Taking Specific Steps to Pursue Living Donor Kidney Transplant is Associated with Greater Odds of Having a Potential Living Donor Identified
1University Health Network, Toronto, ON, Canada
2David Geffen School of Medicine, UCLA, Los Angeles, CA.
Meeting: 2018 American Transplant Congress
Abstract number: C125
Keywords: Kidney transplantation
Session Information
Session Name: Poster Session C: Kidney Living Donor Issues
Session Type: Poster Session
Date: Monday, June 4, 2018
Session Time: 6:00pm-7:00pm
Presentation Time: 6:00pm-7:00pm
Location: Hall 4EF
Background:
When planning interventions to increase living donor kidney transplant (LDKT), it is important to understand what actions can patients take that are associated with an increased chance of identifying potential living donors (PLD). We examined the relationship between taking 5 different steps toward LDKT and having a PLD identified.
Methods:
In a cross-sectional, convenience sample of adult patients with end-stage kidney disease from several hospitals in Toronto, Ontario, participants were asked if they took various steps towards pursuing LDKT. Non-English speaking patients and patients unwilling to consent were excluded. Logistic regression was used to analyze the association between taking steps and identifying a PLD.
Results:
Data from 367 participants was analyzed. The mean (SD) age was 58(13) years, and 60% (221) of participants were male. Forty-two percent (164) reported having a PLD identified. After controlling for demographics and level of transplant knowledge, patients who took any action step had 2 -10 times higher odds of identifying a PLD compared to those who had not taken these steps. Patients were most likely to have a PLD identified when they had spoken to family and friends about donating, or asked someone to donate directly.
| Table 1: Multivariable logistic regression estimating association between action steps and having a PLD identified | |||
| Exposure | OR | CI | P-Value |
| Asked potential donors directly | 10.14 | 4.29-23.97 | <0.05 |
| Allowed others to share your interest in pursuing LDKT | 5.45 | 2.71-10.97 | <0.05 |
| Shared LDKT education material | 2.13 | 1.19-3.79 | <0.05 |
| Spoken to family or friends about possibility of LDKT | 8.44 | 4.57-15.59 | <0.05 |
| Talked to people about your interest in LDKT? | 2.95 | 1.66-5.21 | <0.05 |
| Models adjusted for age, gender, education, ethnicity, marital status, transplant knowledge score | |||
Conclusion:
Patients who report actively taking steps to pursue LDKT are more likely to have a PLD identified compared to those who have not taken these steps. Interventions focusing on opening dialogue within patients' communities should continue to be studied as approaches to increase LDKT.
CITATION INFORMATION: Ali A., Toews D., Singh N., Ayub A., Richardson C., Dano S., Wong D., Peipert J., Waterman A., Novak M., Mucsi I. Taking Specific Steps to Pursue Living Donor Kidney Transplant is Associated with Greater Odds of Having a Potential Living Donor Identified Am J Transplant. 2017;17 (suppl 3).
To cite this abstract in AMA style:
Ali A, Toews D, Singh N, Ayub A, Richardson C, Dano S, Wong D, Peipert J, Waterman A, Novak M, Mucsi I. Taking Specific Steps to Pursue Living Donor Kidney Transplant is Associated with Greater Odds of Having a Potential Living Donor Identified [abstract]. https://atcmeetingabstracts.com/abstract/taking-specific-steps-to-pursue-living-donor-kidney-transplant-is-associated-with-greater-odds-of-having-a-potential-living-donor-identified/. Accessed November 23, 2024.« Back to 2018 American Transplant Congress