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View article: Multifaceted Intervention to Improve Graft Outcome Disparities in African American Kidney Transplants (MITIGAAT Study): Protocol for a Randomized Controlled Trial
Multifaceted Intervention to Improve Graft Outcome Disparities in African American Kidney Transplants (MITIGAAT Study): Protocol for a Randomized Controlled Trial Open
Background The outcome disparities for African American recipients of kidney transplant is a public health issue that has plagued the field of transplant since its inception. Based on national data, African American recipients have nearly …
View article: Multifaceted Intervention to Improve Graft Outcome Disparities in African American Kidney Transplants (MITIGAAT Study): Protocol for a Randomized Controlled Trial (Preprint)
Multifaceted Intervention to Improve Graft Outcome Disparities in African American Kidney Transplants (MITIGAAT Study): Protocol for a Randomized Controlled Trial (Preprint) Open
BACKGROUND The outcome disparities for African American recipients of kidney transplant is a public health issue that has plagued the field of transplant since its inception. Based on national data, African American recipients have nearly…
View article: Alignment of an interprofessional student learning experience with a hospital quality improvement initiative
Alignment of an interprofessional student learning experience with a hospital quality improvement initiative Open
Assessment of interprofessional education (IPE) frequently focuses on students’ learning outcomes including changes in knowledge, skills, and/or attitudes. While a foundational education in the values and information of their chosen profes…
View article: Association of High Burden of End-stage Kidney Disease With Decreased Kidney Transplant Rates With the Updated US Kidney Allocation Policy
Association of High Burden of End-stage Kidney Disease With Decreased Kidney Transplant Rates With the Updated US Kidney Allocation Policy Open
The new OPTN-approved kidney allocation policy may result in worsening geographic disparities in access to transplants when measured against the burden of ESKD within a particular region of the US.
View article: Pharmacist-Led Mobile Health Intervention and Transplant Medication Safety
Pharmacist-Led Mobile Health Intervention and Transplant Medication Safety Open
Background and objectives Medication safety events are predominant contributors to suboptimal graft outcomes in kidney transplant recipients. The goal of this study was to examine the efficacy of improving medication safety through a pharm…
View article: Impact of a pharmacist-led, mHealth-based intervention on tacrolimus trough variability in kidney transplant recipients: A report from the TRANSAFE Rx randomized controlled trial
Impact of a pharmacist-led, mHealth-based intervention on tacrolimus trough variability in kidney transplant recipients: A report from the TRANSAFE Rx randomized controlled trial Open
Purpose Nonadherence is a leading cause of death-censored allograft loss in kidney transplant recipients. Strong associations have tied tacrolimus intrapatient variability (IPV) to degree of nonadherence and high tacrolimus IPV to clinical…
View article: Etiologies and Outcomes Associated With Tacrolimus Levels Out of a Typical Range That Lead to High Variability in Kidney Transplant Recipients
Etiologies and Outcomes Associated With Tacrolimus Levels Out of a Typical Range That Lead to High Variability in Kidney Transplant Recipients Open
Background: High tacrolimus intrapatient variability (tac IPV) is associated with poor outcomes in kidney transplantation, including rejection, donor-specific antibodies, and graft loss. A common cause of high tac IPV is related to patient…
View article: Costs and factors associated with heart failure following kidney transplantation – a single‐center retrospective cohort study
Costs and factors associated with heart failure following kidney transplantation – a single‐center retrospective cohort study Open
The number of adults with heart failure (HF) will increase by ~50% between 2012 and 2030. Among kidney transplant recipients, HF accounts for 16% of all post-transplant admissions. We describe the burden of HF and predictors of healthcare …
View article: Association of a School-Based, Asthma-Focused Telehealth Program With Emergency Department Visits Among Children Enrolled in South Carolina Medicaid
Association of a School-Based, Asthma-Focused Telehealth Program With Emergency Department Visits Among Children Enrolled in South Carolina Medicaid Open
Although we found no association of this program with the ED visits of the overall studied population, this study suggests that telehealth with a focus on chronic pediatric diseases, such as asthma, may deliver substantial health benefits …
View article: A Video Intervention to Increase Organ Donor Registration at the Department of Motorized Vehicles
A Video Intervention to Increase Organ Donor Registration at the Department of Motorized Vehicles Open
Background. The goal of this study was to increase organ donor registrations at the Department of Motorized Vehicles (DMV) via utilization of a sustainable, low-cost, African American-centric organ donation educational video. Results from …
View article: Development and future deployment of a 5 years allograft survival model for kidney transplantation
Development and future deployment of a 5 years allograft survival model for kidney transplantation Open
Aim Identifying kidney transplant patients at highest risk for graft loss prior to loss may allow for effective interventions to improve 5 years survival. Methods We performed a 10 years retrospective cohort study of adult kidney transplan…
View article: A quantitative appraisal of African Americans’ decisions to become registered organ donors at the driver’s license office
A quantitative appraisal of African Americans’ decisions to become registered organ donors at the driver’s license office Open
African American (AA) organ donation registration rates fall short of national objectives. The goal of the present study was to utilize data acquired from a quantitative telephone survey to provide information for a future Department of Mo…
View article: The impact of time-varying clinical surrogates on disparities in African-American kidney transplant recipients - a retrospective longitudinal cohort study
The impact of time-varying clinical surrogates on disparities in African-American kidney transplant recipients - a retrospective longitudinal cohort study Open
An improved understanding of the impact of clinical surrogates on disparities in African-American (AA) kidney transplantation (KTX) is needed. We conducted a 10-year retrospective longitudinal cohort study of electronically abstracted clin…
View article: Alignment of an interprofessional student learning experience with a hospital quality improvement initiative
Alignment of an interprofessional student learning experience with a hospital quality improvement initiative Open
Assessment of interprofessional education (IPE) frequently focuses on students’ learning outcomes including changes in knowledge, skills, and/or attitudes. While a foundational education in the values and information of their chosen profes…
View article: Renal Function Variability: An Independent Risk Factor for Graft Loss and Death following Kidney Transplantation
Renal Function Variability: An Independent Risk Factor for Graft Loss and Death following Kidney Transplantation Open
Background: Several studies have been performed to evaluate surrogate markers of long-term allograft function in renal transplant recipients. These include serum creatinine, estimated glomerular filtration rate (eGFR), slope of eGFR, and m…
View article: Big Data, Predictive Analytics, and Quality Improvement in Kidney Transplantation: A Proof of Concept
Big Data, Predictive Analytics, and Quality Improvement in Kidney Transplantation: A Proof of Concept Open
We sought proof of concept of a Big Data Solution incorporating longitudinal structured and unstructured patient-level data from electronic health records (EHR) to predict graft loss (GL) and mortality. For a quality improvement initiative…
View article: When Should ED Physicians Use an HIE? Predicting Presence of Patient Data in an HIE
When Should ED Physicians Use an HIE? Predicting Presence of Patient Data in an HIE Open
This predictive model accurately identified patients cared for at multiple hospital systems and can be used to increase the likelihood that time spent logging on to the HIE will be a value-added effort for emergency physicians.
View article: A Comprehensive View of Frequent Emergency Department Users Based on Data from a Regional HIE
A Comprehensive View of Frequent Emergency Department Users Based on Data from a Regional HIE Open
Data from an HIE can be used to describe all of the patients within a region who are FEDUs, regardless of the hospital system they visited. This information can be used to focus care coordination efforts and link appropriate patients to a …