Table 6 Staff-perceived barriers to accessing kidney transplant evaluation among referred ESRD patients^a

 Lack of transportation to the transplant center

 Distance to transplant center

 Timing of appointment (i.e., conflicts with work or dialysis schedule)

 Evaluation doesn’t seem urgent as patient does not mind dialysis

 Lost interest in continuing the evaluation process after initial appointment

 Anxiety about appointment or transplant procedure itself

 Low health literacy

 Lack of understanding about the transplant process itself

 Low literacy

 Cardiovascular disease

 Decreased functional status/needing assistance with daily activities

 Diabetes

 Cannot afford medications post-transplant

 Patient perceived fundraising requirements

 Cannot afford co-pay

 Socioeconomic status

 Age

 Race