The influence of socio-demographic factors, treatment perceptions and attitudes to living donation on willingness to consider living kidney donor among kidney transplant candidates

Background: Compared to dialysis, living kidney donation has a greater chance of restoring health and is associated with better outcomes than deceased kidney donation. Although physicians advocate for this treatment, it is uncertain how they would act as potential living kidney donors or recipients. Methods: We surveyed 104 physicians, pediatric, and internal medicine nephrologists, to ascertain their attitudes toward living donation. Results: Among surveyed nephrologists, there was nearly universal support for living kidney donation as a viable medical option, and nearly all of them would support a healthy and medically cleared patient who wishes to participate. Although support was still strong, nephrologists were significantly less likely to support their friends and relatives participating in living kidney donation, and their support declined further for friends and relatives donating to nonrelatives. Conclusion: Our findings suggest the need to more deeply examine physician-perceived risks involved in serving as a living kidney donor. Based on differences in surveyed nephrologist attitudes regarding donation to and from loved ones versus nonrelatives, we suggest that physicians should give careful consideration to how they describe the risks of living donation to potential donors.

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Development of a survey to identify barriers to living donation in kidney transplant candidates

Progress in Transplantation ◽

10.7182/prtr.19.4.e227513768045169 ◽

2009 ◽

Vol 19 (4) ◽

pp. 304-311 ◽

Cited By ~ 5

Author(s):

Lianne Barnieh ◽

Kevin McLaughlin ◽

Braden Manns ◽

Scott Klarenbach ◽

Serdar Yilmaz ◽

...

Keyword(s):

Kidney Transplant ◽

Living Donation ◽

Transplant Candidates

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Attitude to nephrolithiasis in the potential living kidney donor: a survey of the German kidney transplant centers and review of the literature

Clinical Transplantation ◽

10.1111/j.1399-0012.2008.00812.x ◽

2008 ◽

Vol 22 (4) ◽

pp. 476-483 ◽

Cited By ~ 11

Author(s):

Markus Giessing ◽

Florian Fuller ◽

Max Tuellmann ◽

Lutz Liefeld ◽

Torsten Slowinski ◽

...

Keyword(s):

Kidney Transplant ◽

Review Of The Literature ◽

Kidney Donor ◽

Living Kidney Donor

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Ethical Analysis of Living Organ Donation

Progress in Transplantation ◽

10.1177/152692480501500318 ◽

2005 ◽

Vol 15 (3) ◽

pp. 303-309 ◽

Cited By ~ 6

Author(s):

Benita J. Walton-Moss ◽

Laura Taylor ◽

Marie T. Nolan

Keyword(s):

Living Donor ◽

Empirical Work ◽

Ethical Analysis ◽

Ethical Framework ◽

Johns Hopkins Hospital ◽

Living Donation ◽

Kidney Donor ◽

Living Kidney Donor ◽

Autonomous Choice ◽

Autonomous Decision

In 2003, the first 3-way living kidney donor-swap was performed at Johns Hopkins Hospital in Baltimore, Md. Three new donor protocols including paired donation now allow unrelated individuals to serve as donors. Some ethicists have suggested that emotionally unrelated individuals not be permitted to donate because they will not experience the same satisfaction that a family member who is a donor experiences. Others who frame living donation as an autonomous choice do not see emotionally unrelated or even nondirected donation as ethically problematic. This article uses an ethical framework of principlism to examine living donation. Principles salient to living donation include autonomy, beneficence, and nonmaleficence. The following criteria are used to evaluate autonomous decision making by living donors, including choices made (1) with understanding, (2) without influence that controls and determines their action, and (3) with intentionality. Empirical work in these areas is encouraged to inform the ethical analysis of the new living donor protocols.

