Australian nephrologists' attitudes towards living kidney donation

Joan Cunningham, Alan Cass, K ANDERSON, Paul Snelling, J Devitt, C Preece, J Eris

Research output: Contribution to journalArticleResearchpeer-review

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. � 2006 Oxford University Press.
Original languageEnglish
Pages (from-to)1178-1183
Number of pages6
JournalNephrology Dialysis Transplantation
Volume21
Issue number5
Publication statusPublished - 2006

Fingerprint

Kidney
Tissue Donors
Chronic Kidney Failure
Nephrologists
Practice Guidelines
Kidney Transplantation
Mortality
Incidence
Surveys and Questionnaires

Cite this

Cunningham, J., Cass, A., ANDERSON, K., Snelling, P., Devitt, J., Preece, C., & Eris, J. (2006). Australian nephrologists' attitudes towards living kidney donation. Nephrology Dialysis Transplantation, 21(5), 1178-1183.
Cunningham, Joan ; Cass, Alan ; ANDERSON, K ; Snelling, Paul ; Devitt, J ; Preece, C ; Eris, J. / Australian nephrologists' attitudes towards living kidney donation. In: Nephrology Dialysis Transplantation. 2006 ; Vol. 21, No. 5. pp. 1178-1183.
@article{4c0f8e7d02364ba1a22462edca4250e9,
title = "Australian nephrologists' attitudes towards living kidney donation",
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. � 2006 Oxford University Press.",
keywords = "adult, article, Australia, cause of death, diabetes mellitus, family history, female, health care access, health care need, health survey, human, kidney donor, kidney failure, kidney transplantation, living donor, male, medical decision making, medical education, medical practice, mortality, multiple choice test, nephrologist, physician attitude, priority journal, risk assessment, risk benefit analysis, Adult, Attitude of Health Personnel, Diabetic Nephropathies, Female, Health Care Surveys, Humans, Kidney Transplantation, Living Donors, Logistic Models, Male, Middle Aged, Multivariate Analysis, Nephrectomy, Nephrology, Physician's Practice Patterns, Questionnaires, Risk Assessment, Tissue and Organ Procurement",
author = "Joan Cunningham and Alan Cass and K ANDERSON and Paul Snelling and J Devitt and C Preece and J Eris",
year = "2006",
language = "English",
volume = "21",
pages = "1178--1183",
journal = "Nephrology Dialysis Transplantation",
issn = "0931-0509",
publisher = "Oxford University Press",
number = "5",

}

Cunningham, J, Cass, A, ANDERSON, K, Snelling, P, Devitt, J, Preece, C & Eris, J 2006, 'Australian nephrologists' attitudes towards living kidney donation', Nephrology Dialysis Transplantation, vol. 21, no. 5, pp. 1178-1183.

Australian nephrologists' attitudes towards living kidney donation. / Cunningham, Joan; Cass, Alan; ANDERSON, K; Snelling, Paul; Devitt, J; Preece, C; Eris, J.

In: Nephrology Dialysis Transplantation, Vol. 21, No. 5, 2006, p. 1178-1183.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Australian nephrologists' attitudes towards living kidney donation

AU - Cunningham, Joan

AU - Cass, Alan

AU - ANDERSON, K

AU - Snelling, Paul

AU - Devitt, J

AU - Preece, C

AU - Eris, J

PY - 2006

Y1 - 2006

N2 - 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. � 2006 Oxford University Press.

AB - 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. � 2006 Oxford University Press.

KW - adult

KW - article

KW - Australia

KW - cause of death

KW - diabetes mellitus

KW - family history

KW - female

KW - health care access

KW - health care need

KW - health survey

KW - human

KW - kidney donor

KW - kidney failure

KW - kidney transplantation

KW - living donor

KW - male

KW - medical decision making

KW - medical education

KW - medical practice

KW - mortality

KW - multiple choice test

KW - nephrologist

KW - physician attitude

KW - priority journal

KW - risk assessment

KW - risk benefit analysis

KW - Adult

KW - Attitude of Health Personnel

KW - Diabetic Nephropathies

KW - Female

KW - Health Care Surveys

KW - Humans

KW - Kidney Transplantation

KW - Living Donors

KW - Logistic Models

KW - Male

KW - Middle Aged

KW - Multivariate Analysis

KW - Nephrectomy

KW - Nephrology

KW - Physician's Practice Patterns

KW - Questionnaires

KW - Risk Assessment

KW - Tissue and Organ Procurement

UR - http://www.scopus.com/inward/record.url?scp=33646190352&partnerID=8YFLogxK

M3 - Article

VL - 21

SP - 1178

EP - 1183

JO - Nephrology Dialysis Transplantation

JF - Nephrology Dialysis Transplantation

SN - 0931-0509

IS - 5

ER -