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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
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Language barriers and kidney transplantation in children
Stephanie P Kerkvliet1, Carlos J Perez Kerkvliet2, Ziou Jiang3
1Department of Pediatrics, University of Minnesota, Minneapolis, USA. kerkvliets@chop.edu.
Pediatric Nephrology (Berlin, Germany)
|December 12, 2022
Summary
Pediatric kidney transplant recipients needing interpreters had lower 5-year survival and more missed appointments. This highlights disparities in care for interpreter-needing (IN) versus English-speaking (ES) patients.
Area of Science:
- Pediatric Nephrology
- Transplant Surgery
- Health Services Research
Background:
- Equitable care in pediatric kidney transplantation is crucial.
- Disparities exist between English-speaking (ES) and interpreter-needing (IN) pediatric kidney transplant recipients.
Purpose of the Study:
- To compare transplant outcomes between ES and IN pediatric kidney transplant recipients.
- To identify factors contributing to potential disparities in care.
Main Methods:
- Retrospective review of primary kidney transplant recipients (0-21 years) from 2005-2019.
- Comparison of ES and IN cohorts using statistical analyses (Wilcoxon, t-test, chi-squared).
- Evaluation of patient survival, graft survival, and rejection-free survival using Kaplan-Meier and Cox regression.
Main Results:
- The IN cohort was older at transplant, had longer time to transplant, and more often received deceased donor organs.
- Lower 5-year patient survival was observed in the IN cohort (aHR=10.10, p=0.02).
- IN cohort showed fewer early hospitalizations but more missed appointments and lower immunosuppressant levels at 5 years.
Conclusions:
- Pediatric kidney transplant recipients needing interpreters experience poorer 5-year patient survival.
- Interpreter-needing patients have different healthcare interaction patterns, including fewer hospitalizations but more missed appointments.
- Findings underscore the need for targeted interventions to improve equitable care and outcomes for IN pediatric kidney transplant recipients.
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