Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2010

Open Access 01-12-2010 | Debate

Kidney organ donation: developing family practice initiatives to reverse inertia

Authors: Emmanouil K Symvoulakis, Emilia Stavroulaki, Myfanwy Morgan, Roger Jones

Published in: BMC Health Services Research | Issue 1/2010

Login to get access

Abstract

Background

Kidney transplantation is associated with greater long term survival rates and improved quality of life compared with dialysis. Continuous growth in the number of patients with kidney failure has not been matched by an increase in the availability of kidneys for transplantation. This leads to long waiting lists, higher treatment costs and negative health outcomes.

Discussion

Misunderstandings, public uncertainty and issues of trust in the medical system, that limit willingness to be registered as a potential donor, could be addressed by community dissemination of information and new family practice initiatives that respond to individuals' personal beliefs and concerns regarding organ donation and transplantation.

Summary

Tackling both personal and public inertia on organ donation is important for any community oriented kidney donation campaign.
Literature
1.
Wolfe RA, Ashby VB, Milford EL, Ojo AO, Ettenger RE, Agodoa LY, Held PJ, Port FK: Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant. N Engl J Med. 1999, 341: 1725-1730. 10.1056/NEJM199912023412303.CrossRefPubMed
2.
Port FK, Wolfe RA, Mauger EA, Berling DP, Jiang K: Comparison of survival probabilities for dialysis patients vs cadaveric renal transplant recipients. JAMA. 1993, 270: 1339-1343. 10.1001/jama.270.11.1339.CrossRefPubMed
3.
Winkelmayer WC, Weinstein MC, Mittleman MA, Glynn RJ, Pliskin JS: Health Economic Evaluations: The Special Case of End-Stage Renal Disease Treatment. Med Decis Making. 2002, 22: 417-430.CrossRefPubMed
4.
Riaño-Galán I, Málaga S, Rajmil L, Ariceta G, Navarro M, Loris C, Vallo A: Quality of life of adolescents with end-stage renal disease and kidney transplant. Pediatr Nephrol. 2009, 24: 1561-1568. 10.1007/s00467-009-1175-0.CrossRefPubMed
5.
Briganti EM, Wolfe R, Russ GR, Eris JM, Walker RG, McNeil JJ: Graft loss following renal transplantation in Australia: is there a centre effect?. Nephrol Dial Transplant. 2002, 17: 1099-1104. 10.1093/ndt/17.6.1099.CrossRefPubMed
6.
Cosio FG, Alamir A, Yim S, Pesavento TE, Falkenhain ME, Henry ML, Elkhammas EA, Davies EA, Bumgardner GL, Ferguson RM: Patient survival after renal transplantation: I. The impact of dialysis pre-transplant. Kidney Int. 1998, 53: 767-772. 10.1046/j.1523-1755.1998.00787.x.CrossRefPubMed
7.
Goldfarb-Rumyantzev A, Hurdle JF, Scandling J, Wang Z, Baird B, Barenbaum L, Cheung AK: Duration of end-stage renal disease and kidney transplant outcome. Nephrol Dial Transplant. 2005, 20: 167-175. 10.1093/ndt/gfh541.CrossRefPubMed
8.
Cohen DJ, St Martin L, Christensen LL, Bloom RD, Sung RS: Kidney and Pancreas Transplantation in the United States, 1995-2004. Am J Transplant. 2006, 6 (5 Pt 2): 1153-1169. 10.1111/j.1600-6143.2006.01272.x.CrossRefPubMed
9.
10.
11.
Davis CL, Delmonico FL: Living-donor kidney transplantation: a review of the current practices for the live donor. J Am Soc Nephrol. 2005, 16: 2098-110. 10.1681/ASN.2004100824.CrossRefPubMed
12.
13.
Horvat LD, Shariff SZ, Garg AX, Donor Nephrectomy Outcomes: Global trends in the rates of living kidney donation. Kidney Int. 2009, 75: 1088-1098. 10.1038/ki.2009.20.CrossRefPubMed
14.
Cecka JM: The OPTN/UNOS renal transplant registry. Clin Transpl. 2005, 1-16.
15.
