Attitudes towards Living Donor Kidney Transplantation among Urban African American Hemodialysis Patients: A Qualitative and Quantitative Analysis

Journal of Health Care for the Poor and Underserved
Avrum GillespiePatricio Silva

Abstract

While living donor kidney transplantation (LDKT) is the treatment of choice for end-stage renal disease patients (ESRD), the potential barriers to LDKT are not well understood, especially among African American patients who have higher rates of ESRD but lower LDKT than Whites. To address this gap, a cross-sectional survey (n=101) identified LDKT experiences and attitudes among urban African American adults receiving hemodialysis at two outpatient clinics in Philadelphia. Most patients (72.3%) were interested in LDKT but only 34.2% had asked someone for a donation. Concerns about the donor (33.3%), asking for a kidney (28.1%), and their own health (24.6%) were major barriers. Patients also expressed guilt (56.3%) and fear (37.2%). About half (49.5%) had an unsolicited offer, regardless of whether or not they asked. The survey results suggest that interventions should focus on overcoming reluctance to ask for a kidney donation or to accept unsolicited offers.

Citations

Nov 26, 2016·Pediatric Transplantation·Shibany P TaorminaAmrish Jain
Dec 17, 2019·Progress in Transplantation : Official Publication, North American Transplant Coordinators Organization ... [et Al.]·Rhiannon D ReedJayme E Locke
Aug 25, 2018·Neurology. Clinical Practice·Cody L Nathan, Camilo Gutierrez
Nov 9, 2016·Hepatitis Monthly·Seyed Moayed Alavian, Mohammad Saeid Rezaee-Zavareh
Mar 21, 2017·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·A GillespieZ Obradovic
Feb 23, 2019·Canadian Journal of Kidney Health and Disease·Shaifali SandalCatherine Weber

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