2026-06-08T17:55:17Z https://www.peertechzpublications.org/oai-pmh

oai:www.peertechzpublications.org:10.17352/2455-5495.000021 2017-06-01 PTZ.ARDM:VOL3

Use of Interpreters for non-native English speaking Kidney Allograft Recipients and outcomes after Kidney Transplantation Sanna Tahir Holly Gillott Francesca Jackson Spence Jay Nath Jemma Mytton Felicity EvisonAdnan Sharif<p><strong>Background:</strong> Language barriers are associated with worse health outcomes in the general population but&nbsp; data&nbsp; in&nbsp; kidney&nbsp; transplantation&nbsp; is&nbsp; lacking.&nbsp; This&nbsp; study&nbsp; tested&nbsp; the&nbsp; hypothesis&nbsp; that&nbsp; non-native&nbsp; English speakers&nbsp; using&nbsp; interpreters&nbsp; have&nbsp; poorer&nbsp; outcomes&nbsp; after&nbsp; kidney&nbsp; transplantation&nbsp; compared&nbsp; to&nbsp; native English speakers. </p><p><strong>Methods:</strong>&nbsp; A&nbsp; single-center&nbsp; retrospective&nbsp; study&nbsp; analyzing&nbsp; all&nbsp; kidney&nbsp; allograft&nbsp; recipients&nbsp; transplanted&nbsp; between&nbsp;&nbsp; 2007-2015,&nbsp;&nbsp; with&nbsp;&nbsp; data&nbsp;&nbsp; linkage&nbsp;&nbsp; between&nbsp;&nbsp; various&nbsp;&nbsp; electronic&nbsp;&nbsp; patient&nbsp;&nbsp; records&nbsp;&nbsp; to&nbsp;&nbsp; create comprehensive database. </p><p><strong>Results:</strong> Data was extracted for 1,140 patients, with median follow up 4.4 years’ post-transplantation. Ethnicity&nbsp; breakdown&nbsp; was;&nbsp; Caucasian&nbsp; (72.1%),&nbsp; black&nbsp; (5.5%),&nbsp; south&nbsp; Asian&nbsp; (17.6%)&nbsp; and&nbsp; 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&lt;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. </p> Archives of Renal Diseases and Management - Peertechz Publications 2017-06-01 Research Article https://doi.org/10.17352/2455-5495.000021 en Copyright © Sanna Tahir et al.