Voiculescu A, Ivens K, Hetzel GR, Hollenbeck M, Sandmann W, Grabitz K, Balzer K, Schneider F, Grabensee B: Kidney transplantation from related and unrelated living donors in a single German centre. Nephrol Dial Transplant. 2003, 18: 418-425. 10.1093/ndt/18.2.418.CrossRefPubMed
16.
Johnson EM, Remucal MJ, Gillingham KJ, Dahms RA, Najarian JS, Matas AJ: Complications and risks of living donor nephrectomy. Transplantation. 1997, 64: 1124-1128. 10.1097/00007890-199710270-00007.CrossRefPubMed
17.
Brody BA: Justice in the allocation of public resources to disabled citizens. Arch Phys Med Rehabil. 1988, 69: 333-336.PubMed
18.
Friedman EA, Friedman AL: Reassessing marketing of kidneys from the 2008 perspective. Blood Purif. 2009, 27: 53-57. 10.1159/000167009.CrossRefPubMed
19.
Kennedy I, Sells RA, Daar AS, Guttmann RD, Hoffenberg R, Lock M, Radcliffe-Richards J, Tilney N: The case for 'presumed consent' in organ donation. International Forum for Transplant Ethics. Lancet. 1998, 351 (9116): 1650-52. 10.1016/S0140-6736(97)08212-3.CrossRefPubMed
20.
Rithalia A, McDaid C, Suekarran S, Myers L, Sowden A: Impact of presumed consent for organ donation on donation rates: a systematic review. BMJ. 2009, 338: a3162-10.1136/bmj.a3162. doi: 10.1136/bmj.a3162CrossRefPubMedPubMedCentral
21.
Delmonico FL, Arnold R, Scheper-Hughes N, Siminoff LA, Kahn J, Youngner SJ: Ethical incentives-not payment-for organ donation. New Engl J Med. 2002, 346: 2002-2005. 10.1056/NEJMsb013216.CrossRefPubMed
22.
23.
Roderick PJ, Raleigh VS, Hallam L, Mallick NP: The need and demand for renal replacement therapy among ethnic minorities in England. J Epidemiol Community Health. 1996, 50: 334-339. 10.1136/jech.50.3.334.CrossRefPubMedPubMedCentral
24.
Rudge C, Johnson RJ, Fuggle SV, Forsythe JL: Kidney and Pancreas Advisory Group, UK transplant NHS BT. Renal Transplantation in the United Kingdom for Patients from Ethnic Minorities. Transplantation. 2007, 83: 1169-1173. 10.1097/01.tp.0000259934.06233.ba.CrossRefPubMed
25.
Morgan M, Mayblin M, Jones R: Ethnicity and registration as a kidney donor: the significance of identity and belonging. SocSci Med. 2008, 66: 147-158. 10.1016/j.socscimed.2007.08.012.CrossRef
26.
Morgan M, Hooper R, Mayblin M, Jones R: Attitudes to kidney donation and registering as a donor among ethnic groups in the UK. J Public Health (Oxf). 2006, 28: 226-234. 10.1093/pubmed/fdl045.CrossRef
27.
Hayward C, Madhill A: The meanings of organ donation. Muslims of Pakistani origin and white English nationals living in north England. Soc Sci Med. 2003, 57: 389-401. 10.1016/S0277-9536(02)00364-7.CrossRefPubMed
28.
Bruzzone P: Religious aspects of organ transplantation. Transplantation Proceedings. 2008, 40: 1064-1067. 10.1016/j.transproceed.2008.03.049.CrossRefPubMed
29.
30.
Symvoulakis EK, Komninos ID, Antonakis N, Morgan M, Alegakis A, Tsafantakis E, Chatziarsenis M, Philalithis A, Jones R: Attitudes to kidney donation among primary care patients in rural Crete, Greece. BMC Public Health. 2009, 9: 54-10.1186/1471-2458-9-54.CrossRefPubMedPubMedCentral
31.
Sheehy E, Conrad SL, Brigham LE, Luskin R, Weber P, Eakin M, Schkade L, Hunsicker L: Estimating the number of potential organ donors in the United States. N Engl J Med. 2003, 349: 667-674. 10.1056/NEJMsa021271.CrossRefPubMed
32.
33.
Conesa C, Ríos A, Ramírez P: Sobre la donación de órganos para trasplantes y la Atención Primaria. MEDIFAM. 2001, 11: 232-233.
34.
Coolican MB, Swanson A: Primary health-care physicians: vital roles in organ and tissue donation. Conn Med. 1998, 62: 149-153.PubMed
35.
Otero-Raviña F, Rodríguez-Martínez M, González-Juanatey JR, Sánchez-Guisande Jack D: Primary care centres as generators of information on organ donation. Aten Primaria. 2007, 39: 49-50. 10.1016/S0212-6567(07)70835-1.CrossRefPubMed
36.
