By Alice Yang, Intern Implementing policy changes to improve access to kidney transplants and overcome disparities is an important first step in reaching these goals, but it is not enough. Three major policy changes have aimed at improving end-stage kidney disease outcomes and increasing access to transplants. These include the kidney allocation system (KAS) in 2014, the Advancing American Kidney Health Initiative in 2019, and finally, new changes implemented by the Centers for Medicare and …
Meet a TREC fellow: an interview with Dr. Terri Menser
At TREC, we have assembled a new group of researchers working in transplantation called the TREC Fellows. Over the next few weeks, we will introduce you to each one by summarizing an interview with them conducted by different staff members in the lab. This week, we will learn about Terri Menser and her experience with kidney transplantation research. Interviewer and author: Katia Dahmani, Intern At Houston Methodist, Menser is conducting transplantation research focused on further …
Dr. Amy Waterman’s participation in a OneLegacy virtual town hall
By Erica Ho, Research Associate On Wednesday, August 4, Dr. Amy Waterman was invited to speak at OneLegacy’s monthly Connecting the Dots Virtual Town Hall. OneLegacy is an organization dedicated to helping people navigate organ, eye, and tissue donations by offering coordination and support services. The topic for this discussion, in accordance with National Minority Donor Awareness Month, was improving diversity and inclusion in healthcare to spread awareness about organ donation among minority groups. Dr. …
The importance of tailored education to address transplant disparities
By Annika Pearson, Guest TREC Communication Writer A recent study titled, “Ethnic background is associated with no live kidney donor identified at the time of first transplant assessment—an opportunity missed? A single-center retrospective cohort study”, suggests that people from different minority ethnicity groups are not given the same amount or quality of information about their options for managing chronic kidney disease or for renal replacement therapies like transplantation, as others. Research has shown that patients …
A recent TREC publication on the power of a digital library of living donor stories
By Erica Ho, Research Associate There are over 740,000 people in the United States living with end-stage kidney disease (ESKD)1,2, but only around 6500 transplants are performed every year due to a severe shortage in available kidneys2. Problems like limited kidney transplant education and medical mistrust make it difficult for enough donors and recipients to be matched3,4. Storytelling has been proven to be an effective strategy in increasing education and awareness for other health issues …
Surveying Spanish-speaking kidney patients
By Yaquelin Arevalo Iraheta, Junior Research Associate. Using an interpreter is worse than having both the patient and provider speak the same language because it loses the personal and intimate element between both parties. Breaking the language barrier that Spanish-speaking patients face when receiving healthcare can also help them overcome cultural barriers such as mistrust of their provider. One of the research projects going on at the Transplant Research and Education Center (TREC) involves surveying …
New Innovations in Transplantation to Ensure that the Need for Kidneys is Met
By Rachyl Pines, PhD, Postdoctoral Fellow Dr. Waterman and Dr. Pines are the research committee leads for the National Kidney Registry (NKR), a non-profit organization whose mission is to “save and improve the lives of people facing kidney failure by increasing the quality, speed and number of living donor transplants in the world as well as protecting all living kidney donors.” Learn more about this organization by clicking here. The NKR has been a leader …
Announcing the launch of the Listening & Resource Center (KTLRC) & bilingual educational guide
By Emily H. Wood, Research Associate The Transplant Research and Education Center (TREC), has launched the COVID-19 Kidney / Transplant Listening & Resource Center (KTLRC). The KTLRC is a toll-free call center that allows patients, their loved ones, and caregivers to connect with our experienced staff to share their questions, concerns, and receive answers, education, and referrals for additional resources. The KTLRC can be reached at: 1-800-830-0484 trec@mednet.ucla.edu We created the KTLRC in direct response …
Recommendations for making transplant education accessible for patients with CKD stages 3-5
By Grace H. Kim, Research Associate The recent publication, “Recommendations for Systematizing Transplant Education Within a Care Delivery System for Patients with Chronic Kidney Disease Stages 3 to 5”1 by Waterman et al., discusses the findings from a telephone survey of 40 kidney patients, 13 support persons, and 10 providers who were asked about barriers to transplant education and their educational preferences. This review highlights the key barriers identified by chronic kidney disease (CKD) and …
Guiding more patients from the dialysis center to the transplant waitlist
By Anne Osuji, Research Associate In “Education Strategies in Dialysis Centers Associated With Increased Transplant Wait-listing Rates,” Dr. Waterman and coauthors explore the many challenges associated with delivering transplant education in dialysis centers and recommend education strategies that are shown to be associated with increasing waitlisting rates. A Need for Effective Education for Dialysis Center Settings There are many barriers to kidney transplant, with challenges reaching and educating prospective recipients being among the most prominent. …
