Transplant Center Patient Navigator and Access to Transplantation among High-Risk Population: A Randomized, Controlled Trial.

Background And Objectives: Barriers exist in access to kidney transplantation, where minority and patients with low socioeconomic status are less likely to complete transplant evaluation. The purpose of this study was to examine the effectiveness of a transplant center-based patient navigator in helping patients at high risk of dropping out of the transplant evaluation process access the kidney transplant waiting list.

Design, Setting, Participants & Measurements: We conducted a randomized, controlled trial of 401 patients (=196 intervention and =205 control) referred for kidney transplant evaluation (January 2013 to August 2014; followed through May 2016) at a single center.