Barriers to Kidney Transplantation as a Choice of Renal Replacement Therapy

International Society of Nephrology Global Kidney Health Atlas: structures, organization, and services for the management of kidney failure in Oceania and South East Asia

“…18 Although KRT availability, access, and quality were overall high in participating OSEA countries, they were substantially higher and more affordable for patients in high-income countries. Transplantation was available in two-thirds of participating OSEA countries, although rates of transplantation were much lower in countries where only livingrelated transplantation was available (Brunei Darussalam 19 and Indonesia and Myanmar 20 ). HD was available in all countries, but home HD was only available in 3 high-income countries.…”

The Living-Related Kidney Transplant Program in Brunei Darussalam: Lessons Learnt from a Nascent National Program in a Small, Muslim, and Asian Country

“…Review articles have been published on aspirin usage in kidney transplants [27], hematological cytopenia in kidney transplants [28], use of fluoroquinolone in BK virus nephropathy [29], cigarette smoking in kidney transplants [30], and dual kidney transplantations [31]. Another recent local-driven study in 2017 showed that lack of donors (71%), lack of awareness of the program (21.2%), and unwillingness to take risks (26.5%) were the main barriers to the progress of the program [32].…”

Barriers to kidney transplantation in ESKD

“…A recent survey of dialysis patients found that the most commonly cited reasons by blacks for not having a transplant evaluation were not understanding the benefits of transplant or the transplant process 33 . Lack of knowledge has been identified as a barrier to kidney transplant even in countries that have free universal health coverage 34 . Studies have shown that increasing patient knowledge of transplant results in an increased willingness by patients to pursue transplant, as well as increased likelihood of completing a transplant evaluation and ultimately receiving a transplant 32,35,36 .…”

“…33 Lack of knowledge has been identified as a barrier to kidney transplant even in countries that have free universal health coverage. 34 Studies have shown that increasing patient knowledge of transplant results in an increased willingness by patients to pursue transplant, as well as increased likelihood of completing a transplant evaluation and ultimately receiving a transplant. 32,35,36 Patients who knew that kidney transplantation improves quality of life were five times more likely to be willing to undergo a kidney transplant compared with those who did not know.…”