The admission of Asian patients to intensive therapy units and its implications for kidney donation: a preliminary report from Coventry, UK.

Exley, Catherine; Sim, Julius; Reid, Norma G.; Booth, Lionel J.; Jackson, Sonia; West, Nick

doi:10.1136/jech.50.4.447

Cited by 15 publications

(12 citation statements)

References 11 publications

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“…The situation is clear, there needs to be a greater number of donors coming forward from the Asian communities to increase the pool of suitable organs (11)(12)(13)(14). However, this may only be achieved if we understand the reasons for the current lack of supply.…”

Section: Abstract -Asians -Transplant -Kidney -Donationmentioning

confidence: 99%

“…Problems with cross-racial tissue type matching for Asian patients mean that a suitable organ is not likely to become available unless the organ is from an Asian donor (11)(12)(13)(14). As already mentioned there are very few Asian donors coming forward with Caucasians making up the vast majority of the donor pool (9).…”

Section: Increasing Knowledge and Awareness Of Organ Donation And Tramentioning

confidence: 99%

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The UK's Asian population: Solving the transplant crisis

Randhawa¹

2001

EDTNA-ERCA Journal

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The United Kingdom Transplant Authority has recently re-introduced a policy to identify the ethnicity of patients. This is in response to the realisation byTransplant Co-ordinators and other health professionals in the field that a number of disparities existed between Asian residents and the indigenous population. The limited data that exists highlights that the Asian population are in a disproportionately greater need of kidney transplants. The situation is clear, there needs to be a greater number of donors coming forward from the Asian communities to increase the pool of suitable organs. However, this may only be achieved if we understand the reasons for the current lack of supply. Very little empirical research has been devoted to this subject and those studies, which have been carried out, highlight the need for greater attention to this life-threatening problem.

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Section: Abstract -Asians -Transplant -Kidney -Donationmentioning

confidence: 99%

Section: Increasing Knowledge and Awareness Of Organ Donation And Tramentioning

confidence: 99%

The UK's Asian population: Solving the transplant crisis

Randhawa¹

2001

EDTNA-ERCA Journal

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“…The shortfall in South Asians offering organs for transplantation may partly relate to lower numbers of Asians being admitted to intensive care units where the majority of organ requests are made (Exley et al 1996a). There are also indications that South Asians show a higher rate than the 40% UK average rate of relatives refusing to consent to organ donation on behalf of deceased family members (DH 2008b).…”

Section: Introductionmentioning

confidence: 98%

Whose Decision is it? Organ Donation Attitudes Among Young UK South Asians

Joshi

2011

Psychol Stud

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A questionnaire study examined organ donor card holding rates and attitudes to organ donation among young adult British South Asians and Whites attending institutions of higher education in the UK. There were 382 respondents (166 male, 216 female, average age 21.8 years): 107 Indian (Hindu or Sikh), 104 Pakistani/Bangladeshi (Muslim) and 171 White (Christian or of no religion). Overall, 33% of White but only 9% of South Asian respondents had a donor card. Among Whites, only 6% thought their parents would find it emotionally very upsetting to discuss organ donation, and of the White card holders 70% had told their parents that they had a card. In contrast 18% of Indians and 52% of Pakistanis/Bangladeshis thought that their parents would find it emotionally very upsetting to discuss organ donation, and only 39% of South Asian card holders had told their parents that they had a card. Finally, 41% of White, 54% of Indian and 91% of Pakistanis/ Bangladeshi respondents doubted that they would take steps to obtain an organ donor card. White respondents proffered inertia as the main explanation for their not being likely to get a card. The factors underlying South Asian respondents not planning to obtain a card were more varied and included disinterest, emotional distaste, family opposition and religion. These reasons can be interpreted as relating to an interdependent conception of self and donor decisions being a family as well as an individual matter.

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“…The more accurate the match the better as this is influenced by the increasing demand f& a limited supply of suitable organs. This situation is particularly alarming for the UK's Asian (those defined as from either Bangladeshi, Indian or Pakistani origin) population, with their higher susceptibility to end-stage renal failure (ESRF), which has resulted in a higher uptake of renal replacement therapy (RRT) [6,16,201. Asians make up 2.7% (1,480,000) of the total population: Bangladeshi origin, 0.3 % (163,000); Indian origin, 1.5% (840,000); and Pakistani origin, 0.9% (477,000) [15].…”

mentioning

confidence: 99%

“…Asians make up 2.7% (1,480,000) of the total population: Bangladeshi origin, 0.3 % (163,000); Indian origin, 1.5% (840,000); and Pakistani origin, 0.9% (477,000) [15]. Yet the proportion of Asians on kidney-transplant waiting lists is growing rapidly; it is more than 2.5 % in some regions [6,12,13,19,201. Coupled with this are problems of histocompatibility and blood-group matching, which has led to longer waiting times for a transplant [7,12,131.…”

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confidence: 99%

Awareness and attitudes towards organ donation and transplantation among the Asian population.

Darr

Randhawa

1999

Transplant Int

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Currently the demand for transplant organs, particularly kidneys, far outstrips the supply in the UK. This problem is particularly severe for the Asian population, which has been shown to have a disproportionately large representation on kidney-transplant waiting lists in some regions of the UK. The situation is clear: there is an urgent need to address the number of Asians requiring a kidney transplant, otherwise the human and economic costs will be very high. An exploratory qualitative study was therefore undertaken with the aim of assessing current awareness of organ donation and transplantation and to explore attitudes towards these issues in a cross section of the Asian population in Luton. It was found that nearly half of the respondents in this survey did not know what a donor card was used for, and approximately half of these had never seen one; only 6 of the 64 people interviewed had heard of the National Donor Register. Of the three people who carried a donor card, two had an immediate family member who had received a transplant. This suggests that media campaigns aimed at attracting donors from the Asian population have had limited success thus far. It appears that the vast majority of the Asian population is at the initial stage of the process of making a decision about donating their organs, that of simply knowing that transplantation takes place. Very little debate of pertinent issues seems to have taken place, which is essential for reaching a decision on whether or not to donate an organ. The study should be seen as exploratory but is nonetheless an important initial step towards the establishment of a greater knowledge and understanding of the issues affecting the low donation rate in the Asian population.

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The admission of Asian patients to intensive therapy units and its implications for kidney donation: a preliminary report from Coventry, UK.

Cited by 15 publications

References 11 publications

The UK's Asian population: Solving the transplant crisis

The UK's Asian population: Solving the transplant crisis

Whose Decision is it? Organ Donation Attitudes Among Young UK South Asians

Awareness and attitudes towards organ donation and transplantation among the Asian population.

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