Kidney transplantation: Hemodialysis and surrounding are they informed enough?

Kaza, Béfa Noto Kadou; Sabi, K.A.; Amekoudi, Eyram Yoan Makafui; Imangue, Ghislain; Al-Torayhi, Mays Hadi; Tsevi, Claude Mawufemo; Zamd, M.; Medkouri, G.; Benghanem, M.; Ramdani, B.

doi:10.1016/j.ijt.2015.10.001

Cited by 5 publications

(5 citation statements)

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“…[14][15][16] The pain and uncertainties of patient on deceased donor waiting list is heartbreaking. [11] Similar challenges have been reported from Morocco [12] where although 71% believed transplant will give them better life, but only 41% were willing for it, and a mere 12% were noted on the transplant list. 61.4% lacked adequate information, 56.8% thought life is impossible with only one kidney, 50.6% estimated transplant to be more expensive as 52.3% belonged to low economic status.…”

Section: Discussionsupporting

confidence: 56%

“…North Indian population unlike their southern counterparts have lesser enthusiasm for diseased organ donation, primarily because of superstitions and lack of awareness. Other regions in the world too have their own set of unique challenges, like religious misbeliefs affect deceased donations in Islamic population, [12,13] racial bias affecting African Americans ESRD population, [14,15] and bias affected females and old aged MHD patients. [14][15][16] The pain and uncertainties of patient on deceased donor waiting list is heartbreaking.…”

Section: Discussionmentioning

confidence: 99%

“…61.4% lacked adequate information, 56.8% thought life is impossible with only one kidney, 50.6% estimated transplant to be more expensive as 52.3% belonged to low economic status. [12] Eligibility analysis in another large Moroccon cohort reported old age and cardiovascular comorbidities as major deterrent factor for transplantation. [17] This study is a small effort intended to sensitize the transplant physicians and surgeons in India and across the world regarding the lack of awareness of ESRD patients regarding renal transplantation as the standard of care renal replacement therapy.…”

Section: Discussionmentioning

confidence: 99%

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Knowledge, Perception and Attitude of Indian Maintenance Hemodialysis Patients toward Renal Transplantation

Kaur¹,

Sharma²,

Chahal³

et al. 2019

AJMR

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Background: Chronic Kidney Disease (CKD) is a global health problem and so is the dilemma of choosing the right renal replacement therapy in end-stage renal disease. Renal transplantation undoubtedly improves the quality of life and long-term survival as compared to dialysis, but patients' choice is influenced by their awareness regarding these treatment modalities. Objectives: The aim of the present study was to evaluate the knowledge, perceptions and attitude of maintenance hemodialysis (MHD) patients towards transplantation. Subjects and Methods: Patients on MHD for more than 3 months duration were included in this questionnaire based cross-sectional study, after a written informed consent. Results: A total of 144 patients with a mean age of 48 ±12 years were included in the study, with 92(63.9%) males and 52(36.2%) females. Most of these had diabetic kidney disease (n=58,40.3%). The source of knowledge regarding transplantation were the treating doctor (76.4%), paramedical staff (9.7%), relatives/friends (11.1%) and social media/other sources (2.8%). Majority of them (n=100,69.4%) were willing to undergo transplantation, but had multiple reasons for continuing hemodialysis, including old age (31.8%), financial constrains (40.9%), fear of post-transplant complications (54.5%), concern for health of the donor after donation (22.7%) and various co-morbidities precluding transplantation (9.1%). Only 41.7% patient was aware of option of diseased donor transplantation, but just 11.1% were enrolled for the same. Conclusion: Negative attitude towards transplantation is a potentially modifiable factor and increasing awareness among CKD patients can improve their quality of life, after live or deceased donor transplantation.

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Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Knowledge, Perception and Attitude of Indian Maintenance Hemodialysis Patients toward Renal Transplantation

Kaur¹,

Sharma²,

Chahal³

et al. 2019

AJMR

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“…The last stage of CKD is known as End Stage Renal Disease (ESRD) (Kidney Disease: Improving Global Outcomes (KDIGO) CKD Work Group 2013). Patients who reach ESRD stage will need renal replacement therapy (RRT) either through kidney transplantation or maintenance dialysis (Abecassis et al 2008;Kaza et al 2015). In the West Bank in Palestine, a dramatic increase in the numbers of ESRD patients was observed over the last few years (Younis et al 2015).…”

Section: Introductionmentioning

confidence: 99%

An assessment of sleep quality and daytime sleepiness in hemodialysis patients: a cross-sectional study from Palestine

