Table 2.
Nephrologists’ general views on preemptive transplantation
Agree
|
Tend to Agree
|
Tend to Disagree
|
Disagree
|
|||||
---|---|---|---|---|---|---|---|---|
n | % | n | % | n | % | n | % | |
Attitudes toward preemptive transplantationa | ||||||||
Compared to other treatment options, preemptive transplantation is the therapy of choice for eligible CKD patients reaching ESRD | 319 | 71 | 104 | 23 | 14 | 3 | 10 | 2 |
More formal communication between nephrologists and transplant surgeons post-transplant will improve patient care | 246 | 54 | 164 | 36 | 32 | 7 | 14 | 3 |
More formal communication between nephrologists and transplant surgeons prior to transplant will improve patient care | 235 | 52 | 172 | 38 | 33 | 7 | 16 | 4 |
Nephrologists should be held accountable for the proportion of CKD patients educated about preemptive transplantation | 118 | 26 | 177 | 40 | 86 | 19 | 65 | 15 |
Nephrologists should be held accountable for the proportion of preemptive transplantation referrals | 105 | 23 | 156 | 35 | 110 | 25 | 76 | 17 |
Promoting preemptive transplantation will increase the demand for deceased kidney donors | 84 | 19 | 118 | 27 | 151 | 34 | 92 | 21 |
Financial impact on practicea | ||||||||
Dialysis centers lose a source of revenue after referring patients for preemptive transplantation | 109 | 25 | 173 | 39 | 76 | 17 | 85 | 19 |
The current reimbursement of nephrologists for post-transplant care negatively impacts rates of referral for preemptive transplantation | 69 | 16 | 108 | 25 | 152 | 35 | 108 | 25 |
Nephrologists lose a source of revenue when they recommend preemptive transplantation | 60 | 13 | 143 | 32 | 120 | 27 | 122 | 27 |
The current reimbursement for dialysis negatively impacts rates of referral for preemptive transplantation | 58 | 13 | 128 | 29 | 131 | 30 | 122 | 28 |
Needs/issuesa | ||||||||
There is a need for developing practice recommendations providing nephrologists with criteria for preemptive transplantation referrals | 210 | 47 | 191 | 42 | 38 | 8 | 11 | 2 |
Nephrologists need additional information about the benefits of preemptive transplantation | 149 | 33 | 160 | 36 | 103 | 23 | 37 | 8 |
Usually, patients eligible for preemptive transplantation are referred too late to a transplant center | 145 | 32 | 224 | 49 | 71 | 15 | 19 | 4 |
Nephrologists need additional post-transplant care training with regard to immunosuppressant drug therapy | 143 | 32 | 200 | 45 | 86 | 19 | 20 | 4 |
Nephrologists need additional post-transplant care training with regard to diabetes or infectious diseases management | 134 | 30 | 196 | 43 | 101 | 22 | 20 | 4 |
Total n per item not equal to 460 because of missing data.