Living Kidney Donor Lost Wages Trial
- Conditions
- Kidney Diseases
- Interventions
- Other: Standard of CareBehavioral: Wage Reimbursement BBehavioral: Wage Reimbursement A
- Registration Number
- NCT03268850
- Lead Sponsor
- Beth Israel Deaconess Medical Center
- Brief Summary
This study aims to evaluate the effectiveness of offering reimbursement for living donor lost wages on the rate of live donor kidney transplantation.
- Detailed Description
Live donor kidney transplantation (LDKT) accelerates the path to transplantation and yields superior outcomes compared to dialysis and deceased donor kidney transplantation (KT). However, the annual number of LDKTs has declined over the last decade, particularly among minority and low-income patients. The investigators hypothesize, and have preliminary data to support, that the financial impact on living donors (LDs) is a major contributor to the LDKT decline and for persistent racial disparities in LDKT rates. Many LDs have substantial non-reimbursed direct and indirect costs, most notably the loss of income or wages following surgery. In this study, the investigators will: (1) evaluate the effectiveness of offering reimbursement for LD lost wages on the LDKT rate; (2) examine whether offering reimbursement for LD lost wages reduces known racial disparities in LDKT; and (3) determine whether study outcomes differ significantly by maximum reimbursement amount for LD lost wages.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 453
- For KT patients:
- Chronic Kidney Disease (CKD) stage 4/5
- Approved for kidney transplant (KT) listing or active on KT waiting list
- For patients listed at multiple centers: primary listing at Beth Israel Deaconess Medical Center (BIDMC)
- For LDs:
- Their KT candidate is enrolled in the trial
- For KT patients:
- KT candidate has a potential LD approved, with surgery scheduled
- Listed for multi-organ transplantation
- Temporarily unavailable (TU) status on KT waiting list
- Current enrollment in another study to increase LDKT likelihood
- For LDs:
- Not residing in the US
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description LW-A Standard of Care The Lost Wages A (LW-A) arm will be composed of kidney transplant patients meeting the inclusion criteria. This arm allows for possible wage reimbursement of living donor lost wages up to a certain amount. This will also include standard of care. LW-B Wage Reimbursement B The Lost Wages B (LW-B) arm will be composed of kidney transplant patients meeting the inclusion criteria. This arm allows for possible wage reimbursement of living donor lost wages up to a different amount. This will also include standard of care. LW-B Standard of Care The Lost Wages B (LW-B) arm will be composed of kidney transplant patients meeting the inclusion criteria. This arm allows for possible wage reimbursement of living donor lost wages up to a different amount. This will also include standard of care. LW-A Wage Reimbursement A The Lost Wages A (LW-A) arm will be composed of kidney transplant patients meeting the inclusion criteria. This arm allows for possible wage reimbursement of living donor lost wages up to a certain amount. This will also include standard of care.
- Primary Outcome Measures
Name Time Method Effect of wage reimbursement on racial disparities in LDKT 1 year LDKT rate among minorities
Difference between reimbursement arms 1 year LDKT rate in KT candidates in LW-A arm as compared to LDKT rate in KT candidates in LW-B arm
Effectiveness of wage reimbursement on LDKT rate 1 year LDKT rate in KT candidates compared to historical matched control group
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
BIDMC Transplant Center
🇺🇸Boston, Massachusetts, United States