Table 4.

Associations between patient-perceived concerns about pursuing KT and access to transplantation

Patient-Perceived ConcernHazard Ratio of Achieving Access to Transplantation
UnadjustedAdjustedaParsimoniousb
I’m doing fine on dialysis0.48 (0.30 to 0.77)0.57 (0.34 to 0.94)0.55 (0.34 to 0.89)
No one has discussed KT with me0.38 (0.19 to 0.77)0.51 (0.25 to 1.06)0.49 (0.24 to 0.99)
High health-related concernsc0.27 (0.12 to 0.63)0.40 (0.17 to 0.96)0.37 (0.16 to 0.87)
High psychosocial concernsc0.43 (0.21 to 0.86)0.49 (0.24 to 1.01)0.47 (0.23 to 0.95)
  • Data are presented as hazard ratios (95% confidence intervals). Hazard ratios were estimated using Cox proportional hazards models. Concerns were categorized empirically into health-related or psychosocial categories. “I’m doing fine on dialysis” and “No one has discussed KT with me” did not fall into either health-related or psychosocial concerns categories See the Materials and Methods and the Supplemental Appendix for a description of the exploratory factor analysis used to categorize concerns. See Table 2 for individual concerns.

  • a Adjusted for age, sex, race, education, number of comorbidities, BMI, smoking status, and seeing a nephrologist before dialysis initiation.

  • b Adjusted for age, race, BMI, and smoking status.

  • c Comparing those in the highest quartile of the concerns scaled score with those in the lower three quartiles.