Related Experiment Videos
The wish for renal transplantation.
C M Kjellstrand1, F Ericsson, A Traneus
1Department of Medicine, Hennepin County Medical Center, Minneapolis, Minnesota 55415.
Summary
Most dialysis patients desire a kidney transplant, but older individuals and those on self-dialysis are less likely to receive one. Age significantly impacts transplant wish fulfillment and communication.
Area of Science:
- Nephrology
- Transplantation Medicine
- Patient-Reported Outcomes
Background:
- Chronic dialysis is a life-sustaining treatment for end-stage renal disease.
- Patient preferences for renal transplantation are crucial for treatment planning.
- Factors influencing the desire for transplantation require further investigation.
Purpose of the Study:
- To investigate the prevalence of the wish for renal transplantation among patients on chronic dialysis.
- To identify demographic and treatment-related factors associated with the desire for transplantation.
- To examine the relationship between age, dialysis modality, and transplant wish fulfillment.
Main Methods:
- Cross-sectional study of 268 patients undergoing chronic dialysis.
- Data collection on patient demographics, dialysis modality, and wish for renal transplantation.
- Statistical analysis to determine correlations between variables and transplant outcomes.
Main Results:
- 66% of patients expressed a wish for renal transplantation.
- The wish for transplantation was negatively correlated with age, with younger patients (under 50) more likely to desire a transplant than older patients (over 70).
- Transplant wish fulfillment declined significantly with age, and older patients were less frequently asked about their preferences.
Conclusions:
- The desire for renal transplantation is common among dialysis patients but is influenced by age.
- Older patients face lower chances of transplant fulfillment and are less often consulted about their treatment preferences.
- Age and dialysis modality are significant factors, while sex is not, in the wish for renal transplantation.