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DETERMINE THE IMPORTANT OF KIDNEY TRANSPLANTATION ITEMS IN SELECTED COUNTRIES AND IRAN (APPLICATION REGISTRY)

Medical Technologies Journal ◽

10.26415/2572-004x-vol1iss4p126-127 ◽

2017 ◽

Vol 1 (4) ◽

pp. 126-127

Author(s):

Majid Jangi ◽

Mahmoud Tara ◽

Kolsoum Deldar

Keyword(s):

United States ◽

Kidney Transplantation ◽

Kidney Transplant ◽

Blood Type ◽

Hla Typing ◽

Kidney Donor ◽

Factors Affecting ◽

Comparative Review ◽

Transplant Candidates

Introduction: In many cases a kidney transplant is effective treatment for advanced chronic kidney disease and ESRD patients. There are multiple items to identify candidates for a kidney transplant. So one of the problems, considerable differences in factors, because of the vastness and the variety of factors affecting them.The purpose of this study is to provide a comparative analysis of kidney transplantation items in selected countries and Iran in order to choose the most important items that will be used in iran. Methods: The study was carried out in 2015 using a comparative review method in United States, Australia, Croatia and Iran. The countries have the largest number of kidney transplants on their continent in 2014. Items in two categories (Candidate’s items and Donor’s items) was gathered from last version guidelines and execute delphi rounds and focus group(feasibility) to choose the important criteria in 3 iran’s medical centers. Data analyzed by Excel 2015. Results: Total items of candidate was twenty that five items, including “duration of dialysis”, “blood type”, “previous transplant history”, “age“ and “HLA” were considered as items affecting transplant in all three countries. Iran just included two items (duration of dialysis and blood type). After Delphi rounds and accessibility study, sexteen items were remain to gathering in iran. Total items of donor was thirteen that three items, including “blood type”, “age“ and “HLA” were considered as items affecting transplant in all three countries. Iran just included 2 items (hepatit and blood type). After Delphi rounds and feasibility study, 11 items were remain to gathering in Iran. Croatia that adherence Euro guideline in kidney transplantation had maximum candidate’s items and United states has maximum donors items that involving in kidney transplantation Conclusion: Kidney transplantation items determine the amount of readiness kidney transplant candidates and the quality of the kidney donor. In iran this items did not intended to be the comparison candidates and just “duration of dialysis” was criterion. While in America, Europe and Australia the readiness of candidate and the quality of the kidney donor is based on the items scoring and matching. One of the deleted items as a result of feasibilty study in Iran was the HLA typing test. Due to the long time and high cost, there is no possibility of collecting it. projected is if Iran involved items in queues waiting for a transplant candidates, they will receive graft survival rate better than before.

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Development of a Survey to Identify Barriers to Living Donation in Kidney Transplant Candidates

Progress in Transplantation ◽

10.1177/152692480901900404 ◽

2009 ◽

Vol 19 (4) ◽

pp. 304-311 ◽

Cited By ~ 5

Author(s):

Lianne Barnieh ◽

Kevin McLaughlin ◽

Braden Manns ◽

Scott Klarenbach ◽

Serdar Yilmaz ◽

...

Keyword(s):

Kidney Transplant ◽

Living Donation ◽

Transplant Candidates

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Has the UK living kidney donor population changed over time? A cross-sectional descriptive analysis of the UK living donor registry between 2006 and 2017

BMJ Open ◽

10.1136/bmjopen-2019-033906 ◽

2020 ◽

Vol 10 (6) ◽

pp. e033906

Author(s):

Phillippa K Bailey ◽

Katie Wong ◽

Matthew Robb ◽

Lisa Burnapp ◽

Alistair Rogers ◽

...

Keyword(s):

Kidney Transplant ◽

Kidney Failure ◽

Living Donor ◽

Kidney Donor ◽

Living Kidney Donor ◽

Cross Sectional ◽

Kidney Donors ◽

Living Kidney Donors ◽

The Uk ◽

Over Time

BackgroundA living-donor kidney transplant is the best treatment for most people with kidney failure. Population cohort studies have shown that lifetime living kidney donor risk is modified by sex, age, ethnicity, body mass index (BMI), comorbidity and relationship to the recipient.ObjectivesWe investigated whether the UK population of living kidney donors has changed over time, investigating changes in donor demographics.DesignWe undertook a cross-sectional analysis of the UK living kidney donor registry between January 2006 to December 2017. Data were available on living donor sex, age, ethnicity, BMI, hypertension and relationship to recipient.SettingUK living donor registry.Participants11 651 consecutive living kidney donors from January 2006 to December 2017.Outcome measuresLiving kidney donor demographic characteristics (sex, age, ethnicity, BMI and relationship to the transplant recipient) were compared across years of donation activity. Donor characteristics were also compared across different ethnic groups.ResultsOver the study period, the mean age of donors increased (from 45.8 to 48.7 years, p<0.001), but this change appears to have been limited to the White population of donors. Black donors were younger than White donors, and a greater proportion were siblings of their intended recipient and male. The proportion of non-genetically related non-partner donations increased over the 12-year period of analysis (p value for linear trend=0.002).ConclusionsThe increasing age of white living kidney donors in the UK has implications for recipient and donor outcomes. Despite an increase in the number of black, Asian and minority ethnic individuals waitlisted for a kidney transplant, there has been no increase in the ethnic diversity of UK living kidney donors. Black donors in the UK may be at a much greater risk of developing kidney failure due to accumulated risks: whether these risks are being communicated needs to be investigated.

