The knowledge, awareness, and acceptability of renal transplantation among patients with end-stage renal disease in Ibadan, Nigeria

Takure, AO; Jinadu, YO; Adebayo, SA; Ob, Shittu; Bl, Salako; Kadiri, S

doi:10.4103/1319-2442.185241

Cited by 13 publications

(11 citation statements)

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“…The proportion our CKD population willing to accept kidney transplantation is similar to study ndings by Alansari et al among haemodialysis patients in Saudi Arabia 67.3% vs 69%) (10). Similarly, a Nigerian study among ESRD patients showed that 66.7% were willing to accept kidney transplantation (11). In contrast, the proportion willing to accept kidney transplantation in a study by Ilori et al among African American population was lower.…”

Section: Discussionsupporting

confidence: 84%

Determinants of Willingness to Accept Kidney Transplantation Among Chronic Kidney Disease Patients in Ghana

Boima

Amissah-Arthur

Yorke

et al. 2020

Preprint

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Background The burden of chronic kidney disease in Africa is three to four times higher than high-income countries and the cost of treatment is beyond the reach of most affected persons. The ultimate treatment for end stage renal disease is kidney transplantation which is not available in most African countries. As kidney transplantation is a budding treatment in Ghana, this study assessed factors which could influence Chronic kidney disease patients’ willingness to accept it as a treatment option. Aim The aim of this study was to assess the determinants of willingness to accept kidney transplantation as a treatment option for end stage renal disease among chronic kidney disease patients in Ghana. Methods This cross-sectional survey was carried out among chronic kidney disease patients in Korle-Bu Teaching Hospital. Consecutive sampling method was used to recruit consenting patients. Structured questionnaire and standardized research instruments were used to obtain information on demographic, socio-economic characteristics, knowledge about transplant, perception of transplantation, religiosity and spirituality. Logistic regression model was used to assess the determinants of willingness to accept kidney transplantation. Results 342 CKD patients participated in the study of which 56.7% (n = 194) were males. The mean age of the participants was 50.24 ± 17.08 years. The proportion of participants willing to accept kidney transplantation was 67.3% (95%CI: 62.0–72.2%). The factors which influenced participants’ willingness to accept this treatment include; willingness to attend a class on kidney transplantation (p < 0.016), willingness to donate a kidney if they had the chance (p < 0.005), perception that living person could donate a kidney (p < 0.001) and perception of improved quality of life after transplant (p < 0.005). The barriers for accepting kidney transplantation were anticipated complications of transplant surgery and financial constraints. Conclusion More than two-thirds of CKD patients were willing to accept kidney transplantation and this is influenced by multiple factors. Government health agencies must consider full or partial coverage of kidney transplantation through the existing national health insurance scheme. Further, efficient educational programmes are required to improve patients and physician’s knowledge on the importance of kidney transplantation.

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Section: Discussionsupporting

confidence: 84%

Determinants of Willingness to Accept Kidney Transplantation Among Chronic Kidney Disease Patients in Ghana

Boima

Amissah-Arthur

Yorke

et al. 2020

Preprint

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“…The Cochran’s formula was used to calculate a minimum sample size of 342 participants for the study ( n = minimum required sample size; α = Significance level = 5%; = z-score at 95% confidence level = 1.96; p = proportion of patients willing to accept kidney transplant which was 66.7% [ 13 ] and e = margin of error = 0.05).…”

Section: Methodsmentioning

confidence: 99%

Determinants of willingness to accept kidney transplantation among chronic kidney disease patients in Ghana

et al. 2021

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Background The burden of chronic kidney disease in Africa is three to four times higher compared to high-income countries and the cost of treatment is beyond the reach of most affected persons. The best treatment for end stage renal disease is kidney transplantation which is not available in most African countries. As kidney transplantation surgery is emerging in Ghana, this study assessed factors which could influence the willingness of patients with chronic kidney disease to accept it as a mode of treatment. Methods This cross-sectional survey was carried out among patients with chronic kidney disease in Korle-Bu Teaching Hospital. A consecutive sampling method was used to recruit consenting patients. A structured questionnaire and standardized research instruments were used to obtain information on demographic, socio-economic characteristics, knowledge about transplantation, perception of transplantation, religiosity and spirituality. Logistic regression model was used to assess the determinants of willingness to accept a kidney transplant. Results 342 CKD patients participated in the study of which 56.7% (n = 194) were male. The mean age of the participants was 50.24 ± 17.08 years. The proportion of participants who were willing to accept a kidney transplant was 67.3% (95%CI: 62.0–72.2%). The factors which influenced participants’ willingness to accept this treatment included; willingness to attend a class on kidney transplantation (p < 0.016), willingness to donate a kidney if they had the chance (p < 0.005), perception that a living person could donate a kidney (p < 0.001) and perceived improvement in quality of life after transplantation (p < 0.005). The barriers for accepting kidney transplantation were anticipated complications of transplant surgery and financial constraints. Conclusion More than two-thirds of CKD patients were willing to accept a kidney transplant and this is influenced by multiple factors. Government health agencies must consider full or partial coverage of kidney transplantation through the existing national health insurance scheme. Further, efficient educational programmes are required to improve both patients’ and physicians’ knowledge on the importance of kidney transplantation in the management of end stage renal disease in Ghana.

