Use of Interpreters for non-native English speaking Kidney Allograft Recipients and outcomes after Kidney Transplantation
Journal Title: Archives of Renal Diseases and Management - Year 2017, Vol 3, Issue 1
Abstract
Background: Language barriers are associated with worse health outcomes in the general population but data in kidney transplantation is lacking. This study tested the hypothesis that non-native English speakers using interpreters have poorer outcomes after kidney transplantation compared to native English speakers. Methods: A single-center retrospective study analyzing all kidney allograft recipients transplanted between 2007-2015, with data linkage between various electronic patient records to create a comprehensive database. Results: Data was extracted for 1,140 patients, with median follow up 4.4 years’ post-transplantation. Ethnicity breakdown was; Caucasian (72.1%), black (5.5%), south Asian (17.6%) and other (4.7%). Interpreters had been requested for 40 kidney allograft recipients, with the commonest language required being Urdu/Punjabi (n=25). Patients requiring interpreting services were more likely to be of south Asian ethnicity (80.0% of users versus 15.4% of non-users, p<0.001) and female (60.0% of users versus 39.5% of non-users, p=0.008). Recipients using versus not using interpreters had less kidney allograft rejection (2.5% versus 14.8% respectively, p=0.014). There was no difference between groups for development of post-transplant diabetes, cardiac events, cerebrovascular accidents, and cancer or patient/graft survival. Conclusion: Kidney allograft recipients with poor English skills who require interpreting services do not suffer adverse patient or kidney allograft outcomes.
Authors and Affiliations
Tahir Sanna, Gillott Holly, Spence Francesca Jackson, Nath Jay, Mytton Jemma, Evison Felicity, Sharif Adnan
Keywords
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- EP ID EP343506
- DOI 10.17352/2455-5495.000021
- Views 77
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