Living or deceased-donor kidney transplant: the role of psycho-socioeconomic factors and outcomes associated with each type of transplant

Autor: Abbas Basiri, Maryam Taheri, Alireza Khoshdel, Shabnam Golshan, Hamed Mohseni-rad, Nasrin Borumandnia, Nasser Simforoosh, Mohsen Nafar, Majid Aliasgari, Mohammad Hossein Nourbala, Gholamreza Pourmand, Soudabeh Farhangi, Nastaran Khalili
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: International Journal for Equity in Health, Vol 19, Iss 1, Pp 1-11 (2020)
Druh dokumentu: article
ISSN: 1475-9276
DOI: 10.1186/s12939-020-01200-9
Popis: Abstract Background Kidney transplant improves patients’ survival and quality of life. Worldwide, concern about the equality of access to the renal transplant wait-list is increasing. In Iran, patients have the choice to be placed on either the living or deceased-donor transplant wait-list. Methods This was a prospective study performed on 416 kidney transplant recipients (n = 217 (52.2%) from living donors and n = 199 (47.8%) from deceased donors). Subjects were recruited from four referral kidney transplant centers across Tehran, Iran, during 2016–2017. The primary outcome was to identify the psycho-socioeconomic factors influencing the selection of type of donor (living versus deceased). Secondary objective was to compare the outcomes associated with each type of transplant. The impact of psycho-socioeconomic variables on selecting type of donor was evaluated by using multiple logistic regression and the effect of surgical and non-surgical variables on the early post-transplant creatinine trend was assessed by univariate repeated measure ANOVA. Results Based on standardized coefficients, the main predictors for selecting living donor were academic educational level (adjusted OR = 3.25, 95% CI: 1.176–9.005, p = 0.023), psychological status based on general health questionnaire (GHQ) (adjusted OR = 2.46, 95% CI: 1.105–5.489, p = 0.028), and lower monthly income (adjusted OR = 2.20, 95% CI: 1.242–3.916, p = 0.007). The waiting time was substantially shorter in patients who received kidneys from living donors (p
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