Live donor kidney transplantation: attitudes of patients and health care professionals concerning the pre-surgical pathway and post-surgical follow-up
| Autor: | Vassilios Papalois, Anthony N. Warrens, Paris P. Tekkis, Jeremy S. Crane, Evangelos M Mazaris, Glenn Smith |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Nephrology Health Knowledge Attitudes Practice medicine.medical_specialty Time Factors Adolescent Attitude of Health Personnel Urology medicine.medical_treatment Family support Nurses Young Adult Quality of life Renal Dialysis Physicians Surveys and Questionnaires Internal medicine Preoperative Care Health care Living Donors Humans Medicine Intensive care medicine Dialysis Kidney transplantation Aged Aged 80 and over Postoperative Care Chi-Square Distribution business.industry Focus Groups Middle Aged medicine.disease Kidney Transplantation Focus group Family medicine Structured interview Critical Pathways Kidney Failure Chronic Female Family Relations business |
| Zdroj: | International Urology and Nephrology. 44:157-165 |
| ISSN: | 1573-2584 0301-1623 |
| DOI: | 10.1007/s11255-011-9987-9 |
| Popis: | We surveyed the following groups of individuals concerning their attitudes towards the pathway leading up to live donor kidney transplantation (LDKT) and post-operative follow-up: kidney transplant (deceased and live donor) recipients, live kidney donors and medical and nursing staff caring for end-stage renal disease and dialysis patients. Participants were recruited within a tertiary renal and transplant centre and invited to complete anonymized questionnaires, be involved in focus groups and undertake structured interviews. A total of 464 participants completed the questionnaire (36% health care professionals and 64% patients). Most perceived donor risk as small or very small (62%), and 49% stated that a potential donor should be given up to 3 months to reconsider the decision to donate. Participants were almost equally divided as to whether consensus of the donor’s family is necessary (46%) or not (44%) in LDKT. Seventy-one percentage of the participants suggested that patients have a greater appreciation of a LDKT if they have been on dialysis; 58% of participants thought that donor and recipient should recuperate beside each other after surgery; 45% thought that the post-operative follow-up for the donor should last up to a year; and 83% thought that donor follow-up should include medical status and quality of life. In the interviews, participants expressed several interesting views. Participants believed that LDKT is safe for the donor, and the pathway to surgery and post-operative follow-up should be performed in a way that ensures lack of coercion and includes family support and an extensive post-operative follow-up. |
| Databáze: | OpenAIRE |
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