How to increase living donation

Davis, Connie L.

doi:10.1111/j.1432-2277.2010.01212.x

Cited by 30 publications

(11 citation statements)

References 45 publications

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“…This conclusion would be in harmony with findings from a systematic review of public perceptions of allocation models , which found that the ability to pay for an organ should not influence allocations. It is compatible with recent legal scholarship suggesting gift law as the optimal juridical framework for organ donation , as well as recent assessments of the relative success of already implemented initiatives to improve donation rates . It can also be seen as compatible with proposals aiming at removal of disincentives .…”

Section: Discussionsupporting

confidence: 69%

Public attitudes to financial incentive models for organs: a literature review suggests that it is time to shift the focus from ‘financial incentives’ to ‘reciprocity’

Hoeyer

Schicktanz²,

Deleuran

2013

Transpl Int

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SummaryWaiting lists for organs have stimulated interest in the use of financial incentives for organ donation (FIs), but the literature does not contain an adequate overview of studies of public attitudes toward this mode of procurement. We conducted a literature review of international peer-reviewed research published between 2002 and 2012 on how members of the public position themselves toward FIs. We identified and analyzed 23 studies using MEDLINE, PsycINFO, Sociological Abstracts and cross-reference search. The search included whole organs, donation, quantitative and empirical qualitative social scientific studies on, public attitudes (excluding professionals and medical students). The review reveals a broad divergence of public opinions on financial incentives. However, quantitative studies showed a low overall level of acceptance of payment for organs in living donation (LD); only a slightly higher one for deceased donation (DD); and a general preference for alternative forms, such as removal of disincentives or expressions of social reciprocity. Across different national and methodological settings we observed a considerable preference of noncommercial forms. This does not preclude the opportunity to consider various types of acknowledgement of economic value given in return for the organ. This provides reason to shift the focus from incentives to reciprocity.

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Section: Discussionsupporting

confidence: 69%

Public attitudes to financial incentive models for organs: a literature review suggests that it is time to shift the focus from ‘financial incentives’ to ‘reciprocity’

Hoeyer

Schicktanz²,

Deleuran

2013

Transpl Int

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“…11,13 In our experience, the acceptance of kidney donations between spouses and among extended family members has resulted in an increase in the numbers of living donors during the last decade of this study. Tunisia is considered to be among the pioneer Arab and Muslim countries in kidney transplant using deceased donors, having had this option available since July 1986, just a few weeks after the first living-related donor kidney transplant.…”

Section: Figure 1 Patient and Graft Survivalmentioning

confidence: 82%

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Abderrahim

Zammouri²,

Bacha³

et al. 2017

Exp Clin Transplant

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Objectives: The aim of this study was to report the results of 30 years of experience at the first kidney transplant center in Tunisia. Materials and Methods: All kidney transplants performed at the center between June 1986 and June 2016 were included. The study period was divided into 3 decades. Recipient and donor data and follow-up information were obtained from a local database and patient medical records. Comparative analyses were performed using the t test for continuous variables and the χ 2 test for qualitative variables. Patient and graft survival rates were calculated according to the actuarial method, and comparison of survival curves was performed according to the logrank test. Results: The mean age of recipients was 32.7 ± 11.5 years (range, 6-65 y) with a gender ratio of 2.2. Duration of prekidney transplant dialysis varied from 2 months to 20 years (median, 27.5 mo); 1.7% of patients underwent transplant preemptively. Kidneys were recovered from deceased donors in 21.2% of cases and from living donors in 78.8%. The proportion of deceased donors dropped from 27.4% during the period 2006-2010 to 12.9% during the period 2011-2015 (P < 0.04). Patient survival rates at 1, 5, 10, 15, and 20 years were 96%, 89.3%, 79.5%, 71.1%, and 65.4%. Graft survival rates were 95%, 86.5%, 76.2%, 66.3%, and 57.2%. The annual graft loss was 2.9%, with a mortality rate of 2.4% and without significant differences between patients receiving deceaseddonor and living-donor organs. Conclusions: Kidney transplant activity remains suboptimal in our country. The reduction in deceaseddonor organs could be related to the political transformations facing our country with their resulting social and economic consequences. Efforts should be made to increase governmental resources and to improve both public awareness of organ donation and the motivation of transplant teams.

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“…Some of the barriers to increasing the rates for LDTx and DRTx include cultural attitudes and cost of immunosuppressive drugs [30,31] and the problems with DRTx also include organization of an infrastructure for the country or for the region to quickly define and identify donors, a lack of brain-death laws, and the financial burden of medications and follow up.…”

Section: Discussionmentioning

confidence: 99%

An overview of renal replacement therapy and health care personnel deficiencies in sub-Saharan Africa

Pozo¹,

Leow²,

Groen³

et al. 2012

Transplant International

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Summary Chronic kidney disease (CKD) is a public health problem in sub‐Saharan Africa (SSA) but there is limited data to guide programs or plan interventions. To help set priorities and understand the needs for renal replacement therapy a baseline assessment is required. World Health Organization (WHO) databases and Medline were searched to determine the number of physicians, nephrologists, and dialysis centers and patients in SSA. Data on renal transplant (RTx) programs were collected from the WHO Global Observatory on Donation & Transplantation database for deceased‐donor and living‐donor RTx. Of the 47 countries in SSA only 15 had recent data with most rates of physicians per 10 000 population under 2.0. Nigeria and South Africa had the greatest absolute numbers of physicians and nephrologists but Mauritius had the greatest proportion to population. South Africa had the most dialysis patients. Kenya, Nigeria and South Africa were the only countries with RTx programs and reported rates per million population of 0.60, 0.23 and 5.12, respectively. Treatment for patients with CKD in SSA is limited by a lack of physicians, nephrologists, and dialysis centers. Few countries are performing RTx. Resources are needed to increase the health workforce and increase RTx programs in SSA.

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How to increase living donation

Cited by 30 publications

References 45 publications

Public attitudes to financial incentive models for organs: a literature review suggests that it is time to shift the focus from ‘financial incentives’ to ‘reciprocity’

Public attitudes to financial incentive models for organs: a literature review suggests that it is time to shift the focus from ‘financial incentives’ to ‘reciprocity’

Untitled

An overview of renal replacement therapy and health care personnel deficiencies in sub-Saharan Africa

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