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African Americans' discussions about living-donor kidney transplants with family or friends: Who, what, and why not?

Publication ,  Journal Article
DePasquale, N; Ellis, MJ; Sudan, DL; Ephraim, PL; McElroy, LM; Mohottige, D; Davenport, CA; Zhang, X; Peskoe, SB; Strigo, TS; Cabacungan, AN ...
Published in: Clin Transplant
April 2021

BACKGROUND: Although discussions with family or friends can improve access to living-donor kidney transplantation (LDKT), they remain an understudied step in the LDKT process. METHODS: Among 300 African American transplant candidates, we examined how sociodemographic, clinical, LDKT-related, and psychosocial characteristics related to the occurrence of LDKT discussions with family or friends. We also analyzed the relation between discussion occurrence and donor activation on transplant candidates' behalves (at least one donor inquiry or completed donor evaluation in the medical record). We assessed associations of discussion characteristics (context, content, and perceptions) with donor activation among discussants, and we identified discussion barriers among non-discussants. RESULTS: Most candidates (90%) had discussed LDKT. Only family functioning was statistically significantly associated with discussion occurrence. Specifically, family dysfunction was associated with 62% lower odds of discussion than family function. Family functioning, discussion occurrence, and different discussion characteristics were statistically significantly related to donor activation. The most prevalent discussion barrier was never having thought about discussing LDKT. CONCLUSIONS: Family functioning affected the likelihood of discussing LDKT, and family functioning, discussion occurrence, and discussion characteristics were associated with donor activation. Advancing understanding of how family functioning and LDKT discussions affect progression to LDKT may benefit interventions to increase LDKT.

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Published In

Clin Transplant

DOI

EISSN

1399-0012

Publication Date

April 2021

Volume

35

Issue

4

Start / End Page

e14222

Location

Denmark

Related Subject Headings

  • Surgery
  • Living Donors
  • Kidney Transplantation
  • Kidney
  • Humans
  • Friends
  • Black or African American
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
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NLM
DePasquale, N., Ellis, M. J., Sudan, D. L., Ephraim, P. L., McElroy, L. M., Mohottige, D., … Boulware, L. E. (2021). African Americans' discussions about living-donor kidney transplants with family or friends: Who, what, and why not? Clin Transplant, 35(4), e14222. https://doi.org/10.1111/ctr.14222
DePasquale, Nicole, Matthew J. Ellis, Debra L. Sudan, Patti L. Ephraim, Lisa M. McElroy, Dinushika Mohottige, Clemontina A. Davenport, et al. “African Americans' discussions about living-donor kidney transplants with family or friends: Who, what, and why not?Clin Transplant 35, no. 4 (April 2021): e14222. https://doi.org/10.1111/ctr.14222.
DePasquale N, Ellis MJ, Sudan DL, Ephraim PL, McElroy LM, Mohottige D, et al. African Americans' discussions about living-donor kidney transplants with family or friends: Who, what, and why not? Clin Transplant. 2021 Apr;35(4):e14222.
DePasquale, Nicole, et al. “African Americans' discussions about living-donor kidney transplants with family or friends: Who, what, and why not?Clin Transplant, vol. 35, no. 4, Apr. 2021, p. e14222. Pubmed, doi:10.1111/ctr.14222.
DePasquale N, Ellis MJ, Sudan DL, Ephraim PL, McElroy LM, Mohottige D, Davenport CA, Zhang X, Peskoe SB, Strigo TS, Cabacungan AN, Pounds I, Riley JA, Falkovic M, Boulware LE. African Americans' discussions about living-donor kidney transplants with family or friends: Who, what, and why not? Clin Transplant. 2021 Apr;35(4):e14222.
Journal cover image

Published In

Clin Transplant

DOI

EISSN

1399-0012

Publication Date

April 2021

Volume

35

Issue

4

Start / End Page

e14222

Location

Denmark

Related Subject Headings

  • Surgery
  • Living Donors
  • Kidney Transplantation
  • Kidney
  • Humans
  • Friends
  • Black or African American
  • 3202 Clinical sciences
  • 1103 Clinical Sciences