NDLI: Information channels and the dynamics of uptake of living kidney donors: a retrospective study in a reference area.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Vidal Blandino, M. Gentil Govantes, M. A. Cabello Chaves, V. Pereira Palomo, P. Bernal Blanco, G. Gonzalez Roncero, F. M. Fijo Viota, J. Medina López, R.
Spatial Coverage	Spain
Description	Country affiliation: Spain Author Affiliation: Vidal Blandino M ( Unidad de Gestión Clinica de Urologia y Nefrologia, Hospital Universitario Virgen del Rocio, Sevilla, Spain. marisavidalblandino@gmail.com)
Abstract	INTRODUCTION: Activity in renal transplantation at our center continues to grow due to the gradual increase in living donor kidney transplantations (LDKT). Our objective was to describe the generation process of living donation in our area of influence including two provinces and 18 chronic kidney disease (CKD) treatment units in particular the origin of paired donor/recipients and information channels. METHODS: We included all actual and discarded potential donors from 2005 to 2009. History and telephone interviews provided a description of the cases, sources and process information. RESULTS: Among 95 potential pairs we performed 44 LDKT during this period. The recipients were predialysis (38%), on dialysis (54%), or after prior transplantation (8%). Among the 10 dialysis centers, the referral rate ranged between 0 and 8.6 pairs per 100 patients. We contacted 78 (83%) donors for an interview, among whom 53% first learned of LDKT when the recipient already had advanced CKD at predialysis or dialysis stages. Television was the main means of this first knowledge (38%), followed by the health care staff. LDKT was not primarily a treatment option offered by the nephrologist for 65% of subjects; however, the nephrologists were the major reference sources followed by the Internet and transplant coordinators. CONCLUSIONS: The majority of donations are initiated before the recipient is on dialysis, but eventuates predialysis in only 38% of cases. The possibility of being referred seems to be influenced by the recipient's treatment center. We need a more proactive role of nephrologists to offer this therapeutic option. This study identified the importance of public information to identify targets and design strategies to disseminate quality information on LDKT.
File Format	HTM / HTML
ISSN	00411345
Issue Number	6
Volume Number	43
e-ISSN	18732623
Journal	Transplantation Proceedings
Language	English
Publisher	Elsevier
Publisher Date	2011-07-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Transplantation__semicolon__medicine Access To Information Health Knowledge, Attitudes, Practice Information Dissemination Kidney Transplantation Statistics & Numerical Data Living Donors Supply & Distribution Tissue And Organ Procurement Attitude Of Health Personnel Female Humans Male Middle Aged Patient Education As Topic Referral And Consultation Retrospective Studies Spain Television Journal Article
Content Type	Text
Resource Type	Article
Subject	Transplantation Surgery

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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