Sociodemographic Barriers to Starting the Kidney Transplantation Evaluation Process and Waitlisting in the Ohio River Valley
Publication: American Journal of Nephrology
The Transplant Research for Enhancing Access Team (TREAT) is a multidisciplinary collaborative team of clinicians, biostatisticians, epidemiologists, behavioral scientists, and data scientists from the Regenstrief Institute, Indiana University, and Emory School of Medicine’s Department of Surgery. TREAT has two main areas of research interest, including one in 1) transplant health services and outcomes research and one more broad interest in 2) supporting health services research in general through our collaborative work across various institutions and organizations.
The main goal of TREAT is to improve access to each step of the transplant process. In our earlier years, much of our work focused on the Southeast, which had the lowest rate of kidney transplantation in the nation at the time our project started, but we also have national research focused on this important topic that involves various regions in the US. We strive to achieve this goal through a better collection of surveillance data on the early steps of kidney transplantation (e.g., a referral from a dialysis facility to a transplant center and the start of the transplant evaluation process at the transplant center), conducting important epidemiologic and mixed methods analyses to determine the barriers and facilitators of access to transplant, testing the efficacy and effectiveness of interventions and payment models to improve access to transplant, and disseminating and implementing these interventions across the region and nation. Our team also has an interest in revising and developing better quality metrics for both dialysis facilities and transplant centers that incentivize transplant access for these health systems, as we know that health system barriers and health policy can often be the largest levers to change.
Fundamental to our research is the ability to communicate our research findings with the scientific community (e.g., via peer-reviewed publications) as well as to patients, the community, and the public (e.g., via community-based meetings such as the Southeastern Kidney Transplant Coalition and Ohio River Valley Transplant Coalition meetings).
Helpful Links:
E-STAR Website
E-STAR dashboard
Transplant Referral Maps
Rachel Patzer, PhD, MPH
Director of TREAT
President & CEO and Research Scientist, Regenstrief Institute
Leonard Betley Professor of Medicine, IU School of Medicine
Professor, IU Fairbanks School of Public Health
Katie Ross-Driscoll, PhD, MPH
Research Scientist, Regenstrief Institute Assistant Professor, Department of Surgery, Indiana University School of Medicine
Adam S. Wilk, PhD
Deputy Director of TREAT
Associate Professor of Surgery, IU School of Medicine
Research Scientist, Regenstrief Institute
Jade Buford
Epidemiologist, Regenstrief Institute
Kelsey Drewry, PhD, MA
Assistant Professor of Surgery, IU School of Medicine
Research Scientist, William M. Tierney Center for Health Services Research, Regenstrief Institute
Mengyu Di
Data Scientist, Regenstrief Institute
Kelli Norton
Senior Research Manager
Marciana Laster, MD
Physician, Riley Pediatric Nephrology & Kidney DiseasesAssistant Professor of Clinical Pediatrics, IU School of Medicine
Neha Pottanat, MD
Physician, Riley Pediatric Nephrology & Kidney DiseasesAssistant Professor of Clinical Pediatrics, IU School of Medicine
Angelitta M. Britt-Spells, PhD
Assistant Professor in Epidemiology, IU Richard M. Fairbanks School of Public Health Affiliate Scientist, Regenstrief Institute
Jaya Purulekar
Resident Physician, Internal Medicine Pediatrics, IU School of Medicine
Joshua Sadowski
PhD Candidate in Epidemiology at Richard M. Fairbanks School of Public HealthSenior Data Analyst, IU Health
Sarah E. Huber, MD
Resident Appointee, IU School of Medicine
Sih-Ting Cai, PhD
Postdoctoral Fellow, O’Neill School of Public & Environmental Affairs, IU Bloomington
Stephen Pastan, MD
Medical Director, Emory Kidney and Pancreas Transplant Center Nephrologist, Emory Transplant CenterProfessor of Medicine, Emory University School of Medicine
Jessica Harding, PhD
Assistant Professor, Department of Surgery, Emory University School of MedicineAssociate Director, Emory Health Services Research Center
Megan Urbanski, PhD
Assistant Professor, Department of Surgery, Emory University School of MedicineAffiliate Scientist, Regenstrief Institute
Emma Blythe
Epidemiologist, Emory University
Publication: American Journal of Nephrology
Publication: Current Opinion in Organ Transplantation
Publication: Clinical Journal of the American Society of Nephrology
Publication: American Journal of Transplantation
Publication: JAMA Network Open
Publication: Transplantation
Publication: Journal of American Medical Association
Publication: American Journal of Transplantation