Willingness of the United States general public to participate in kidney paired donation.

Willingness of the United States general public to participate in kidney paired donation.
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DOI:
10.1111/j.1399-0012.2012.01596.x
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发表时间:
2012-09
影响因子:
2.1
通讯作者:
Boulware LE
Boulware LE
中科院分区:
医学3区
文献类型:
--
作者:
Segev DL;Powe NR;Troll MU;Wang NY;Montgomery RA;Boulware LE

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在美国,肾脏配对捐赠(KPD)的可用性正在增加,通过UNOS的国家系统即将推出。然而,鲜为人知的是对KPD的态度在一般公众,从捐助者(特别是非直接)。在一项全国性的研究中,我们评估了公众对参与KPD的态度。在随机抽取的845名参与者中,85.2%的受访者表示“非常愿意”或“非常愿意”参加KPD。医疗或器官移植系统的经验,如接受手术,有一个主要的医疗提供者,生前遗嘱,捐赠或接受器官的朋友,并考虑死后捐赠,与意愿增加有关。然而,年龄增加,男性,非裔美国人种族,西班牙裔,对医疗系统的不信任,以及不了解器官分配与意愿降低有关。我们确定了对KPD的大力支持,但在实施KPD计划时,应考虑一些重要的潜在参与障碍。
Availability of kidney paired donation (KPD) is increasing in the United States, and a national system through UNOS is forthcoming. However, little is known about attitudes toward KPD among the general public, from which donors (particularly non-directed) are drawn. In a national study, we assessed the public's attitudes regarding participation in KPD. Among 845 randomly selected participants, 85.2% of respondents were either “extremely willing” or “very willing” to participate in KPD. Experiences with the medical or organ transplant systems, such as undergoing surgery, having a primary medical provider, a living will, a friend who donated or received an organ, and considering donation after death, were associated with increased willingness. However, increased age, male sex, African American race, Hispanic ethnicity, distrust of the medical system, and not understanding organ allocation were associated with less willingness. We identify strong support for KPD but some important potential barriers to participation which should be considered as KPD programs are implemented.
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