What Makes Non-Directed Living Kidney Donors Tick? Actionable Items to Increase Non-Directed Live Organ Donation

IF 1.9 4区医学 Q2 SURGERY Clinical Transplantation Pub Date : 2024-11-29 DOI:10.1111/ctr.70044

Amy S. Wang, Kasi McCune, Ilona Wiener, Brian Runge, Daniela Pasantes, Eric Johnson, Lloyd E. Ratner

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Abstract

Background

Non-directed donors (NDDs), individuals who donate their organs with no intended recipient, in the United States increased 90-fold from 1999 to 2019. There is a paucity of studies investigating the motivations of NDDs. The objective of our study is to identify actionable items to increase NDDs.

Methods

A survey of kidney NDDs at CUIMC from 2009 to 2021 was conducted. The survey was conducted via Qualtrics.

Results

Seventy individuals met the study criteria. Forty-seven (67.1%) individuals completed the survey. A total of 98% of respondents reported participating in other altruistic activities prior to donation. A total of 70% donors identified as religious, and 57% reported religion/spirituality positively affected the decision to donate. The three most common factors that got respondents interested in NDD included: (1) hearing about an individual in need of a transplant, (2) knowing someone who had donated an organ, and (3) as a next step in altruistic behavior. A total of 85% said that donating a kidney met or exceeded expectations. A total of 44% and 31% of NDDs were interested in being either liver or uterus NDDs, respectively.

Conclusions

We identified six potential action items: (1) Identify pools of receptive individuals who participated in other altruistic behaviors and/or identify as religious. (2) Outreach to individuals who came forward as directed donors, but whose intended recipient was successfully transplanted with a kidney from another donor. (3) Promote stories of those who need organ transplants or whose lives have been changed by transplantation. (4) Promote NDDs as resources for potential NDDs. (5) Educate interested kidney NDDs about liver and uterus transplant programs. (6) Decrease financial barriers to donation.

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来源期刊

Clinical Transplantation 医学-外科

CiteScore

3.70

自引率

4.80%

发文量

286

审稿时长

2 months

期刊介绍： Clinical Transplantation: The Journal of Clinical and Translational Research aims to serve as a channel of rapid communication for all those involved in the care of patients who require, or have had, organ or tissue transplants, including: kidney, intestine, liver, pancreas, islets, heart, heart valves, lung, bone marrow, cornea, skin, bone, and cartilage, viable or stored. Published monthly, Clinical Transplantation’s scope is focused on the complete spectrum of present transplant therapies, as well as also those that are experimental or may become possible in future. Topics include: Immunology and immunosuppression; Patient preparation; Social, ethical, and psychological issues; Complications, short- and long-term results; Artificial organs; Donation and preservation of organ and tissue; Translational studies; Advances in tissue typing; Updates on transplant pathology;. Clinical and translational studies are particularly welcome, as well as focused reviews. Full-length papers and short communications are invited. Clinical reviews are encouraged, as well as seminal papers in basic science which might lead to immediate clinical application. Prominence is regularly given to the results of cooperative surveys conducted by the organ and tissue transplant registries. Clinical Transplantation: The Journal of Clinical and Translational Research is essential reading for clinicians and researchers in the diverse field of transplantation: surgeons; clinical immunologists; cryobiologists; hematologists; gastroenterologists; hepatologists; pulmonologists; nephrologists; cardiologists; and endocrinologists. It will also be of interest to sociologists, psychologists, research workers, and to all health professionals whose combined efforts will improve the prognosis of transplant recipients.