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Recruitment of Hispanics with CKD: The Hispanic Chronic Renal Insufficiency Cohort Study Experience
Fischer M, Lora C, Carmona E, Lopez A, Ricardo A, Reyes A, Go AS, Lash JP. Recruitment of Hispanics with CKD: The Hispanic Chronic Renal Insufficiency Cohort Study Experience. Poster session presented at: National Kidney Foundation Clinical Spring Meeting; 2011 Apr 27; Las Vegas, NV.
Despite the large burden of chronic kidney disease (CKD) in Hispanics, this population has
been underrepresented in research studies. We describe the effectiveness of various strategies
utilized in recruiting a cohort of Hispanics with CKD into the Hispanic Chronic Renal
Insufficiency Cohort (HCRIC) Study.
Recruitment efforts took place in high density Hispanic neighborhoods and focused on
community clinics with Hispanic providers and accessible laboratory databases to ascertain
estimated glomerular filtration rate (eGFR) eligibility. Providers made initial contact with
potential participants. Subsequent contact was established by bilingual study staff drawn from
the community. Other sites of recruitment included university clinics and nephrology practices.
Limited screenings at health fairs were also employed and the study was publicized at churches
and using local Hispanic print media, television and radio stations.
From October 2005 to July 2008, we recruited 327 Hispanics ages 21-74 with mild-moderate
CKD as determined by age-specific eGFR inclusion criteria. Of 718 individuals completing a
screening visit, 365 (51%) did not meet eGFR criteria and < 1% were excluded for other reasons.
Community practices accounted for 76% of recruitment, University and nephrology clinics 33%,
and publicity < 1%.
A strategy focused on community clinics with Hispanic providers in combination with the use
of bilingual recruiters allowed us to overcome barriers to the recruitment of the understudied
Hispanic population with CKD.