The Southeastern Kidney Transplant (SEKTx) Coalition is an academic-community collaboration between partners in the kidney disease community who share the common goal of eliminating health disparities in access to kidney transplantation (KTx) among African American End Stage Renal Disease (ESRD) living in Georgia, North Carolina, and South Carolina. Volunteer members of this community-based coalition include ESRD and transplant patients, dialysis facility staff and providers, transplant centers, quality improvement organizations, and patient advocacy organizations. The burden of CKD and ESRD is highest in the Southeast, and yet the rate of KTx is the lowest in the nation. Further, our research suggests that racial disparities in access to KTx are concentrated in the Southeast, where African Americans (AA) are less likely to access each step in the KTx process. The long-term goal of the SEKTx Coalition is to use community- based participatory research approaches to develop, test, and disseminate sustainable, community interventions improve access to KTx for AA ESRD patients. In this planning grant, our specific aims are:
Specific Aim 1. To determine the patient-, dialysis facility-, and neighborhood-level barriers to KTx in ESRD Network 6.
Specific Aim 2 : To develop a multilevel intervention to reduce racial disparities in access to KTx.
Specific Aim 3 : To determine the feasibility and effectiveness of a pilot intervention to reduce disparities in'KTx access in GA. The long-term impact of this application will be to reduce racial disparities in the kidney disease community.

Public Health Relevance

The burden of CKD and ESRD is highest in the Southeast, and yet the rate of KTx is the lowest in the nation. The proposed study seeks to leverage an existing academic-community collaboration with the Southeastern Kidney Transplant Coalition to identify barriers to KTx and to plan, implement, and evaluate a multilevel intervention targeting ESRD patients and dialysis facility staff.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Resource-Related Research Projects (R24)
Project #
1R24MD008077-01
Application #
8500554
Study Section
Special Emphasis Panel (ZMD1-RN (07))
Program Officer
Dankwa-Mullan, Irene
Project Start
2013-01-01
Project End
2015-11-30
Budget Start
2013-01-01
Budget End
2013-11-30
Support Year
1
Fiscal Year
2013
Total Cost
$327,192
Indirect Cost
$77,192
Name
Emory University
Department
Surgery
Type
Schools of Medicine
DUNS #
066469933
City
Atlanta
State
GA
Country
United States
Zip Code
30322
Plantinga, Laura C; Pastan, Stephen O; Wilk, Adam S et al. (2016) Referral for Kidney Transplantation and Indicators of Quality of Dialysis Care: A Cross-sectional Study. Am J Kidney Dis :
Amaral, Sandra; Sayed, Blayne A; Kutner, Nancy et al. (2016) Preemptive kidney transplantation is associated with survival benefits among pediatric patients with end-stage renal disease. Kidney Int 90:1100-1108
Patzer, Rachel E; Basu, Mohua; Larsen, Christian P et al. (2016) iChoose Kidney: A Clinical Decision Aid for Kidney Transplantation Versus Dialysis Treatment. Transplantation 100:630-9
Browne, Teri; Amamoo, Ahinee; Patzer, Rachel E et al. (2016) Everybody needs a cheerleader to get a kidney transplant: a qualitative study of the patient barriers and facilitators to kidney transplantation in the Southeastern United States. BMC Nephrol 17:108
Browne, Teri; Patzer, Rachel E; Gander, Jennifer et al. (2016) Kidney transplant referral practices in southeastern dialysis units. Clin Transplant 30:365-71
Plantinga, Laura C; Patzer, Rachel E; Drenkard, Cristina et al. (2015) Association of time to kidney transplantation with graft failure among U.S. patients with end-stage renal disease due to lupus nephritis. Arthritis Care Res (Hoboken) 67:571-81
Patzer, Rachel E; Mohan, Sumit; Kutner, Nancy et al. (2015) Racial and ethnic disparities in pediatric renal allograft survival in the United States. Kidney Int 87:584-92
Ilori, Titilayo O; Adedinsewo, Demilade A; Odewole, Oluwaseun et al. (2015) Racial and Ethnic Disparities in Graft and Recipient Survival in Elderly Kidney Transplant Recipients. J Am Geriatr Soc 63:2485-2493
Gander, Jennifer; Browne, Teri; Plantinga, Laura et al. (2015) Dialysis Facility Transplant Philosophy and Access to Kidney Transplantation in the Southeast. Am J Nephrol 41:504-11
Patzer, Rachel E; Plantinga, Laura C; Paul, Sudeshna et al. (2015) Variation in Dialysis Facility Referral for Kidney Transplantation Among Patients With End-Stage Renal Disease in Georgia. JAMA 314:582-94

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