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 #
5R24MD008077-03
Application #
8777890
Study Section
Special Emphasis Panel (ZMD1)
Program Officer
James, Regina Smith
Project Start
2013-01-01
Project End
2016-11-30
Budget Start
2014-12-01
Budget End
2016-11-30
Support Year
3
Fiscal Year
2015
Total Cost
Indirect Cost
Name
Emory University
Department
Surgery
Type
Schools of Medicine
DUNS #
066469933
City
Atlanta
State
GA
Country
United States
Zip Code
30322
Gander, Jennifer C; Zhang, Xingyu; Plantinga, Laura et al. (2018) Racial disparities in preemptive referral for kidney transplantation in Georgia. Clin Transplant 32:e13380
Lipford, Kristie J; McPherson, Laura; Hamoda, Reem et al. (2018) Dialysis facility staff perceptions of racial, gender, and age disparities in access to renal transplantation. BMC Nephrol 19:5
Paul, Sudeshna; Plantinga, Laura C; Pastan, Stephen O et al. (2018) Standardized Transplantation Referral Ratio to Assess Performance of Transplant Referral among Dialysis Facilities. Clin J Am Soc Nephrol 13:282-289
Hamoda, Reem E; Gander, Jennifer C; McPherson, Laura J et al. (2018) Process evaluation of the RaDIANT community study: a dialysis facility-level intervention to increase referral for kidney transplantation. BMC Nephrol 19:13
Wang, Chia-Shi; Gander, Jennifer; Patzer, Rachel E et al. (2018) Mortality and Allograft Loss Trends Among US Pediatric Kidney Transplant Recipients With and Without Focal Segmental Glomerulosclerosis. Am J Kidney Dis 71:392-398
Plantinga, Laura C; Pastan, Stephen O; Wilk, Adam S et al. (2017) Referral for Kidney Transplantation and Indicators of Quality of Dialysis Care: A Cross-sectional Study. Am J Kidney Dis 69:257-265
Gander, Jennifer C; Gordon, Elisa J; Patzer, Rachel E (2017) Decision aids to increase living donor kidney transplantation. Curr Transplant Rep 4:1-12
Patzer, Rachel E; Paul, Sudeshna; Plantinga, Laura et al. (2017) A Randomized Trial to Reduce Disparities in Referral for Transplant Evaluation. J Am Soc Nephrol 28:935-942
Plantinga, Laura; Lim, S Sam; Patzer, Rachel et al. (2016) Incidence of End-Stage Renal Disease Among Newly Diagnosed Systemic Lupus Erythematosus Patients: The Georgia Lupus Registry. Arthritis Care Res (Hoboken) 68:357-65
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

Showing the most recent 10 out of 33 publications