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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Perceptions, Barriers, and Experiences With Successful Aging Before and After Kidney Transplantation: A Focus Group Study
Transplantation, v 104(3), pp 603-612
Mar 2020
PMID: 31283666
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
End-stage kidney disease (ESKD) patients are living longer, often into older age, and commonly pursue kidney transplantation. Successful aging, a multidimensional construct of physical and social wellbeing, has been expanded and adapted for patients with chronic disease. However, perceptions of, barriers to, and experiences with successful aging among adults with ESKD are unclear and likely differ based on whether they have received a kidney transplant.
Ten focus groups were held with 39 total ESKD patients aged ≥50 years (19 transplant candidates, 20 transplant recipients). Transcriptions were analyzed thematically by 2 independent coders using an inductive, constant comparative approach.
The mean age was 64.8 (SD = 7.5); 51% were African American and 64% were males. Six themes were identified: familiarity with successful aging, perceptions of successful aging after ESKD diagnosis, barriers to successful aging, experiences with successful aging among transplant candidates, experiences with successful aging among transplant recipients, and suggested interventions. While all participants sought to achieve successful aging while living with ESKD, experiences with successful aging differed between candidates and recipients. Candidates struggled with the limitations of dialysis; some viewed transplantation as an opportunity to age successfully, while others were resigned to the drawbacks of dialysis. In contrast, transplant recipients were optimistic about their ability to age successfully, believing their transplant facilitated successful aging. Participants believed support groups for adults with ESKD and more thoughtful health care for aging adults would promote successful aging.
Adults with ESKD may benefit from discussions with their clinicians and caregivers about goals, barriers, and strategies regarding successful aging.
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Details
- Title
- Perceptions, Barriers, and Experiences With Successful Aging Before and After Kidney Transplantation: A Focus Group Study
- Creators
- Sarah E Van Pilsum Rasmussen - Johns Hopkins MedicineFatima Warsame - Johns Hopkins MedicineAnn K Eno - Johns Hopkins MedicineHao Ying - Johns Hopkins MedicineKarina Covarrubias - Johns Hopkins MedicineChristine E Haugen - Johns Hopkins MedicineNadia M Chu - Johns Hopkins MedicineDeidra C Crews - Johns Hopkins MedicineMeera N Harhay - Drexel UniversityNancy L Schoenborn - Johns Hopkins MedicineDorry L Segev - Johns Hopkins MedicineMara A McAdams-DeMarco - Johns Hopkins Medicine
- Publication Details
- Transplantation, v 104(3), pp 603-612
- Publisher
- Lippincott
- Grant note
- K23 DK105207 / NIDDK NIH HHS K24 AI144954 / NIAID NIH HHS R01 AG042504 / NIA NIH HHS K76 AG059984 / NIA NIH HHS K01 AG043501 / NIA NIH HHS R01 AG055781 / NIA NIH HHS R01 DK114074 / NIDDK NIH HHS F32 AG053025 / NIA NIH HHS K24 DK101828 / NIDDK NIH HHS P30 AG021334 / NIA NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000528038200040
- Scopus ID
- 2-s2.0-85080837151
- Other Identifier
- 991019335240404721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Immunology
- Surgery
- Transplantation