Show simple item record

dc.contributor.authorLevan, Macey L
dc.contributor.authorWaldram, Madeleine M
dc.contributor.authorDiBrito, Sandra R
dc.contributor.authorThomas, Alvin G
dc.contributor.authorAl Ammary, Fawaz
dc.contributor.authorOttman, Shane
dc.contributor.authorBannon, Jaclyn
dc.contributor.authorBrennan, Daniel C
dc.contributor.authorMassie, Allan B
dc.contributor.authorScalea, Joseph
dc.contributor.authorBarth, Rolf N
dc.contributor.authorSegev, Dorry L
dc.contributor.authorGaronzik-Wang, Jacqueline M
dc.date.accessioned2020-11-18T16:18:08Z
dc.date.available2020-11-18T16:18:08Z
dc.date.issued2020-11-09
dc.identifier.urihttp://hdl.handle.net/10713/14104
dc.description.abstractBackground: Live kidney donors (LKDs) account for nearly a third of kidney transplants in the United States. While donor nephrectomy poses minimal post-surgical risk, LKDs face an elevated adjusted risk of developing chronic diseases such as hypertension, diabetes, and end-stage renal disease. Routine screening presents an opportunity for the early detection and management of chronic conditions. Transplant hospital reporting requirements mandate the submission of laboratory and clinical data at 6-months, 1-year, and 2-years after kidney donation, but less than 50% of hospitals are able to comply. Strategies to increase patient engagement in follow-up efforts while minimizing administrative burden are needed. We seek to evaluate the effectiveness of using small financial incentives to promote patient compliance with LKD follow-up. Methods/design: We are conducting a two-arm randomized controlled trial (RCT) of patients who undergo live donor nephrectomy at The Johns Hopkins Hospital Comprehensive Transplant Center (MDJH) and the University of Maryland Medical Center Transplant Center (MDUM). Eligible donors will be recruited in-person at their first post-surgical clinic visit or over the phone. We will use block randomization to assign LKDs to the intervention ($25 gift card at each follow-up visit) or control arm (current standard of care). Follow-up compliance will be tracked over time. The primary outcome will be complete (all components addressed) and timely (60 days before or after expected visit date), submission of LKD follow-up data at required 6-month, 1-year, and 2-year time points. The secondary outcome will be transplant hospital-level compliance with federal reporting requirements at each visit. Rates will be compared between the two arms following the intention-to-treat principle. Discussion: Small financial incentivization might increase patient compliance in the context of LKD follow-up, without placing undue administrative burden on transplant providers. The findings of this RCT will inform potential center- and national-level initiatives to provide all LKDs with small financial incentives to promote engagement with post-donation monitoring efforts. Trial registration: ClinicalTrials.gov number: NCT03090646 Date of registration: March 2, 2017 Sponsors: Johns Hopkins University, University of Maryland Medical Center Funding: The Living Legacy Foundation of Maryland © 2020, The Author(s).en_US
dc.description.urihttps://doi.org/10.1186/s12882-020-02117-9en_US
dc.language.isoenen_US
dc.publisherSpringer Natureen_US
dc.relation.ispartofBMC Nephrologyen_US
dc.subjectCare managementen_US
dc.subjectFinancial incentiveen_US
dc.subjectFollow-upen_US
dc.subjectKidney transplantationen_US
dc.subjectMotivationen_US
dc.subjectOrgan donorsen_US
dc.subjectPatient care managementen_US
dc.subjectProtocolen_US
dc.subjectQuality improvement, health careen_US
dc.subjectRandomized control trialen_US
dc.titleFinancial incentives versus standard of care to improve patient compliance with live kidney donor follow-up: protocol for a multi-center, parallel-group randomized controlled trialen_US
dc.typeArticleen_US
dc.identifier.doi10.1186/s12882-020-02117-9
dc.identifier.pmid33167882
dc.source.volume21
dc.source.issue1
dc.source.beginpage465
dc.source.endpage
dc.source.countryUnited States
dc.source.countryEngland


This item appears in the following Collection(s)

Show simple item record