Featured Research

from universities, journals, and other organizations

Kidney Disease Patients With Poor Health Literacy Are Less Likely To Receive Kidney Transplants

Date:
December 3, 2008
Source:
American Society of Nephrology
Summary:
Kidney disease patients' ability to understand basic health information may have a significant impact on whether or not they will receive an organ transplant, according to a new study. The findings reveal an important disparity in access to care and point to the need for more standardized procedures for referring patients for transplantation.

Kidney disease patients' ability to understand basic health information may have a significant impact on whether or not they will receive an organ transplant, according to a study appearing in the January 2009 issue of the Clinical Journal of the American Society Nephrology (CJASN). The findings reveal an important disparity in access to care and point to the need for more standardized procedures for referring patients for transplantation.

Research has shown that people with poor health literacy have more difficulty understanding written health materials, processing oral instructions, and navigating health care environments than those with sufficient health literacy. The ability to obtain and understand health information to make appropriate health decisions may be particularly important for patients with chronic kidney disease (CKD), because preparing for kidney transplantation requires undergoing several steps, including keeping a number of appointments at different locations and following complicated instructions for several tests.

Few studies have examined health literacy among patients with CKD to see if it has an impact on care. To investigate the issue, Vanessa Grubbs, MD, of the University of California, San Francisco and her colleagues Steven E. Gregorich, MD, Eliseo J. Perez-Stable, MD, and Chi-yuan Hsu, MD, measured the health literacy of 62 dialysis patients aged 18 to 75 years and documented which patients were referred for a kidney transplant evaluation and which were placed on a kidney transplant wait list.

The researchers found that roughly one-third of patients had inadequate health literacy. Approximately three-quarters of the patients in the study were referred for a kidney transplant evaluation, 85% of whom were then wait-listed. Patients with inadequate health literacy were 78% less likely than patients with adequate health literacy to be referred for a transplant evaluation. Once patients were referred for transplant evaluation, health literacy level did not appear to affect who was put on a transplant wait list. However, it took slightly longer for patients with inadequate health literacy to be put on a wait list than patients with adequate health literacy (3.6 months vs 2.1 months).

The link between inadequate health literacy and lower likelihood of being referred for transplant evaluation may be due to various factors. For example, physicians may be less willing to refer patients who are perceived as less equipped to follow through with instructions that are important for maintaining the health of a transplanted kidney. Alternatively, certain health complications or patient uncertainties may play a role.

The authors concluded that inadequate health literacy is common among dialysis patients and can keep patients from being referred for a transplant evaluation. "Strategies to reduce the impact of health literacy on the kidney transplant process should be explored," they recommended.

This study was funded by the Clough Memorial Endowment Fund and the National Institutes of Health.

The article, entitled "Health Literacy and Access to Kidney Transplantation," will appear online at http://cjasn.asnjournals.org/ on December 3, 2008, and in the January 2009 print issue of the CJASN.


Story Source:

The above story is based on materials provided by American Society of Nephrology. Note: Materials may be edited for content and length.


Cite This Page:

American Society of Nephrology. "Kidney Disease Patients With Poor Health Literacy Are Less Likely To Receive Kidney Transplants." ScienceDaily. ScienceDaily, 3 December 2008. <www.sciencedaily.com/releases/2008/12/081203184407.htm>.
American Society of Nephrology. (2008, December 3). Kidney Disease Patients With Poor Health Literacy Are Less Likely To Receive Kidney Transplants. ScienceDaily. Retrieved August 20, 2014 from www.sciencedaily.com/releases/2008/12/081203184407.htm
American Society of Nephrology. "Kidney Disease Patients With Poor Health Literacy Are Less Likely To Receive Kidney Transplants." ScienceDaily. www.sciencedaily.com/releases/2008/12/081203184407.htm (accessed August 20, 2014).

Share This




More Health & Medicine News

Wednesday, August 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Possible Ebola Patient in Isolation at California Hospital

Possible Ebola Patient in Isolation at California Hospital

Reuters - US Online Video (Aug. 20, 2014) — A patient who may have been exposed to the Ebola virus is in isolation at the Kaiser Permanente South Sacramento Medical Center. Linda So reports. Video provided by Reuters
Powered by NewsLook.com
Raw: World's Oldest Man Lives in Japan

Raw: World's Oldest Man Lives in Japan

AP (Aug. 20, 2014) — A 111-year-old Japanese was certified as the world's oldest man by Guinness World Records on Wednesday. Sakari Momoi, a native of Fukushima in northern Japan, was given a certificate at a hospital in Tokyo. (Aug. 20) Video provided by AP
Powered by NewsLook.com
Do More Wedding Guests Make A Happier Marriage?

Do More Wedding Guests Make A Happier Marriage?

Newsy (Aug. 20, 2014) — A new study found couples who had at least 150 guests at their weddings were more likely to report being happy in their marriages. Video provided by Newsy
Powered by NewsLook.com
Ebola-Hit Sierra Leone's Freetown a City on Edge

Ebola-Hit Sierra Leone's Freetown a City on Edge

AFP (Aug. 19, 2014) — Residents of Sierra Leone's capital voice their fears as the Ebola virus sweeps through west Africa. Duration: 00:56 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins