This project will study how kidney care for everyone despite race can reduce racial differences in care and improve access to kidney transplants, and specifically living donor kidney transplants (LDKT), for individuals with chronic kidney disease. A study focused on equality and patient needs (called 'STEPS') will 1) create a program to identify people who may need a kidney transplant ('STEPS Surveillance') and find people in health systems who may be able to receive kidney transplants early in their care and (2) study how well the 'STEPS Outreach' program works (comprised of transplant social workers and transplant coordinators who focus on equality and patient needs) compared to usual care to improve access to kidney transplants among Black and non-Black individuals as well as to improve access to transplants for everyone.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
1,168
STEPS Transplant Social Worker Education and Outreach, STEPS Transplant Coordinator Outreach
Wake Forest University Health Sciences
Winston-Salem, North Carolina, United States
Health system reported completion of transplant evaluation
Number of patients that said "yes" to the completion of transplant evaluation as reported in health system EHR and Administrative reports
Time frame: 18 months
Live donor inquires to transplant center
the number of participants that made an inquiry to the transplant center related to live donors as reported in EHR or from questionnaire
Time frame: 6 months, 12 months, 18 months
Live kidney donor transplants
The number of participants that completed their live kidney donor transplant as reported by the EHR or questionnaire
Time frame: 6 months, 12 months, 18 months
Placement on deceased kidney donor waitlist
The number of patients that have been placed on the deceased kidney donor waitlist as reported in the EHR or UNOS
Time frame: 6 months, 12 months, 18 months
Deceased kidney donor transplants
The number of patients that received a deceased kidney donor transplant as reported in EHR or USRDS
Time frame: 6 months, 12 months, 18 months
Health system reported initiation of transplant evaluation
Number of patients that said "yes" to the initiation of transplant evaluation as reported in health system EHR and Administrative reports
Time frame: 18 months
Patient reported physician discussions
number of times patient talked to physician regarding kidney transplant measured by patient report in questionnaire
Time frame: baseline, 6 months, 12 months, 18 months
Patient reported family discussions
number of times patient talked to family regarding kidney transplant measured by patient reported in questionnaire
Time frame: baseline, 6 months, 12 months, 18 months
Patient reported initiation of transplant evaluation
Number of patients that said "yes" to the initiation of transplant evaluation measured by patient report in questionnaire
Time frame: baseline, 6 months, 12 months, 18 months
Patient reported completion of transplant evaluation
Number of patients that said "yes" to the completion of transplant evaluation measured by patient report in questionnaire
Time frame: baseline, 6 months, 12 months, 18 months
Patient reported identification of a living donor
Number of patients that said "yes" to the identification of a living donor measured by patient report in questionnaire
Time frame: baseline, 6 months, 12 months, 18 months
Patient reported kidney transplant knowledge
Number of questions patients correctly answer measured by patient report in questionnaire
Time frame: baseline, 6 months, 12 months, 18 months
Patient reported empowerment
Calculation of scaled questions from the adapted DES-SF form using a range of 1-5 for each question, with 5 being the best outcome, measured by patient report in questionnaire.
Time frame: baseline, 6 months, 12 months, 18 months
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.