Overcoming Inequity in Access to Kidney Transplantation: A Quality Improvement Project |
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| Institution: | 1. DaVita Poland, Wroc?aw, Poland;2. DaVita International, London, United Kingdom;3. King''s Kidney Care, King''s College Hospital NHS Foundation Trust, London, United Kingdom;4. First Department of Nephrology and Transplantation with Dialysis Centre, Medical University in Bialystok, Bialystok, Poland;1. Department of Emergency Medicine, Medical University of Warsaw, Warsaw, Poland;2. Polish Transplant Coordinating Center Poltransplant, Warsaw, Warsaw, Poland;3. Department of Nephrology, Transplantology and Internal Diseases, Medical University of Warsaw, Warsaw, Poland;4. Department of Transplantology and National Tissue and Cell Banking Center, Medical University of Warsaw, Warsaw, Poland;1. Department of Vascular Surgery and Transplantation, Medical University of Bialystok, Bialystok, Poland;2. Department of Epidemiology and Population Studies, Institute of Public Health, Jagiellonian University Medical College, Cracow, Poland;1. Polish Transplant Coordinating Center Poltransplant, Warsaw, Poland;2. Department of Emergency Medicine, Medical University of Warsaw, Warsaw, Poland;3. Department of Transplantology and National Tissue and Cell Banking Center, Medical University of Warsaw, Warsaw, Poland;1. Department of General Surgery and Transplantology, Central Clinical Hospital of the Ministry of the Interior and Administration in Warsaw, Warsaw, Poland;2. Center of Postgraduate Medical Education, Department of General Surgery and Transplantology, Warsaw, Poland;3. University of Warmia and Mazury in Olsztyn, Olsztyn, Poland |
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| Abstract: | BackgroundIn 2018, DaVita dialysis clinics in Poland introduced a new pathway to improve the referral of dialysis patients for kidney transplantation. It was designed to meet formal requirements for timely referral for transplant assessment and measures to have the patient “active” on the waiting list. The pathway aimed to mitigate the existing inequitable access to transplantation surgery for patients with end stage kidney disease under the care of ambulatory dialysis clinics.The consequences to the patient of lack of contact with nephrologist when called in for transplant surgery during out-of-office hours was a major concern. We reviewed the effectiveness of whether the new procedure impacted facilitating a patient's call for a transplant surgery when dialysis clinics were not operating.MethodsWe collected data on the number of transplantations performed and the number of calls for surgery according to a conventional or new procedure over a 30-month period.ResultsIn our study, 269 patients received a deceased donor kidney transplant, and 205 candidates (75%) were called for transplantation during the working hours of dialysis clinics, according to the standard procedure, of which 4 patients were discharged for various reasons. In addition, 69 candidates (25%) were called outside clinic working hours through the new procedure process, of which 1 patient was discharged during a phone call due to infection.ConclusionsDaVita's Poland new transplant access procedure effectively supports a patient's call for transplantation during outpatient dialysis clinics' closure hours. |
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