questionnaire at the end of new evaluation (NE) and RE visits that reviewed key components of kidney transplantation and then examined how these assessments relate to waitlist outcomes.

*Methods: At the end of NE and RE visits, patients completed a seven question survey. The predictor was answering all the questions on the survey correctly. Primary outcomes of interest were active status within 100 and 200 days from the initial evaluation for NE patients and likelihood of being active on the waitlist for RE patients. We also looked further into whether answering question two correctly had any association with outcomes as this was most frequently missed in both groups.

*Results: This data was collected 3/12/2018-9/17/2018 with a total of 171 NE questionnaires and 98 RE questionnaires. The average age of patients was 50 years for NE and 53 years for RE. Within the NE group, 47% had diabetes and within the RE group, 50% had diabetes. Among the NE patients, we found no significant association between answering all questionnaire items correctly or question two correctly and completing the evaluation process within 100 or 200 days. No difference was found when adjusted for age and diabetes either. Of 98 RE patients surveyed, those that answered all items correctly were 2.36 (1.01-5.53) times more likely to be ‘Active’ on the waitlist. When adjusted for age and diabetes, this value went up to 2.55 (1.06-6.17). When patients answered question two correctly, they were 1.81 (0.6-5.52) times more likely to be ‘Active’ on the waitlist. This was 1.93 (0.61-6.12) times more likely when adjusted for age and diabetes.

*Conclusions: For NE patients, answering all questions correctly was not a factor in timely completion of the transplant workup. However, for REs, we do see that those answering all items correctly are more likely to be ‘Active’ on the waitlist. Further effort toward assuring the information on the questionnaire is understood by patients may result in more patients being ‘Active’ on the KT waitlist.

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To cite this abstract in AMA style:

Patel S, Ptasinski-Anderson J, Torre GDela, Akkina S. Pre-Kidney Transplant Patient Education: Information Retention is Associated with Improved Waitlist Outcomes [abstract]. Am J Transplant. 2019; 19 (suppl 3). https://atcmeetingabstracts.com/abstract/pre-kidney-transplant-patient-education-information-retention-is-associated-with-improved-waitlist-outcomes/. Accessed May 12, 2025.

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