Association between patient satisfaction and outcomes in kidney transplant.
This was a cross-sectional cohort study analyzing aggregate publicly reported data integrated from 2 primary sources and included all US accredited kidney transplant programs that report data within the Scientific Registry of Transplant Recipients and Hospital Compare; 188 kidney transplant programs, representing 15 710 transplants were included in this study. In general, the scores for patient satisfaction questions were higher for higher-performing transplant programs; 5 questions reached statistically significant associations (P < .05). A composite of these 5 questions demonstrated a strong association with a center's performance indices for both 1-month and 1-year graft and patient outcomes (69% vs 40%, P < .001, and 60% vs 44%, P = .035, respectively), which remained significant after controlling for baseline demographics. The results demonstrate that there is a positive and statistically significant correlation between a patient's perceived quality of care, as measured by HCAHPS data, and quantified clinical outcomes for graft loss and patient death in kidney transplant recipients.
Medical University of South Carolina, Charleston, SC.
Rajagopal
R
Srinivas
Medical University of South Carolina, Charleston, SC.
Kenneth D
KD
Chavin
Medical University of South Carolina, Charleston, SC.
Prabhakar K
PK
Baliga
Medical University of South Carolina, Charleston, SC.
Titte
T
Srinivas
Medical University of South Carolina, Charleston, SC taberd@musc.edu.
David J
DJ
Taber
D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D006085:Graft Survival; D006801:Humans; D016030:Kidney Transplantation / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D012042:Registries
HCAHPS; graft survival; kidney transplant; patient satisfaction; patient survival