Date of Award
Master of Medical Science (MMSc)
Sanjay Kulkarni, MD, FACS, MHCM
End-stage renal disease patients who are inactive on the deceased-donor kidney transplant waitlist have lower transplant rates and higher mortality than active patients. Most patients are inactive due to an incomplete medical work-up. Advanced practice providers have a growing role in the medical management of end-stage renal disease patients, however their utilization to convert inactive patients to active status has not yet been studied. We hypothesize that visits from a transplant team’s advanced practice provider to inactive patients in dialysis facilities will increase the probability of transitioning patients from inactive to active status compared to usual care. To test this hypothesis, we will carry out a cluster-randomized controlled trial to evaluate the cumulative incidence of active status in a 12-month period between intervention and control. These results will be able to highlight the utilization of advanced practice providers to improve care coordination amongst patients, dialysis facilities, and transplant centers.
Larouche, Virginie, "Advanced Practice Providers to Resolve Kidney Waitlist Inactive Status: A Cluster-Randomized Trial" (2022). Yale School of Medicine Physician Associate Program Theses. 131.