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. 2009 Dec;9(12):2792-9.
doi: 10.1111/j.1600-6143.2009.02848.x. Epub 2009 Oct 21.

Predictors of having a potential live donor: a prospective cohort study of kidney transplant candidates

P P Reese  1 , J A Shea, R D Bloom, J S Berns, R Grossman, M Joffe, A Huverserian, H I Feldman
Affiliations

Predictors of having a potential live donor: a prospective cohort study of kidney transplant candidates

P P Reese et al. Am J Transplant. 2009 Dec.

Abstract

The barriers to live donor transplantation are poorly understood. We performed a prospective cohort study of individuals undergoing renal transplant evaluation. Participants completed a questionnaire that assessed clinical characteristics as well as knowledge and beliefs about transplantation. A participant satisfied the primary outcome if anyone contacted the transplant center to be considered as a live donor for that participant. The final cohort comprised 203 transplant candidates, among whom 80 (39.4%) had a potential donor contact the center and 19 (9.4%) underwent live donor transplantation. In multivariable logistic regression, younger candidates (OR 1.65 per 10 fewer years, p < 0.01) and those with annual income >or=US$ 15 000 (OR 4.22, p = 0.03) were more likely to attract a potential live donor. Greater self-efficacy, a measure of the participant's belief in his or her ability to attract a donor, was a predictor of having a potential live donor contact the center (OR 2.73 per point, p < 0.01), while knowledge was not (p = 0.56). The lack of association between knowledge and having a potential donor suggests that more intensive education of transplant candidates will not increase live donor transplantation. On the other hand, self-efficacy may be an important target in designing interventions to help candidates find live donors.

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Figures

Figure 1
Figure 1
Generation of the final cohort
See this image and copyright information in PMC

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