Disparities in National Kidney Allocation Policy



Status:Active, not recruiting
Conditions:Renal Impairment / Chronic Kidney Disease
Therapuetic Areas:Nephrology / Urology
Healthy:No
Age Range:18 - Any
Updated:10/3/2018
Start Date:September 2016
End Date:July 2019

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Allocation System Changes for Equity in kidNey Transplantation (ASCENT) Study

The purpose of the current study is to test a systems-level approach to disseminate a
multicomponent, multilevel intervention consisting of educational materials about
transplantation and the new kidney allocation system targeting dialysis facility Medical
Directors, staff, and patients. Roughly 750 dialysis facilities in up to 18 end stage renal
disease Network regions across the United States will be randomized to receive intervention
materials. The overall goal of the study is to extend the influence of the national
allocation policy in reducing disparities in early steps in kidney transplant access.

The purpose of the ASCENT study is to test a systems-level approach to disseminate a
multi-component intervention consisting of in the era of the new national kidney allocation
policy and educational materials targeting dialysis facility Medical Directors, staff, and
patients. The investigators will randomize ~750 dialysis facilities in up to 18 End Stage
Renal Disease Network regions across the United States, where approximately half of
facilities will receive the intervention materials and half will receive an informational
brochure. This pragmatic, clinical effectiveness-implementation study will test the
effectiveness of the multicomponent, multilevel interventions consisting of a tailored,
facility-specific transplant and disparity performance report, educational videos for staff
and dialysis patients, and an educational webinar for dialysis facility Medical Directors and
staff.

Inclusion Criteria:

Dialysis facilities with at least 25 patients composed of at least 10% African American and
10% Caucasian

Exclusion Criteria:

Dialysis facilities with wait listing rates above the national tertile
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201 Dowman Dr
Atlanta, Georgia 30303
(404) 727-6123
Emory University Emory University, recognized internationally for its outstanding liberal artscolleges, graduate and professional schools,...
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Atlanta, Georgia 30322
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1364 Clifton Rd NE
Atlanta, Georgia 30322
(404) 712-2000
Emory University Hospital As the largest health care system in Georgia and the only health...
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Atlanta, GA
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