Abstract：
:Differing beliefs about the acceptability of living-donor kidney transplants (LDKTs) have been proposed as explaining age, ethnic and socioeconomic disparities in their uptake. We investigated whether certain patient groups hold beliefs incompatible with LDKTs. This questionnaire-based case-control study was based at 14 hospitals in the United Kingdom. Participants were adults transplanted between 1 April 2013 and 31 March 2017. LDKT recipients were compared to deceased-donor kidney transplant (DDKT) recipients. Beliefs were determined by the direction and strength of agreement with ten statements. Multivariable logistic regression was used to investigate the association between beliefs and LDKT versus DDKT. Sex, age, ethnicity, religion, and education were investigated as predictors of beliefs. A total of 1240 questionnaires were returned (40% response). DDKT and LDKT recipients responded in the same direction for 9/10 statements. A greater strength of agreement with statements concerning the 'positive psychosocial effects' of living kidney donation predicted having an LDKT over a DDKT. Older age, Black, Asian and Minority Ethnic (BAME) group ethnicity, and having a religion other than Christianity were associated with greater degree of uncertainty regarding a number of statements, but there was no evidence that individuals in these groups hold strong beliefs against living kidney donation and transplantation. Interventions should address uncertainty, to increase LDKT activity in these groups.
journal_name
J Clin Medjournal_title
Journal of clinical medicineauthors
Bailey PK,Caskey FJ,MacNeill S,Tomson C,Dor FJMF,Ben-Shlomo Ydoi
10.3390/jcm9010031subject
Has Abstractpub_date
2019-12-21 00:00:00issue
1issn
2077-0383pii
jcm9010031journal_volume
9pub_type
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pub_type： 杂志文章,评审
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更新日期：2019-09-03 00:00:00
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更新日期：2019-06-19 00:00:00
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更新日期：2019-01-17 00:00:00
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更新日期：2020-08-12 00:00:00
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