Samara

Sweileh

Omari

et al. 2019

Sleep Science Practice

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Background: Patients on hemodialysis (HD) commonly suffer from poor sleep quality which in turn compromises their quality of life and well as their mortality risk according to many studies. In Palestine however, no single study had emphasized the association and prevalence of sleep quality and daytime sleepiness among hemodialysis patients (HDP). Therefore, we conducted this study to determine the relationship between regular HD and the situation regarding sleep quality and daytime sleepiness in HDP. Methods: In this cross-sectional survey, we targeted HDP at one HD center in An-Najah National University Hospital. Sleep problems were assessed by both the Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS), which are considered as standardized tools for the assessment of sleep quality and daytime sleepiness, respectively. Results: Of the 192 dialysis patients who were interviewed, 167 were included in the final analysis of this study, with a response rate of 87%. The mean age of the participants was 57.6 ± 12.9. Fifty-two percent were males, and an equal percentage of the participants were 60 years old or older. The median ESS of the participants was 7 [4-11] and 43.1% of the participants had 9 or more ESS score, indicating excessive daytime sleepiness. The median PSQI score was 8 [6-12] and 76.65% of the participants scored more than 5 points on the PSQI, indicating poor sleep quality. Neither the ESS score nor the PSQI score were significantly associated with any particular category of participants, based on their demographic or clinical characteristics. Conclusions: In conclusion, we found that dialysis patients had poor sleep quality, evident by their high median PSQI score, though their excessive daytime sleepiness was less evident by their median ESS score in the high normal values. Additionally, we found a high prevalence of poor sleep quality among HDP, whereas excessive daytime sleepiness was less prevalent. Finally, no significant association was found between either of the two scores and the participants' demographic or clinical characteristics surveyed in this study.

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“…In patients with ESRD, renal replacement therapy (RRT) such as long-term dialysis or kidney transplantation is needed for survival [ 2 , 3 ]. Kidney transplantation is the best choice for management of patients with ESRD [ 4 , 5 ]. However, the limited availability of organ donors made hemodialysis (HD) procedure as most efficient and practical method for management of patients with ESRD [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Treatment adherence and perception in patients on maintenance hemodialysis: a cross – sectional study from Palestine

et al. 2017

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BackgroundAdherence to diet recommendations, fluid restriction, prescribed medications, and attendance at hemodialysis (HD) sessions are essential for optimal and effective treatment of patients with end-stage renal disease. No data regarding this issue are available from Palestine. Therefore, this study was carried out to assess adherence to diet, fluid restriction, medications, and HD sessions.MethodsA cross-sectional study of HD patients at An-Najah National University Hospital was carried out during summer, 2016. Self-reported adherence behavior was obtained using a valid and reliable questionnaire (End-Stage Renal Disease Adherence Questionnaire: ESRD-AQ). Predialytic serum levels of potassium and phosphate were obtained as clinical indicator of diet and medication adherence respectively. In addition, interdialytic body weight (IDW) was also obtained from medical records and analyzed in relation to reported adherence of fluid restriction.ResultsA total of 220 patients answered all questions pertaining to ESRD-AQ. The mean age ± standard deviation of participants was 56.82 ± 14.51 years. Dietary adherence was observed in 24% while that of fluid restriction adherence was observed in 31% of studied patients. Reported adherence to HD sessions was 52% while that for medications was 81%. Overall, 122 (55.5%) patients had good adherence, 89 (40.5%) had moderate adherence, and 9 (4.1%) had poor adherence behavior. Male patients had significantly higher overall adherence scores than females (p = 0.034). A significant correlation between reported diet adherence and serum pre-HD potassium level (p < 0.01) was observed. A significant correlation between reported fluid restriction adherence and IDW (p < 0.01) was also found. However, no significant correlation between reported adherence and pre-HD phosphate level. There was significant correlation between overall perception and overall adherence score (p < 0.001). Counselling of patients regarding importance of adherence modalities was lowest for “staying for the entire dialysis time”. Multivariate analysis indicated that elderly male patients who were city residents had higher odds of having higher adherence score.ConclusionsThere was a good percentage of patients who had overall moderate or poor adherence. ESRD-AQ could be used to assess some aspects of HD adherence. Counselling and education of patients on HD are important to improve therapeutic outcome.Electronic supplementary materialThe online version of this article (doi:10.1186/s12882-017-0598-2) contains supplementary material, which is available to authorized users.

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Kidney transplantation: Hemodialysis and surrounding are they informed enough?

Cited by 5 publications

References 13 publications

Knowledge, Perception and Attitude of Indian Maintenance Hemodialysis Patients toward Renal Transplantation

Knowledge, Perception and Attitude of Indian Maintenance Hemodialysis Patients toward Renal Transplantation

An assessment of sleep quality and daytime sleepiness in hemodialysis patients: a cross-sectional study from Palestine

Treatment adherence and perception in patients on maintenance hemodialysis: a cross – sectional study from Palestine

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