Challenges in Kidney Transplant During COVID-19: ASN updates and solutions
By Grace H. Kim, Research Associate The American Society of Nephrology (ASN) hosted a webinar on April 23rd to update the kidney community about the current status of transplant programs during the ongoing COVID-19 pandemic. While many transplant programs have temporarily ceased surgeries, as of May 1, 2020, forty-nine kidney transplant programs in the United States remain active and are continuing with emergent transplant procedures and surgeries.1 A full listing of active centers can be …
Top 10 ways to reduce stress during COVID-19
By Grace Kim, Research Associate The recent COVID-19 outbreak has brought many small- and large-scale changes to daily life. Many of us are facing altered routines, increasing financial pressures, and social isolation,1 all of which have the potential to increase stress and anxiety.2 Most of us carry fears about getting COVID-19 and the uncertainty of how it could affect us and the people we love socially and economically. Although social distancing is one of the …
ET @Home improves decision-making for black & low-income patients
By Anne Osuji, Research Associate & Jessica Nunez, Intern Access to Transplant Education is Unequal There are more than 700,000 Americans with kidneys that can no longer support the needs of the body to remove waste and excess fluid; they have End-Stage Kidney Disease (ESKD).1 Patients with ESKD must either receive frequent dialysis or receive a kidney transplant from a deceased or living donor in order to stay alive. Because waiting for a kidney from …
Resources to help you prepare for COVID-19
Updated 3.19.20 With the number of confirmed cases of COVID-19 (Coronavirus) continuing to rise across the country and the globe, kidney patients, transplant recipients, and living donors may be wondering what steps they can take to be prepared and to try to stay well. We’ve put together a list of resources that you can consult to prepare and stay up to date on the COVID-19 situation. If you have questions, you should reach out to …
Paired exchange programs offer expanded donor protections to address critical disincentives to living donation
By Lizbeth Alvarez, Research Associate In the recent article, looking at “Removing Disincentives to Kidney Donation: A Quantitative Analysis” 1 McCormick et al., highlight the widespread agreement among researchers, physicians, and policy makers that removing financial disincentives to living kidney donation would increase the number of donors and be a fairer process. The article identified seven disincentives that living donors face, including: Cost of travel and lodging at a transplant center Loss of income due …
Expanding Medicare coverage for immunosuppressive drugs will save lives and money
By TREC Staff The recently introduced Comprehensive Immunosuppressive Drug Coverage for Kidney Transplant Patients Act (H.R. 5534) seeks to expand current Medicare coverage for the immunosuppressive drugs that allow transplant recipients to live. These drugs are currently covered for just 36 months post-transplant, despite the lifelong drug regimen required by transplant patients to prevent organ rejection and death. The bill was introduced last year by Reps. Ron Kind (D-Wis.) and Michael Burgess (D-Texas), and has …
Doing good together through the TED Fellows program
Dr. Amy Waterman had her first introduction to TED at TED2016: Dream in Vancouver, Canada. The experience was transformational for her and she decided to take her work in transplant to a large scale, educating as many patients and living donors as possible. Since then, she has gone on to serve as a mentor in the TED Fellows program, which provides individualized feedback, guidance, skills training, and support to Fellows by matching them with a …
QIP changes are coming in 2020: Is your dialysis center ready? The Kidney Transplant Toolkit can help
For Professionals in Nephrology, Dialysis, and Transplant: A discussion of CMS ESRD QIP changes that could impact your funding and the Toolkit that will help you be ready CMS requires dialysis centers to increase patients wait-listed for transplant Earlier this year, the Centers for Medicare and Medicaid Services (CMS) announced that, as part of its ESRD Quality Incentive Program (QIP) starting January 1, 2020, dialysis facilities will be required to report their Percentage of Prevalent …
Real patient stories inspire and educate
Some of our earliest memories are of hearing stories read to us by our parents – fairy tales, fables, adventures, and epic journeys. Storytelling is an innate and universal part of the human experience. Stories help us make sense of our lives, mark important occasions, and share and connect with the people who matter to us. From founding myths like the tale of Romulus and Remus to true accounts of heroism, or even casual stories …
Strategic partnership is more than a set of opening moves
We are pleased to share the following contribution, from our partner Catina O’Leary, PhD, Health Literacy Media president and CEO. The game of chess starts with the opener – a set of moves that, to the untrained eye, might seem mundane and inconsequential. To the expert, though, the opener is an essential strategic step. A well-chosen set of opening moves can ensure victory, while the wrong ones can cost a player the game. Indeed, any …