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

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    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.",
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    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",
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    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

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    AU - Cunningham, Joan

    AU - Cass, Alan

    AU - ANDERSON, K

    AU - Snelling, Paul

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    AU - Preece, C

    AU - Eris, J

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    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.

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