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Australian nephrologists' attitudes towards living kidney donation

Cunningham, Joan, Cass, Alan, Anderson, Kate, Snelling, Paul L., Devitt, Jeannie, Preece, Cilla and Eris, Josette (2006). Australian nephrologists' attitudes towards living kidney donation. Nephrology Dialysis Transplantation,21(5):1178-1183.

Document type: Journal Article
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IRMA ID 10010xPUB44
Title Australian nephrologists' attitudes towards living kidney donation
Author Cunningham, Joan
Cass, Alan
Anderson, Kate
Snelling, Paul L.
Devitt, Jeannie
Preece, Cilla
Eris, Josette
Journal Name Nephrology Dialysis Transplantation
Publication Date 2006
Volume Number 21
Issue Number 5
ISSN 0931-0509   (check CDU catalogue open catalogue search in new window)
Start Page 1178
End Page 1183
Total Pages 6
Place of Publication United Kingdom
Publisher Oxford University Press
Field of Research 1103 - Clinical Sciences
HERDC Category C1 - Journal Article (DEST)
Abstract Background: The demand for deceased donor kidneys far outweighs the supply. The rate of living kidney donation (LKD) has been steadily increasing world-wide and is associated with excellent outcomes for the recipient. With respect to donors' outcomes, however, a strong evidence base is lacking. This study explores the attitudes and perceptions of Australian nephrologists towards LKD, specifically regarding donor risk, their willingness to recommend LKD and their own preparedness to become a live donor. Methods. A postal survey of Australian nephrologists was conducted. Responses to six multiple choice questions about LKD were collected as a separate focus of a larger study. Results. We achieved a survey response rate of 52.4% and analysed responses from 184 practicing nephrologists and trainees. Australian nephrologists and trainees were generally supportive of LKD. The vast majority (95%) of respondents indicated that they would recommend it to a suitable donor or would themselves (97%) donate a kidney to an immediate family member. However, fewer than half (43%) would recommend LKD to a potential donor, where their relative's end-stage kidney disease (ESKD) had been attributed to diabetes and where there was a strong family history of diabetes. A minority thought that LKD increased the donor's risk of mortality (12%) or of ESKD (25%). Few nephrologists (4%) indicated their preparedness to be an altruistic donor - to a recipient unknown to them. Conclusions. Although LKD is clearly supported by the nephrologists, the increasing incidence of ESKD attributable to diabetes, now the leading cause of ESKD in Australia, might, however, progressively limit its use. Meeting the growing demand for kidney transplantation will require an increased supply of both live and deceased donor kidneys. We should develop, evaluate and implement best-practice approaches to achieve this.
Keywords access
attitudes to treatment
living related kidney transplantation
nephrologists
organ donation
renal-transplantation
follow-up
donors
Kidney Transplantation
Mortality
outcomes
risk
Survey
transplantation
DOI http://dx.doi.org/10.1093/ndt/gfl029   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes 3041 (Journal)
 
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Created: Fri, 12 Sep 2008, 08:35:25 CST by Administrator