Home    中文  
 
  • Search
  • lucene Search
  • Citation
  • Fig/Tab
  • Adv Search
Just Accepted  |  Current Issue  |  Archive  |  Featured Articles  |  Most Read  |  Most Download  |  Most Cited

Chinese Journal of Clinicians(Electronic Edition) ›› 2020, Vol. 14 ›› Issue (07): 562-568. doi: 10.3877/cma.j.issn.1674-0785.2020.07.019

Special Issue:

• Investigation Research • Previous Articles     Next Articles

Investigation on kidney transplantation intention of maintenance hemodialysis patients in Lhasa

Qichun Li1,(), Feng Wang2   

  1. 1. Tibet University Medical School, Lhasa 850000, China
    2. Department of Urology, People′s Hospital of Tibet Autonomous Region, Lhasa 850000, China
  • Received:2020-05-19 Online:2020-07-15 Published:2020-07-15
  • Contact: Qichun Li
  • About author:
    Corresponding author: Li Qichun, Email:

Abstract:

Objective

To understand the kidney transplant intention of maintenance hemodialysis patients in Lhasa and its influencing factors.

Methods

A cross-sectional survey of patients undergoing maintenance hemodialysis at the hemodialysis center of the people′s hospital of the Tibet autonomous region during the period of April 5, 2019, to April 12, 2019, was selected (n=102). The questionnaires used were based on previously published literature, and multivariate Logistic regression analysis was used to determine the influencing factors of kidney transplantation intention.

Results

Among the enrolled patients, 98 (96.1%) were aware of kidney transplantation, and 35(34.3%) of maintenance hemodialysis patients had the intention of kidney transplantation. After adjusting for confounding factors, the increase in age of potential recipients (OR=0.9, 95% CI: 0.8-0.9, P<0.001), married status (OR=0.1, 95%CI: 0-0.5, P=0.010), and history of diabetes (OR=0, 95%CI: 0-0.2, P=0.001) were all negative influencing factors for kidney transplant intention, and it was found that age 41 was a critical turning point for decreased kidney transplant intention. Higher education (OR=8.2, 95%CI: 2.9-22.7, P<0.001) was a factor that promoted the choice of kidney transplantation. In-service status (OR=3.1, 95%CI: 0.9-10.9, P=0.085, interaction test P=0.0133) may be a factor promoting the selection of kidney transplantation. Compared with patients with glomerulonephritis, patients with polycystic kidney disease (OR=6.0, 95%CI: 1.0-35.9, P=0.050, interaction test 0.0007) and nephrotic syndrome patients (OR=1.8, 95%CI: 0.4-8.4, P=0.485, interaction test 0.0007) may be more willing to receive renal transplantation.

Conclusion

This study demonstrated that among maintenance dialysis patients in the Lhasa area, in addition to the increase of age, the poor and biased perception of the prognosis of potential recipients of kidney transplantation was an important reason for their reluctance to choose kidney transplantation. We recommend the development of a standardized, patient-understandable, and evidence-based renal replacement therapy information system for CKD patients based on multidisciplinary and new media to facilitate accurate information on the prognosis of various renal replacement therapies for CKD patients in Tibet so that patients can make more beneficial treatment decisions.

Key words: Kidney transplantation, End-stage renal disease, Intention, Influencing factors

京ICP 备07035254号-20
Copyright © Chinese Journal of Clinicians(Electronic Edition), All Rights Reserved.
Tel: 010-57830845 E-mail: zhlcyszz@cma.org.cn
Powered by Beijing Magtech Co. Ltd