The beneficial effect of providing kidney transplantation information on transplantation status differs between for‐profit and nonprofit dialysis centers. (17th December 2021)

• Record Type: Journal Article
• Authors: Asgarisabet, Parisa; Rajan, Suja S.; Lee, MinJae; Morgan, Robert O.; Highfield, Linda D.; Erickson, Kevin F.
• Is Part Of: Transplant international. Volume 34:Number 12(2021)
• Page Start: 2644
• Page End: 2668
• Publication Date: 2021-12-17
• Subjects: dialysis centers -- for‐profit -- kidney transplantation -- non‐profit -- transplantation education -- transplantation information; Transplantation of organs, tissues, etc -- Periodicals; 617.95405
• DOI: 10.1111/tri.14151
• Languages: English
• ISSNs: 0934-0874

Abstract

Summary: Informing end‐stage kidney disease patients about kidney transplantation options increases the likelihood of kidney transplant waiting list (WL) enrollment and live donor kidney transplant (LDKT) receipt. Patients in for‐profit dialysis centers have lower rates of WL enrollment and LDKT receipt. This study examined if the ownership status of dialysis centers modified the association between informing patients about transplantation options and patients' transplantation status. Multilevel analysis using mixed‐effect multinomial logistic regression was performed using the United States Renal Data System (USRDS) data (January 2005 to December 2017). The study showed that informing patients improved the odds of WL enrollment and LDKT receipt. However, the effect of informing patients on transplantation status was less pronounced at for‐profit as compared with nonprofit centers (Nonprofit: WL enrollment OR: 2.23 [95% CI: 2.07–2.40], and LDKT receipt OR: 3.35 [95% CI: 2.65–4.25]. For‐profit: WL enrollment OR: 1.73 [95% CI: 1.66–1.79], and LDKT receipt OR: 2.35 [95% CI: 2.08–2.66]), although the odds of informing patients was higher for for‐profit centers, and type of patients informed were similar across both types of centers. Information provided by for‐profit centers was potentially less effective than those provided by nonprofit centers. Standardized guidelines for transplantation information provision are needed in order to ensure similar informational quality across centers. Abstract : Although informing end‐stage kidney disease patients about kidney transplantation options increased the likelihood of choosing these options, information provided by for‐profit centers were less effective than those provided by nonprofit centers. Developing standardized guidelines for providing consistent transplantation information is critical.