Dr. Peri Husen, Editorial Fellow, Transplantation
Development and Validation of a Socioeconomic Kidney Transplant Derailers Index
Peipert JD, Beaumont JL, Robbins ML, et al.
Transplantation Direct: September 2019 - Volume 5 - Issue 10 - 10.1097/TXD.0000000000000927
In general, the completion of transplant evaluation and receiving a transplant for end-stage kidney disease (ESKD) is rather complex. Lower socioeconomic status (SES) of kidney patients is associated with a lower likelihood of receiving a deceased donor kidney transplant (DDKT) or living donor kidney transplant (LDKT). In this article, Peipert and coworkers detail the creation and validation of a single score Kidney Transplant Derailers Index (KTDI) using a dataset of 733 patients presenting for renal transplant evaluation at a single transplant center in California. The KTDI represents a rare individual-level scale measuring socioeconomic barriers to transplantation and risk for dropping out of evaluation or not receiving a LDKT. Overall, the authors address SES-related barriers to transplantation, an important aspect of transplant evaluation, which is in general difficult to measure.
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