We have generally encouraged living donation among our kidney recipients.
However, an examination of our clinical practice revealed inconsistencies in the depth and content of information transmitted to kidney recipient families regarding living donation.
We therefore initiated a structured education program, including an educational video, to ensure that all recipient families would receive a similar exposure to a standard block of information.
After the program had been functioning for over a year, we compared the living donor (LD) volunteer rates between the 3-year period before (BEFORE) and the 18 months after (AFTER) initiation of the formal education program.
There were 1,363 patients registered on our kidney transplantation waiting list during the 54-month study period (757 white [56% ] and 580 black [43% ]). We found that 33.4% of the kidney transplant candidates in the period BEFORE the LD education program had at least one potential LD tissue typed, compared with 39.4% in the period AFTER starting the program (P=0.03).
The increase in the proportion of patients with potential donors was greatest among the black (P<0.05) and elderly (P<0.01) registrants, which were the groups with the lowest volunteer rates before the program began.
Among the registrants with at least one potential donor, the percentage of registrants who ultimately received an LD transplant was highly correlated with the number of donors (R=0.98). (...)
Mots-clés Pascal : Transplantation, Rein, Homme, Donneur, Don organe, Volontaire, Education santé, Analyse quantitative, Information, Etats Unis, Amérique du Nord, Amérique, Chirurgie
Mots-clés Pascal anglais : Transplantation, Kidney, Human, Donor, Organ donation, Volunteer, Health education, Quantitative analysis, Information, United States, North America, America, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0345553
Code Inist : 002B25H. Création : 12/09/1997.