Sociodemographic factors and patient perceptions are associated with attitudes to kidney transplantation among haemodialysis patients

Vámos, Eszter; Csepanyi, Gabor; Zambo, Monika; Molnar, Miklos Z.; Réthelyi, János; Kovács, A; Márton, Adrienn; Németh, Zsófia; Novák, Márta; Mucsi, István

doi:10.1093/ndt/gfn660

Cited by 26 publications

(46 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ozminkowski et al found that African-American and white patients differed significantly in their expectations about the medical consequences and health outcomes of transplantation, in their religious objections to transplantation and personal attitudes about having a dead persons' organ in their body [43]. Similarly, expecting improved health after a transplant and foreseeing a decline in health on dialysis in our study were associated with positive attitude and willingness to have a transplant [42].…”

Section: Patient Preferences and Decision-making Towards Renal Transpsupporting

confidence: 49%

“…In our recent paper we reported that more than one-third of hemodialysis patients had false knowledge and beliefs about renal transplantation, and those patients were less likely to consider transplantation as a treatment option [42]. Ozminkowski et al found that African-American and white patients differed significantly in their expectations about the medical consequences and health outcomes of transplantation, in their religious objections to transplantation and personal attitudes about having a dead persons' organ in their body [43].…”

Section: Patient Preferences and Decision-making Towards Renal Transpmentioning

confidence: 95%

See 1 more Smart Citation

Non-medical factors influencing access to renal transplantation

2009

View full text Add to dashboard Cite

Considering the scarcity of available donor kidneys and the increasing number of patients with end-stage renal disease (ESRD) who would potentially benefit from renal transplantation, objective and equitable patient selection and equitable access to renal transplantation bear substantial importance. Inequalities in access to renal transplantation have been extensively documented over the last 2 decades with regard to age, gender, ethnicity, socioeconomic and psycho-social factors. In this paper we review a wide spectrum of social, patient and system-related factors along the transplantation process that may be associated with disparities, and we aim to describe the complex interrelationship between these factors that might influence treatment decisions by patients and health-care professionals. Understanding potentially modifiable barriers to kidney transplantation may allow designing targeted interventions in order to guarantee fair recipient selection and equal access to renal transplantation.

show abstract

Section: Patient Preferences and Decision-making Towards Renal Transpsupporting

confidence: 49%

Section: Patient Preferences and Decision-making Towards Renal Transpmentioning

confidence: 95%

Non-medical factors influencing access to renal transplantation

2009

View full text Add to dashboard Cite

show abstract

“…Some of these patients (78.31%) have expressed their willingness to be transplanted. Based on studies, this rate varies from 34.9% to 76% [8]- [15] and is similar to that reported in other African countries such as Morocco [15]. The reasons mentioned were essentially the willing to stop dialysis and to improve the quality of life.…”

Section: Discussionsupporting

confidence: 77%

“…The reasons mentioned were essentially the willing to stop dialysis and to improve the quality of life. The improvement of life quality has also been mentioned by patients in several studies [8] [9] [10] [15]. The lack of facilities for adequate haemodialysis in developing countries in general is a source of high rate of mortality and poor quality of life.…”

Section: Discussionmentioning

confidence: 99%

“…The success of kidney transplantation program depends on several factors such as the accessibility and the adherence of the patients to the project [7]. Indeed, according to Vamos [8], patient interest in renal transplantation is a fundamental step in this process. We carried out this study to determine the adherence factors affecting kidney transplant recipient among patients on maintenance haemodialysis in Cote d'Ivoire and point out possible obstacles to the development of this new practice in the country.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Adherence Factors Affecting Kidney Transplant Recipient among Patients on Maintenance Haemodialysis in Côte d’Ivoire