Bidigare SA, Ellis AR: Family physicians' role in recruitment of organ donors. Arch Fam Med. 2000, 9: 601-4. 10.1001/archfami.9.7.601. discussion 605CrossRefPubMed
37.
Thornton JD, Curtis JR, Allen MD: Primary care physicians' attitudes and practices regarding discussing organ donation with their patients. J Natl Med Assoc. 2010, 102: 52-58.CrossRefPubMedPubMedCentral
38.
Siminoff LA, Gordon N, Hewlett J, Arnold RM: Factors influencing families' consent for donation of solid organs for transplantation. JAMA. 2001, 286: 71-77. 10.1001/jama.286.1.71.CrossRefPubMed
39.
Gould M: GMC is to instruct all GPs to talk to dying patients about organ donation. BMJ. 2009, 339: b3578-10.1136/bmj.b3578.CrossRef
40.
Conesa C, Ríos A, Ramírez P, Rodríguez MM, Rivas P, Canteras M, Parrilla P: Psychosocial profile in favor of organ donation. Transplant Proc. 2003, 35: 1276-1281. 10.1016/S0041-1345(03)00468-8.CrossRefPubMed
41.
Conesa C, Ríos Zambudio A, Ramírez P, Canteras M, del Mar Rodríguez M, Parrilla P: Socio-personal profile of teenagers opposed to organ donation. Nephrol Dial Transplant. 2004, 19: 1269-1275. 10.1093/ndt/gfh075.CrossRefPubMed
42.
43.
Smith SW, Kopfman JE, Lindsey LL, Yoo J, Morrison K: Encouraging family discussion on the decision to donate organs: the role of the willingness to communicate scale. Health Commun. 2004, 16: 333-46. 10.1207/S15327027HC1603_4. Erratum in: Health Commun 2005;17:115CrossRefPubMed
44.
Scollay PA, Doucett M, Perry M, Winterbottom B: AIDS education of college students: the effect of an HIV-positive lecturer. AIDS Educ Prev. 1992, 4: 160-171.PubMed
45.
Cárdenas V, Thornton JD, Wong KA, Spigner C, Allen MD: Effects of classroom education on knowledge and attitudes regarding organ donation in ethnically diverse urban high schools. Clin Transplant. 2010.
46.
Feeley TH, Tamburlin J, Vincent DE: An educational intervention on organ and tissue donation for first-year medical students. Prog Transplant. 2008, 18 (2): 103-108.CrossRefPubMed
47.
Levidiotis V: Live kidney donors - assessment and follow up. Aust Fam Physician. 2009, 38: 316-320.PubMed
48.
Sites AK, Freeman JR, Harper MR, Waters DB, Pruett TL: A multidisciplinary program to educate and advocate for living donors. Prog Transplant. 2008, 18: 284-289.CrossRefPubMed
49.
DuBois JM, Anderson EE: Attitudes toward death criteria and organ donation among healthcare personnel and the general public. Prog Transplant. 2006, 16: 65-73.CrossRefPubMed
50.
Metadata
Title
Kidney organ donation: developing family practice initiatives to reverse inertia
Authors
Emmanouil K Symvoulakis
Emilia Stavroulaki
Myfanwy Morgan
Roger Jones
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2010
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-10-127

Other articles of this Issue 1/2010

BMC Health Services Research 1/2010 Go to the issue

Research article

Improving long-term care provision: towards demand-based care by means of modularity

Research article

The effectiveness of computerized clinical guidelines in the process of care: a systematic review

Research article

Balancing medicine prices and business sustainability: analyses of pharmacy costs, revenues and profit shed light on retail medicine mark-ups in rural Kyrgyzstan

Research article

A brief intervention is sufficient for many adolescents seeking help from low threshold adolescent psychiatric services

Research article

Validity and reliability of Turkish version of "Hospital Survey on Patient Safety Culture" and perception of patient safety in public hospitals in Turkey

Research article

Patients' functioning as predictor of nursing workload in acute hospital units providing rehabilitation care: a multi-centre cohort study