Clinical Nephrology – Epidemiology – Clinical Trials

Kidney International (2005) 67, 1105–1111; doi:10.1111/j.1523-1755.2005.00176.x

Attitudes and predictive factors for live kidney donation: A comparison of live kidney donors versus nondonors

LYNN STOTHERS, WILLIAM A GOURLAY and LI LIU

Department of Surgery and Division of Urology, University of British Columbia, The Bladder Care Centre, Vancouver, British Columbia, Canada; Department of Health Care and Epidemiology, University of British Columbia; and Department of Medicine, University of California San Francisco, San Francisco, California

Correspondence: Dr Lynn Stothers, The Bladder Care Centre, Suite 1B, Koerner Pavilion, 2211 Wesbrook Mall, UBC Campus Vancouver, British Columbia, V6T 2B5, Canada. E-mail:lynns@interchange.ubc.ca

Received 3 September 2003; Revised 1 May 2004; Re-revised 11 August 2004; Accepted 11 October 2004.

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Abstract

Attitudes and predictive factors for live kidney donation: A comparison of live kidney donors versus nondonors.

Background

 

Live donor kidney transplantation (LDKT), although far from risk free, is a reasonably safe procedure for medically suitable donors. We hypothesized that both potential recipients and donors have identifiable and modifiable factors that contribute to the likelihood of LDKT. The objectives of this study were to describe and quantify these factors using anonymous, confidential questionnaires.

Methods

 

Specifically designed questionnaires addressing personal characteristics, knowledge, and beliefs about LDKT were mailed to 127 previous donors and 387 relatives of patients newly listed on the cadaver transplant wait-list. Ninety-eight (77%) and 243 (63%) responses were returned by donors and nondonors, respectively.

Results

 

There were significant differences between groups in gender, ethnicity, hours worked per week, and annual income. Significant differences were seen in both knowledge and beliefs about LDKT. Most donors indicated they made their decisions without lengthy deliberation or research about kidney donation. Only 20% of nondonors feel they are well informed about LDKT.

Conclusion

 

It is likely possible to improve knowledge about LDKT among friends and relations of patients with renal failure, but it is not certain that this will lead to increased donation because most donors don't appear to deliberate or research organ donation before making a commitment to donate. Strategies to educate potential donors should initially focus on the recipient.

Keywords:

attitudes, beliefs, personal characteristics, live kidney donation

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