Factors affecting willingness to receive a kidney transplant among minority patients at an urban safety-net hospital: a cross-sectional survey.
Factors affecting willingness to receive a kidney transplant among minority patients at an urban safety-net hospital: a cross-sectional survey.
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DOI：
10.1186/s12882-015-0186-2
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发表时间：
2015-11-21
期刊：
影响因子：
2.3
通讯作者：
McClellan W
中科院分区：
文献类型：
--
作者：
Ilori TO;Enofe N;Oommen A;Odewole O;Ojo A;Plantinga L;Pastan S;Echouffo-Tcheugui JB;McClellan W
在美国，非裔美国人（AAs）患终末期肾病（ESRD）的可能性是白人的四倍，但接受肾脏移植的可能性是白人的一半。患者对肾移植的兴趣是肾移植转诊过程中的一个基本步骤。我们的目的是确定以少数民族为主的慢性肾脏疾病（CKD）患者接受肾移植意愿的相关因素。2013年4月至6月，来自某安全网医院门诊肾内科门诊的CKD患者（n = 213）参加了一项横断面调查，以研究少数民族人口中接受肾移植意愿的相关因素。研究问卷是根据先前发表的文献编制的。采用多变量logistic回归分析确定与肾移植意愿相关的因素。受访者主要为AAs(91.0%)，女性（57.6%）居多，中年人（51.6%）居多。总体而言，53.9%的参与者愿意接受肾移植。接受肾脏移植的意愿与以下因素相关：对活体肾脏捐赠的积极看法（OR 7.31, 95% CI: 1.31-40.88），参加肾脏移植课程的意愿（OR = 7.15, CI: 1.76-29.05），与透析相比，肾脏移植将改善生活质量的看法（OR = 5.40, 95% CI: 1.97-14.81），以及从其他来源获得肾脏移植信息(OR =3.30, 95% CI：1.13-9.67)，与对照组比较。让CKD患者了解肾移植对生活质量的益处，以增加他们接受肾移植的意愿是至关重要的。肾移植的多种信息来源和课程的可用性也可能有助于接受肾移植的意愿，特别是在AAs中。本文的在线版本（doi:10.1186/s12882-015-0186-2）包含补充材料，可供授权用户使用。
In the US, African Americans (AAs) are four times more likely to develop end stage renal disease (ESRD) but half as likely to receive a kidney transplant as whites. Patient interest in kidney transplantation is a fundamental step in the kidney transplant referral process. Our aim was to determine the factors associated with the willingness to receive a kidney transplant among chronic kidney disease (CKD) patients in a predominantly minority population. CKD patients from an outpatient nephrology clinic at a safety-net hospital (n = 213) participated in a cross-sectional survey from April to June, 2013 to examine the factors associated with willingness to receive a kidney transplant among a predominantly minority population. The study questionnaire was developed from previously published literature. Multivariable logistic regression analysis was used to determine factors associated with willingness to undergo a kidney transplant. Respondents were primarily AAs (91.0 %), mostly female (57.6 %) and middle aged (51.6 %). Overall, 53.9 % of participants were willing to undergo a kidney transplant. Willingness to undergo a kidney transplant was associated with a positive perception towards living kidney donation (OR 7.31, 95 % CI: 1.31–40.88), willingness to attend a class about kidney transplant (OR = 7.15, CI: 1.76–29.05), perception that a kidney transplant will improve quality of life compared to dialysis (OR = 5.40, 95 % CI: 1.97–14.81), and obtaining information on kidney transplant from other sources vs. participant’s physician (OR =3.30, 95 % CI: 1.13–9.67), when compared with their reference groups. It is essential that the quality of life benefits of kidney transplantation be known to individuals with CKD to increase their willingness to undergo kidney transplantation. Availability of multiple sources of information and classes on kidney transplantation may also contribute to willingness to undergo kidney transplantation, especially among AAs. The online version of this article (doi:10.1186/s12882-015-0186-2) contains supplementary material, which is available to authorized users.