Population need for renal replacement therapy in Thames regions: ethnic dimension

Roderick, Paul; Jones, Ian Rees; Raleigh, Veena S; Mcgeown, MaryG.; Mallick, N P

doi:10.1136/bmj.309.6962.1111

Cited by 82 publications

(52 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…13 On the other hand, the association between hypertension and renal failure, though well-known, [10][11][12] has not had a causative link established. 4,14 Circumstantial evidence to date, however, suggests that progression of renal failure can be reduced by treatment of high BP. 4 Morbidity and mortality from cardiovascular and renal disease in the community could undoubtedly be improved if facilities for the prevention and treatment of high BP were available.…”

Section: Discussionmentioning

confidence: 99%

Hypertension and renal failure in Kumasi, Ghana

Plange‐Rhule

Phillips

et al. 1999

J Hum Hypertens

View full text Add to dashboard Cite

Hypertension is common in West Africa and likely to become more common as urbanisation increases. There are at present few facilities for the detection and management of hypertension so the influence it has on overall morbidity and mortality in the population is not clear. The objectives of the study were to assess: (a) renal disease and blood pressure related admissions and deaths among acute medical admissions to Komfo Anokye Teaching Hospital, Kumasi, during an 8-month period; and (b) the burden of renal disease among out-patient hypertensives at the same hospital. Ward admission books were examined in the four acute medical wards to ascertain admission diagnosis and cause of death (two 4-month periods in 1995 and 1996). Clinical assessment (blood pressure, plasma creatinine, proteinuria) was also made of 448 consecutive out-patient hypertensives seen between March 1995 and April 1996. Five

show abstract

Section: Discussionmentioning

confidence: 99%

Hypertension and renal failure in Kumasi, Ghana

Plange‐Rhule

Phillips

et al. 1999

J Hum Hypertens

View full text Add to dashboard Cite

show abstract

“…We selected Muslims of Pakistani origin living in North England for comparison with white English nationals from the same locale as Muslims of Pakistani origin represent the largest sub-group of Muslims living in the UK. The views of Muslims of Pakistani origin about organ donation are chronically underresearched even though British Asians have three times the risk of the white population of suffering renal disease (Roderick, Raleigh, McGowan & Mallick, 1994). Moreover, the low number of British Asians carrying an organ donor card means that Asians often have to wait 10-12 months longer than their white counterparts for a kidney transplant due to the necessity of blood group matching (Carlisle, 1995).…”

Section: Muslims Of Pakistani Origin and White English Nationals Livimentioning

confidence: 99%

The meanings of organ donation: Muslims of Pakistani origin and white English nationals living in North England

Hayward

Madill

2003

Social Science & Medicine

View full text Add to dashboard Cite

This study explores the meanings of organ donation, with emphasis on donating eyes and hearts, comparing people across gender and across two ethnic groups. Four focus group interviews were conducted with people living in the North of England: (1) five Muslim women of Pakistani origin, (2) five Muslim men of Pakistani origin, (3) nine white English women, and (4) eight white English men. The focus group interviews were analysed using grounded theory and a conceptual micro-model created for each group. The main finding was that the act of organ donation can be perceived as involving a personal cost. The Muslims of Pakistani origin related costs with their religious beliefs. In contrast, the white English associated costs with their distrust of the medical system. Women were concerned about the transmission of disease or of personality, whereas the white English men highlighted their personal rights. We conclude that the meaning of organ donation is more than about being and having a body. It is bound up in metaphors of embodiment, religious considerations, and moral judgement of scientific and medical conduct. Muslims of Pakistani origin and white English Nationals Living in North EnglandOrgan donation can occur during a donor's lifetime or after his or her death and recent advances have increased the feasibility of xenotransplantation; the replacing of human organs with those of animals (Derenge & Bartucci, 1999). However, at the present time, the success of transplantation relies on the willingness of the public to donate their organs or those of recently deceased relatives. And a major problem in the United Kingdom is the dwindling numbers of cadaver donor organs in proportion to people waiting transplant (UK Transplant Support Service Authority, 1999).According to three UK surveys (New, Solomon, Dingwall & McHale, 1994), 70% of the population are willing to donate but only 27-32% carry an organ donor card. Men and women show similar willingness to donate but women are twice as likely to carry a card. Moreover, 10% of those who carry a card place restrictions on their donation; 85% are not prepared to donate their corneas and 18% do not wish to donate their heart (UKTSSA, 1999). Interestingly, women are less likely to donate either of these tissues than are men (Wilms, Kiefer, Shanteau & McIntyre, 1987).Studies of organ donation decisions also suggest that the eyes and heart are special in that bereaved relatives often refuse these organs for donation (e.g., Fulton, Fulton & Simmons, 1977). Shanteau and Harris (1992) speculated that reluctance to donate may not be due to lack of knowledge or empathy per se but to 'unstated motivations, perceived risks and unarticulated fears' (p.2). Hence, the meaning of carrying an organ donor card or of donating specific body parts, particularly the eyes and heart, may be complex and have different meanings for men and women.In the UK there is very little literature on cross-cultural differences in organ donation. Ahmed, Harris and Brown's (1999) The meanings of org...

show abstract

“…1 It is a particular problem in Africans and Caribbeans living in the United Kingdom 1,2 with stroke and endstage renal failure being the major causes of death and disability. [3][4][5][6] In a recent population-based survey of cardiovascular risk factors in ethnic minority groups we found that nearly 50% of middle-aged black people (both West Africans and AfroCaribbeans) had high blood pressure requiring treatment. [2][3][4][5][6][7] High blood pressure in blacks is associated with low plasma renin activity, an index of sodium retention and volume expansion, and appears to be more Correspondence: Dr GA Sagnella (Physiological Medicine) or Professor FP Cappuccio (General Practice and Primary Care), St George's Hospital Medical School, Cranmer Terrace, London SW17 0RE, UK E-mail: g.sagnellaȰsghms.ac.uk or f.cappuccioȰsghms.ac.uk Received 13 July 2000; revised and accepted 27 November 2000 ing to increasing blood pressure and presence or absence of drug therapy.…”

Section: Introductionmentioning

confidence: 99%

T594M and G442V polymorphisms of the sodium channel β subunit and hypertension in a black population

et al. 2001

View full text Add to dashboard Cite

Polymorphisms of the epithelial sodium channel may raise blood pressure by increasing renal sodium reabsorption. This study examines frequency distributions and associations with hypertension of the T594M and of the G442V polymorphisms of the ␤ subunit of the epithelial sodium channel in a population-based sample. We studied a stratified random sample of 459 subjects (279 women), aged 40-59 years, of black African origin from general practices' lists within a defined area of South London. All were first generation immigrants. The polymorphic variants were detected using single strand conformational polymorphism technique (SSCP). The prevalence of hypertension (BP у160 and/or 95 mm Hg or on drug therapy) was 43%; of these, 76% were on drug therapy. The main analysis was carried out by three ordered blood pressure categories (I to III) accord-

show abstract

Population need for renal replacement therapy in Thames regions: ethnic dimension

Cited by 82 publications

References 15 publications

Hypertension and renal failure in Kumasi, Ghana

Hypertension and renal failure in Kumasi, Ghana

The meanings of organ donation: Muslims of Pakistani origin and white English nationals living in North England

T594M and G442V polymorphisms of the sodium channel β subunit and hypertension in a black population

Contact Info

Product

Resources

About