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Evaluation of the Kidney Transplant Recipient and Living Kidney Donor

Therapy in Nephrology & Hypertension ◽

10.1016/b978-141605484-9.50087-3 ◽

2008 ◽

pp. 957-969

Author(s):

Connie L. Davis

Keyword(s):

Transplant Recipient ◽

Kidney Transplant ◽

Kidney Transplant Recipient ◽

Kidney Donor ◽

Living Kidney Donor

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REWARDING A LIVING KIDNEY DONOR: A COMPARISON BETWEEN SOUTH AFRICA, SINGAPORE AND IRAN

Obiter ◽

10.17159/obiter.v34i2.12031 ◽

2021 ◽

Vol 34 (2) ◽

Author(s):

B Venter ◽

M Slabbert

Keyword(s):

South Africa ◽

South African ◽

Kidney Transplant ◽

Organ Donor ◽

Kidney Donation ◽

Kidney Donor ◽

Living Kidney Donor ◽

Donation Rate

There are thousands of desperate people globally who need a kidney for transplantation. The number of people who require a kidney transplant continues to escalate faster than the number of kidneys available for a transplant. If South Africa wants to improve its current kidney-donation rate it should seek guidance from abroad. This article will compare South African transplant legislation with currentlegislation in Singapore and Iran. These two countries are of significance to the transplant debate as Singapore has recently legalized the reimbursement of costs of the organ donor while Iran goes a step further and pays the kidney donor. In conclusion it is argued that South Africa could learn from these two countries in order to try and address the shortage of transplantable organs locally.

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ASSOCIATION OF SOCIO-DEMOGRAPHIC FACTORS WITH DIARRHEA IN CHILDREN LESS THAN FIVE YEARS: A SECONDARY ANALYSIS OF MULTIPLE INDICATOR CLUSTER SURVEY SINDH 2014

Pakistan Journal of Public Health ◽

10.32413/pjph.v7i2.39 ◽

1970 ◽

Vol 7 (2) ◽

pp. 85-89

Author(s):

Muhammad Irfan ◽

Syed Mustansir Hussain Zaidi ◽

Hira Fatima Waseem

Keyword(s):

Rural Areas ◽

Demographic Factors ◽

Wealth Index ◽

Household Wealth ◽

Cluster Survey ◽

Multiple Indicator Cluster Survey ◽

Increased Risk ◽

Multiple Indicator ◽

Mother Education ◽

Socio Demographic Factors

Background: Diarrhea founds to be the major cause of morbidity and mortality in children less than five years. Various factors are associated with diarrhea but socio-demographic factors are the main key elements, which associated with diarrhea. Methods: This study was examined association of socio-demographic factors with diarrhea in children less than five years of age of Sindh, Pakistan, using data from the Multiple Indicator Cluster Survey (MICS) conducted from January 2014 to August 2014. Data were collected for 18,108 children in whom 16,449 children had complete data of demographic variables being included in the analysis. Bivariate analysis was done using Pearson's Chi square test and multivariate analysis being done using binary logistic regression. Results: We found increased risk of diarrhea among children lives in rural areas while household wealth index quintile was also associated with diarrhea. Children in the poor, middle and fourth wealth index quintiles being at increased risk of diarrhea compared to children in the richest wealth index quintile. The highest risk of diarrhea was found for the child having mother with no education as well as children aged 12-23 months. Conclusion: Age of child, mother education and wealth index found significant with diarrhea while Male children, child aged 12-23 months, child with no mother education, child from rural areas and child from poor households found with high risk of diarrhea.

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