Lagou¹,

Coulibaly²,

Nigué³

et al. 2017

OJNeph

View full text Add to dashboard Cite

Background: Kidney Transplantation is the best treatment for patients in end stage renal disease. It's a new therapeutic approach for such patients in Cote d'Ivoire which is expected to develop. Aim: Determine the adherence factors affecting kidney transplant recipient among patients on maintenance haemodialysis in Cote d'Ivoire and point out possible obstacles to the development of this new practice in the country. Patients and Methods: This was a cross-sectional study carried out from May to June 2016 in the Haemodialysis Centres of Abidjan. Any patient aged ≥18 years, on haemodialysis for at least 6 months, who signed the inform consent were subjected to a questionnaire. None of the respondents had been transplanted. The subjects addressed in the document were sociocultural status, opinion related to kidney transplantation and willingness to be transplanted or not and the reasons. A statistical analysis was performed to determine factors associated with kidney transplantation desire. Results: We included 295 (71.53% males) patients, with a mean age of 44.53 ± 12.09 years. Among this population, 36.61% had a higher level of education, 70.85% were Christians, 66.44% lived with partners, 56.61% had no income and 74.92% were treated in Public Health Centres. The median duration on dialysis was 34 months. A total of 287 (97.29%) patients had already heard of kidney transplantation among which 149 (51.94%) for the first time after initiation of haemodialysis. There was 231 (78.31%) patients willing to be transplanted with only 91 (39.39%) of them having a potential living donors. The main motivations were the desire to stop dialysis (52.38%) and the search for a better quality of life (41.13%). Among the 64 (21.69%) patients unfa- vourable to renal transplantation, 45.31% raised its higher cost compared to haemodialysis. Duration on haemodialysis (>34 months) was significantly higher in patients willing to be transplanted compare to non-applicants (51.95% versus 37.50%, p < 0.04). Factors associated with renal transplantation willingness were younger age (<45 years) (OR = 2.14 CI: 1.12 -4.06 p = 0.02), longer median duration on dialysis (>34 months) (OR = 2.12 CI: 1.15 -3.88 p = 0.01) and the Christian religion (OR = 0.43 CI: 0.20 -0.92 p = 0.03). Conclusion: Almost all patients on maintenance haemodialysis were willing to be transplanted. However, the rate of living donor remains insufficient. For the non-seekers, the high cost of the process remains the main obstacle to kidney transplantation. Transplantation should be given more attention and political support economically by the Government to allow its development in Cote d'Ivoire.

show abstract

Exploring Knowledge About Dialysis, Transplantation, and Living Donation Among Patients and Their Living Kidney Donors

Timmerman¹,

Ismail

Luchtenburg³

et al. 2015

Int.J. Behav. Med.

View full text Add to dashboard Cite

BackgroundIn order to make a well-considered decision and give informed consent about renal replacement therapy, potential living kidney donors and recipients should have sufficient understanding of the options and risks.PurposeWe aimed to explore knowledge about Dialysis & Transplantation (DT) and Living Donation (LD) among prospective living kidney donors and recipients.MethodsEighty-five donors and 81 recipients completed the Rotterdam Renal Replacement Knowledge-Test (R3K-T) 1 day before surgery. The questionnaire was available in various languages.ResultsRecipients knew significantly more about DT than donors (p < 0.001); donors knew more about LD than recipients (p < 0.001). A minority of donors (15 %) and recipients (17 %) had a score that was comparable to the knowledge level of the naïve general population. Recipients and donors knew less about DT and LD if their native language was not Dutch. In addition, recipients knew less about DT if they were undergoing pre-emptive transplantation.ConclusionsWe conclude that recipients and donors retain different information. The decision to undergo living donation appears to be not always based on full knowledge of the risks. We recommend that professionals assess knowledge of prospective donors and recipients during the education process using the R3K-T, and extra attention is required for non-native speakers.

show abstract

Sociodemographic factors and patient perceptions are associated with attitudes to kidney transplantation among haemodialysis patients

Cited by 26 publications

References 25 publications

Non-medical factors influencing access to renal transplantation

Non-medical factors influencing access to renal transplantation

Adherence Factors Affecting Kidney Transplant Recipient among Patients on Maintenance Haemodialysis in Côte d’Ivoire

Exploring Knowledge About Dialysis, Transplantation, and Living Donation Among Patients and Their Living Kidney Donors

Contact Info

Product

Resources

About

Sociodemographic factors and patient perceptions are associated with attitudes to kidney transplantation among haemodialysis patients

Cited by 26 publications

References 25 publications

Non-medical factors influencing access to renal transplantation

Non-medical factors influencing access to renal transplantation

Adherence Factors Affecting Kidney Transplant Recipient among Patients on Maintenance Haemodialysis in C&#244;te d’Ivoire

Exploring Knowledge About Dialysis, Transplantation, and Living Donation Among Patients and Their Living Kidney Donors

Contact Info

Product

Resources

About

Adherence Factors Affecting Kidney Transplant Recipient among Patients on Maintenance Haemodialysis in Côte d’Ivoire