Scholars@Duke
Megan Lauren Salter

Megan Lauren Salter

Consulting Associate in the Department of Medicine
Medicine, General Internal Medicine

Selected Publications

Fractures and Subsequent Graft Loss and Mortality among Older Kidney Transplant Recipients.

Journal Article J Am Geriatr Soc · August 2019 OBJECTIVES: Older adults who undergo kidney transplantation (KT) are living longer with a functioning graft and are at risk for age-related adverse events including fractures. Understanding recipient, transplant, and donor factors and the outcomes associat ... Full text Link to item Cite

Frailty and Cognitive Function in Incident Hemodialysis Patients.

Journal Article Clin J Am Soc Nephrol · December 7, 2015 BACKGROUND AND OBJECTIVES: Patients of all ages undergoing hemodialysis (HD) have a high prevalence of cognitive impairment and worse cognitive function than healthy controls, and those with dementia are at high risk of death. Frailty has been associated w ... Full text Link to item Cite

Changes in Frailty After Kidney Transplantation.

Journal Article J Am Geriatr Soc · October 2015 OBJECTIVES: To understand the natural history of frailty after an aggressive surgical intervention, kidney transplantation (KT). DESIGN: Prospective cohort study (December 2008-March 2014). SETTING: Baltimore, Maryland. PARTICIPANTS: Kidney transplantation ... Full text Link to item Cite

Perceived frailty and measured frailty among adults undergoing hemodialysis: a cross-sectional analysis.

Journal Article BMC Geriatr · April 24, 2015 BACKGROUND: Frailty, a validated measure of physiologic reserve, predicts adverse health outcomes among adults with end-stage renal disease. Frailty typically is not measured clinically; instead, a surrogate-perceived frailty-is used to inform clinical dec ... Full text Link to item Cite

Perceptions about hemodialysis and transplantation among African American adults with end-stage renal disease: inferences from focus groups.

Journal Article BMC Nephrol · April 9, 2015 BACKGROUND: Disparities in access to kidney transplantation (KT) remain inadequately understood and addressed. Detailed descriptions of patient attitudes may provide insight into mechanisms of disparity. The aims of this study were to explore perceptions o ... Full text Link to item Cite

Frailty, mycophenolate reduction, and graft loss in kidney transplant recipients.

Journal Article Transplantation · April 2015 BACKGROUND: Mycophenolate mofetil (MMF) side effects often prompt dose reduction or discontinuation, and this MMF dose reduction (MDR) can lead to rejection and possibly graft loss. Unfortunately, little is known about what factors might cause or contribut ... Full text Link to item Cite

Frailty and mortality in kidney transplant recipients.

Journal Article Am J Transplant · January 2015 We have previously described strong associations between frailty, a measure of physiologic reserve initially described and validated in geriatrics, and early hospital readmission as well as delayed graft function. The goal of this study was to estimate its ... Full text Link to item Cite

Patient- and provider-reported information about transplantation and subsequent waitlisting.

Journal Article J Am Soc Nephrol · December 2014 Because informed consent requires discussion of alternative treatments, proper consent for dialysis should incorporate discussion about other renal replacement options including kidney transplantation (KT). Accordingly, dialysis providers are required to i ... Full text Link to item Cite

Trends in kidney transplant outcomes in older adults.

Journal Article J Am Geriatr Soc · December 2014 OBJECTIVES: To estimate mortality and death-censored graft loss according to year of kidney transplant (KT) between 1990 and 2011. DESIGN: Cohort study. SETTING: The Scientific Registry of Transplant Recipients (SRTR). PARTICIPANTS: KT recipients aged 65 a ... Full text Link to item Cite

Actual and perceived knowledge of kidney transplantation and the pursuit of a live donor.

Journal Article Transplantation · November 15, 2014 BACKGROUND: Live donor kidney transplantation (LDKT) remains underutilized, partly resulting from the challenges many patients face in asking someone to donate. Actual and perceived kidney transplantation (KT) knowledge are potentially modifiable factors t ... Full text Link to item Cite

Health-related and psychosocial concerns about transplantation among patients initiating dialysis.

Journal Article Clin J Am Soc Nephrol · November 7, 2014 BACKGROUND AND OBJECTIVES: Disparities in kidney transplantation remain; one mechanism for disparities in access to transplantation (ATT) may be patient-perceived concerns about pursuing transplantation. This study sought to characterize prevalence of pati ... Full text Link to item Cite

Age and sex disparities in discussions about kidney transplantation in adults undergoing dialysis.

