title: Factors associated with completion of pre-kidney transplant evaluations.
abstract: This study sought to examine various factors that may prevent transplant candidates from completing their transplant workup prior to listing. We reviewed the records of 170 subjects (cases = 100, controls 70) who were either on dialysis or had less than 20 mL/min creatinine clearance and were therefore candidates for preemptive transplantation. Approximately, 56% of preemptive patients completed their workup, while only 36% of patients on dialysis completed their workup. Our data revealed that factors contributing toward completion of workup included intrinsic motivation (four times more likely), lack of specific medical comorbidities (three times more likely), and preemptive status (two times more likely). Among patients on dialysis, intrinsic motivation (five times more likely) and absence of cardiovascular complications (four times more likely) were associated with completion. When comparing patients on dialysis to patients not on dialysis, there were significant differences between the two groups in distance from home to the transplant center, level of education, and presence of medical comorbidities. We believe that targeted interventions such as timely referral, providing appropriate educational resources, and development of adequate support systems, have the potential to improve workup compliance of patients with advanced chronic kidney disease, including those on dialysis.
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Eric
authors.initials: E
authors.lastname: Siskind
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Asha
authors.initials: A
authors.lastname: Alex
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Mohini
authors.initials: M
authors.lastname: Alexander
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Meredith
authors.initials: M
authors.lastname: Akerman
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Christine
authors.initials: C
authors.lastname: Mathew
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Lara
authors.initials: L
authors.lastname: Fishbane
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Jisha
authors.initials: J
authors.lastname: Thomas
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Ezra
authors.initials: E
authors.lastname: Israel
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Melissa
authors.initials: M
authors.lastname: Fana
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Cory
authors.initials: C
authors.lastname: Evans
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Andrew
authors.initials: A
authors.lastname: Godwin
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Stergiani
authors.initials: S
authors.lastname: Agorastos
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Barbara
authors.initials: B
authors.lastname: Mellace
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Jesus
authors.initials: J
authors.lastname: Rosado
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Prejith P
authors.initials: PP
authors.lastname: Rajendran
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Prathik
authors.initials: P
authors.lastname: Krishnan
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Poornima
authors.initials: P
authors.lastname: Ramadas
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Antonette
authors.initials: A
authors.lastname: Flecha
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Lisa
authors.initials: L
authors.lastname: Kiernan
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Ruth M
authors.initials: RM
authors.lastname: Morgan
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Nicole
authors.initials: N
authors.lastname: Ali
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Mala
authors.initials: M
authors.lastname: Sachdeva
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Kellie
authors.initials: K
authors.lastname: Calderon
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Susana
authors.initials: S
authors.lastname: Hong
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Jasmeet
authors.initials: J
authors.lastname: Kaur
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Amit
authors.initials: A
authors.lastname: Basu
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Nicastro
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Gene
authors.initials: G
authors.lastname: Coppa
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Madhu
authors.initials: M
authors.lastname: Bhaskaran
authors.affiliation: Departments of Surgery and Medicine, Hofstra North Shore, Long Island Jewish School of Medicine, New York.
authors.forename: Ernesto
authors.initials: E
authors.lastname: Molmenti
keywords: compliance; dialysis status; nephrology; patient education; renal transplantation