Member's paper - Kidney Health Education and Research Group

Abstract

Taking Specific Steps to Pursue Living Donor Kidney Transplant is Associated with Greater Odds of Having a Potential Living Donor Identified.

Abeera Ali1, Deanna Toews1, Navneet Singh1, Ali Ayub1, Candice Richardson1, Sumaya Dano1, Dorothy Wong1, John Devin Peipert2, Amy Waterman2, Marta Novak2, Istvan Mucsi1

2018

American Transplant Congress

Full Abstract
Background: When planning interventions to increase living donor kidney transplant (LDKT), it is important to understand what actions can patients take that are associated with an increased chance of identifying potential living donors (PLD). We examined the relationship between taking 5 different steps toward LDKT and having a PLD identified. Methods: In a cross-sectional, convenience sample of adult patients with end-stage kidney disease from several hospitals in Toronto, Ontario, participants were asked if they took various steps towards pursuing LDKT. Non-English speaking patients and patients unwilling to consent were excluded. Logistic regression was used to analyze the association between taking steps and identifying a PLD. Results: Data from 367 participants was analyzed. The mean (SD) age was 58(13) years, and 60% (221) of participants were male. Forty-two percent (164) reported having a PLD identified. After controlling for demographics and level of transplant knowledge, patients who took any action step had 2 -10 times higher odds of identifying a PLD compared to those who had not taken these steps. Patients were most likely to have a PLD identified when they had spoken to family and friends about donating, or asked someone to donate directly (Table 1). Conclusion: Patients who report actively taking steps to pursue LDKT are more likely to have a PLD identified compared to those who have not taken these steps. Interventions focusing on opening dialogue within patients? communities should continue to be studied as approaches to increase LDKT.

Member’s paper

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