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“…[1] Our study shows that the understanding about renal transplantation was very poor in Indian maintenance hemodialysis patients. Sadly only 72% of our patients had knowledge about transplant as a modality for renal replacement therapy, lesser than the West-African MHD patients from Cote d'Ivoire (97.3%) and Nigeria (75%), [4,5] however they were better informed than the Saudi Arabian (39%) and Bangladesh CKD cohorts (30%, 34%). [6][7][8] Consequently lesser number of our patients (69.4%) were willing for transplant than the Cote d'Ivoire cohort (78.3%), [4] Saudi-Arabians had comparable willingness (69%) as they also feared their old age (61%) and surgical complications (26%), whereas Chinese feared transplantation the most with only 46.4% willing for transplant.…”

Section: Discussionmentioning

confidence: 76%

“…[4] The concern about high cost of transplant compared to hemodialysis, were common to many. [4,5] Another common deterring factor in our study as well as in worldwide meta-analysis, [11] was the concern for family donor's health, whereas many of these wished to undergo transplantation if deceased donor kidney was available. Unfortunately deceased donor program has not yet kick-started in our state, and we refer our patients to get enrolled at a nearby union territory central government premium institute, where the whole process is very lengthy and painstaking, and consequently only 11% of our patients were enrolled for the same, and these too were on waiting list for years.…”

Section: Discussionmentioning

confidence: 82%

Knowledge, Perception and Attitude of Indian Maintenance Hemodialysis Patients toward Renal Transplantation

Kaur¹,

Sharma²,

Chahal³

et al. 2019

AJMR

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Background: Chronic Kidney Disease (CKD) is a global health problem and so is the dilemma of choosing the right renal replacement therapy in end-stage renal disease. Renal transplantation undoubtedly improves the quality of life and long-term survival as compared to dialysis, but patients' choice is influenced by their awareness regarding these treatment modalities. Objectives: The aim of the present study was to evaluate the knowledge, perceptions and attitude of maintenance hemodialysis (MHD) patients towards transplantation. Subjects and Methods: Patients on MHD for more than 3 months duration were included in this questionnaire based cross-sectional study, after a written informed consent. Results: A total of 144 patients with a mean age of 48 ±12 years were included in the study, with 92(63.9%) males and 52(36.2%) females. Most of these had diabetic kidney disease (n=58,40.3%). The source of knowledge regarding transplantation were the treating doctor (76.4%), paramedical staff (9.7%), relatives/friends (11.1%) and social media/other sources (2.8%). Majority of them (n=100,69.4%) were willing to undergo transplantation, but had multiple reasons for continuing hemodialysis, including old age (31.8%), financial constrains (40.9%), fear of post-transplant complications (54.5%), concern for health of the donor after donation (22.7%) and various co-morbidities precluding transplantation (9.1%). Only 41.7% patient was aware of option of diseased donor transplantation, but just 11.1% were enrolled for the same. Conclusion: Negative attitude towards transplantation is a potentially modifiable factor and increasing awareness among CKD patients can improve their quality of life, after live or deceased donor transplantation.

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The knowledge, awareness, and acceptability of renal transplantation among patients with end-stage renal disease in Ibadan, Nigeria

Cited by 13 publications

References 0 publications

Determinants of Willingness to Accept Kidney Transplantation Among Chronic Kidney Disease Patients in Ghana

Determinants of Willingness to Accept Kidney Transplantation Among Chronic Kidney Disease Patients in Ghana

Determinants of willingness to accept kidney transplantation among chronic kidney disease patients in Ghana

Knowledge, Perception and Attitude of Indian Maintenance Hemodialysis Patients toward Renal Transplantation

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