Improving access to home dialysis and repeat kidney transplants
Reaching Equity in ACess to Home Dialysis And Re-Transplantation (REACH-DART)
A program to help people who lose a kidney transplant—especially Black and Hispanic patients—get back on the transplant list sooner and return to home dialysis when possible.
Quick facts
| Grant type | R01 grant |
|---|---|
| Study type | NIH-funded research |
| Funding institution | University of California, San Francisco NIH-funded |
| Lab location | 1 site (San Francisco, United States) |
| Project ID | NIH-11023119 on NIH RePORTER |
What this research studies
If your transplanted kidney fails, this project looks at why some people don't get relisted for a second transplant or return to peritoneal home dialysis. The team will review medical records, talk with patients and care teams, and identify practical barriers like referral timing, education gaps, or access issues. They will focus on differences affecting Black and Hispanic transplant recipients to understand why relisting and home dialysis rates are low. The aim is to pilot changes that help more people access home dialysis and timely re-transplantation.
Who could benefit from this research
Good fit: Ideal candidates are people who previously received a kidney transplant and now have graft failure, especially Black and Hispanic patients who might be eligible for peritoneal dialysis or relisting.
Not a fit: People who never had a transplant, who are not medically eligible for peritoneal dialysis or repeat transplantation, or who cannot attend participating clinics may not benefit directly.
Why it matters
Potential benefit: If successful, more former transplant patients—particularly Black and Hispanic individuals—could regain access to home dialysis and be relisted for a second transplant sooner, improving health and quality of life.
How similar studies have performed: Other programs to increase home dialysis and earlier transplant referral have shown benefits in some settings, but targeted efforts for former transplant recipients and racial disparities are relatively new.
Where this research is happening
San Francisco, United States
- University of California, San Francisco — San Francisco, United States (Active)
Researchers
- Principal investigator: Ku, Elaine — University of California, San Francisco
- Study coordinator: Ku, Elaine
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page below.