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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

30
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

48
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
41
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

46
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
46
Factors Affecting Renal Clearance: Renal Impairment01:17

Factors Affecting Renal Clearance: Renal Impairment

127
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
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Renal Failure: Dose Adjustments01:11

Renal Failure: Dose Adjustments

128
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
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Education Intervention for Evaluation and Living Donor Kidney Transplantation: A randomized trial.

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Related Experiment Video

Updated: Aug 5, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

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Predicting Kidney Transplant Evaluation Non-attendance.

C Graham Ford1, Yuridia Leyva1, Eric S Kruger2

  • 1Center for Healthcare Equity in Kidney Disease (CHEK-D), University of New Mexico Health Sciences Center, Albuquerque, USA.

Journal of Clinical Psychology in Medical Settings
|March 24, 2023
PubMed
Summary

Non-attendance to kidney transplant evaluation (KTE) appointments is common. Patients on dialysis are more likely to miss KTE appointments, highlighting the need for better care coordination and access solutions.

Keywords:
Kidney transplantationNon-attendanceTransplant evaluation

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Area of Science:

  • Nephrology
  • Transplant Surgery
  • Public Health

Background:

  • Non-attendance to kidney transplant evaluation (KTE) appointments poses a significant barrier to timely kidney failure care.
  • Understanding the predictors of KTE non-attendance is crucial for developing targeted interventions.

Purpose of the Study:

  • To identify medical and socio-cultural factors predicting non-attendance to initial kidney transplant evaluation (KTE) appointments.
  • To inform integrated medical teams on opportunities for intervention to improve KTE attendance.

Main Methods:

  • A prospective study involving 1119 patients scheduled for KTE between May 2015 and June 2018.
  • Interviews assessed social determinants of health, including demographics, medical history, transplant knowledge, cultural factors, and psychosocial elements.
  • Multiple logistic regression analysis was employed to identify predictors of KTE non-attendance.

Main Results:

  • 13% of patients (142 out of 1119) did not attend their initial KTE appointment.
  • Being on dialysis was a significant predictor of KTE non-attendance (OR 1.76; p=0.02).
  • A higher percentage of non-attendees (77%) were on dialysis compared to attendees (64%).

Conclusions:

  • Patients on dialysis face higher barriers to attending kidney transplant evaluations.
  • Collaborative efforts between transplant, nephrology, and dialysis teams are essential.
  • Strategies such as improved care coordination, telehealth, and psychological support may enhance KTE attendance.