Georgia has the lowest kidney transplant rates in the United States, and racial disparities in access to early steps in the kidney transplant process exist in the Southeast. The Southeastern Kidney Transplant Coalition developed the randomized, dialysis facility-level Reducing Disparities In Access to kidNey Transplantation (RaDIANT) Community Study to address racial disparities and low rates of kidney transplantation (KTx) in Georgia. The RaDIANT Community Study was a randomized, dialysis facility–based, controlled trial involving more than 9,000 patients receiving dialysis treatment from 134 dialysis facilities in Georgia. Dialysis facilities with either low transplant referral, or an African-American (AA) vs. white racial disparity in referral, were selected in December 2013 to participate in this End Stage Renal Disease (ESRD) Network–led study. The multicomponent intervention consisted of transplant education and engagement activities targeting dialysis facility leadership, staff, and patients from January through December 2014. The primary outcome was the proportion of prevalent ESRD patients in a facility referred for transplantation within one year, and AA vs. white racial disparity was examined as a secondary outcome. For this project, we aim to evaluate the effectiveness, feasibility, and sustainability of the RaDIANT intervention activities.