Journal Article J Am Geriatr Soc · May 2014 OBJECTIVES: To explore whether disparities in age and sex in access to kidney transplantation (KT) originate at the time of prereferral discussions about KT. DESIGN: Cross-sectional survey. SETTING: Outpatient dialysis centers in Maryland (n = 26). PARTICI ... Full text Link to item Cite

Assessment of resident and fellow knowledge of the organ donor referral process.

Journal Article Clin Transplant · April 2014 Maximizing deceased donation rates can decrease the organ shortage. Non-transplant physicians play a critical role in facilitating conversion of potential deceased donors to actual donors, but studies suggest that physicians lack knowledge about the organ ... Full text Link to item Cite

Assessment of Resident and Fellow Knowledge of the Organ Donor Referral Process

Journal Article Journal of Surgical Research · February 2014 Full text Cite

Correlates of elevated interleukin-6 and C-reactive protein in persons with or at high risk for HCV and HIV infections.

Journal Article J Acquir Immune Defic Syndr · December 15, 2013 BACKGROUND: HIV and hepatitis C virus (HCV) infections may increase interleukin-6 (IL-6) and C-reactive protein (CRP). However, relationships between inflammatory biomarkers, chronic viral infections, clinical factors, and behavioral factors remain poorly ... Full text Link to item Cite

Frailty and falls among adult patients undergoing chronic hemodialysis: a prospective cohort study.

Journal Article BMC Nephrol · October 16, 2013 BACKGROUND: Patients undergoing hemodialysis are at high risk of falls, with subsequent complications including fractures, loss of independence, hospitalization, and institutionalization. Factors associated with falls are poorly understood in this populati ... Full text Link to item Cite

Frailty and early hospital readmission after kidney transplantation.

Journal Article Am J Transplant · August 2013 Early hospital readmission (EHR) after kidney transplantation (KT) is associated with increased morbidity and higher costs. Registry-based recipient, transplant and center-level predictors of EHR are limited, and novel predictors are needed. We hypothesize ... Full text Link to item Cite

Frailty as a novel predictor of mortality and hospitalization in individuals of all ages undergoing hemodialysis.

Journal Article J Am Geriatr Soc · June 2013 OBJECTIVES: To quantify the prevalence of frailty in adults of all ages undergoing chronic hemodialysis, its relationship to comorbidity and disability, and its association with adverse outcomes of mortality and hospitalization. DESIGN: Prospective cohort ... Full text Link to item Cite

Perceptions of community- and family-level injection drug user (IDU)- and HIV-related stigma, disclosure decisions and experiences with layered stigma among HIV-positive IDUs in Vietnam.

Journal Article AIDS Care · 2012 This paper explores how perceived stigma and layered stigma related to injection drug use and being HIV-positive influence the decision to disclose one's HIV status to family and community and experiences with stigma following disclosure among a population ... Full text Link to item Cite

HIV infection, immune suppression, and uncontrolled viremia are associated with increased multimorbidity among aging injection drug users.

Journal Article Clin Infect Dis · December 2011 BACKGROUND: Despite an increasing burden of age-associated non-AIDS outcomes, few studies have investigated the prevalence or correlates of multimorbidity among aging human immunodeficiency virus (HIV)-infected and epidemiologically comparable at-risk popu ... Full text Link to item Cite

High prevalence of forced sex among non-brothel based, wine shop centered sex workers in Chennai, India.

Journal Article AIDS Behav · January 2011 Sexual violence has been shown to increase women's risk of HIV infection. India is a country where the HIV epidemic is growing among women and intimate partner violence (IPV) is pervasive. This study examined prevalence of and factors associated with force ... Full text Link to item Cite

Influence of Perceived Secondary Stigma and Family on the Response to HIV Infection Among Injection Drug Users in Vietnam.

Journal Article AIDS Educ Prev · December 2010 The full impact of secondary stigma (stigma directed at family) on an HIV-positive individual is unknown. This qualitative research explores perceptions of secondary stigma in the Vietnamese context and its influence on the ways in which an injection drug ... Full text Link to item Cite

Factors associated with the perpetration of sexual violence among wine-shop patrons in Chennai, India.

Journal Article Soc Sci Med · October 2010 With an estimated 2.5 million people living with HIV/AIDS, India has the third highest number of HIV-infected people in the world. Despite reductions in prevalence among the general population, the percentage of all infections occurring among Indian women ... Full text Link to item Cite

The role of men in women's acceptance of an intravaginal gel in a randomized clinical trial in Blantyre, Malawi: a qualitative and quantitative analysis.

Journal Article AIDS Care · August 2008 Survey questionnaires and focus group discussions were used to investigate the association between a female participant's acceptance and her perception of her male partner's acceptance of an intravaginal gel as a prototype microbicide. Women who perceived ... Full text Link to item Cite