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Fulltext A comparison of donor and control group quality of life

Tumin M, Abdul Talib Abdul Mutalib M, Mohd Satar N, Abdullah N, Chong CS, Ng KP, et al.

Ann. Transplant., 2014;19:112-8.

Informed consent of prospective donors should include information about the quality of life (QoL) of existing donors, especially those within the relevant country. This study aimed to provide information on Malaysian organ donors' QoL relative to a control group.

Matched MeSH terms: Kidney Transplantation/psychology*

Quality of life in cadaver and living-related renal transplant recipients in Kuala Lumpur hospital

Chiu SF, Wong HS, Morad Z, Loo LH

Transplant Proc, 2004 Sep;36(7):2030-1.

PMID: 15518734

To examine the quality of life in cadaver (CAD) and living-related (LRRT) renal transplant recipients.

Matched MeSH terms: Kidney Transplantation/psychology*

Determinants of Willingness to Become Organ Donors among Dialysis Patients' Family Members

Tumin M, Mohd Satar NH, Zakaria RH, Raja Ariffin RN, Soo-Kun L, Kok-Peng N, et al.

Urol J, 2015 Sep 04;12(4):2245-50.

PMID: 26341766

PURPOSE: This study explores the factors affecting the willingness of dialysis patients' family members to become involved in living and deceased organ donation.

MATERIALS AND METHODS: We utilize cross sectional data on 350 family members of dialysis patients collected through self-administered survey from June to October 2013. The factors affecting willingness to become deceased and living organ donors among respondents were identified by running logistic regressions.

RESULTS: The findings reveal that ethnicity, education and role in family are significant factors explaining willingness for living donation, while ethnicity, knowledge of organ donation and donor age drive willingness for deceased donation. We also find that the reasons of respondents being unwilling to donate center on the lack of information and family objections for deceased donation, while being medically unfit, scared of surgery and family objections are the reasons for unwillingness to donate living organs.

CONCLUSION: In light of our findings, educational efforts are suggested to decrease the reluctance to become involved in living and deceased donation.

Matched MeSH terms: Kidney Transplantation/psychology*

Fulltext Medication compliance among renal transplant patients: a Hospital Kuala Lumpur experience

Liu WJ, Zaki M

Med J Malaysia, 2004 Dec;59(5):649-58.

PMID: 15889568 MyJurnal

This survey aims to identify prevalence, reasons and predictors of noncompliance among renal transplant patients followed up in Hospital Kuala Lumpur (HKL). All adult renal transplant patients who were at least 6 months post transplant were recruited from 10/2001 till 5/2002. Patients who consented were interviewed by a medical doctor or research assistant based on questionnaire. Noncompliers were defined as those who missed or self adjusted any dose of immunosuppressant within the preceding 4 weeks. Inter-rater agreement was assessed prior by Kappa (K) scores and they were acceptable. Out of 304 patients, 246 patients volunteered; of whom 144 (58.5%) were males. Twenty-one (9.3%) were noncompliers. Reasons for noncompliance included forgetfulness (n=8), financial constraints (n=1), fear of rejection (n=1), side effects (n=9), decision not to take (n=6), difficulty in breaking medication into correct dosages (n=1). Significant predictors of noncompliance were longer duration of transplant noncompliance to other drugs, regular use of nonprescription drugs; the lack of symptoms of fat facial cheeks and infection. Surveillance for noncompliance should not be relaxed as its predictors are diverse and persistent, especially in those who are at high risks.

Matched MeSH terms: Kidney Transplantation/psychology*

Living kidney donation: the importance of public education

Tumin M, Rasiah R, Noh A, Satar NM, Chong CS, Lim SK, et al.

Clin Transplant, 2014 Apr;28(4):423-7.

PMID: 24617562 DOI: 10.1111/ctr.12334

A sample of Malaysians in the Klang Valley indicating their decision on becoming unrelated living kidney donors was surveyed regarding huge amounts of financial incentives to be rewarded to them. From the 1310 respondents, 72.1% said "no" on becoming a living donor. The reason "I don't think humans can live with only one kidney" scored the highest (35.6%), and from the 27.9% of the respondents who are willing to donate their organ with the right financial incentive, most of the respondents picked the reasons "I want to do something noble in life" (50%), and monetary reason scored the lowest (6.2%), indicating that financial incentive is not a major reason guiding individuals' decision on becoming living donors. We suggest that the government should put priority at targeting public education to raise the understanding on the risk, safety and the quality of life of donation and transplantation, and improving the public trust on the donation and the surgical methods to carry out transplantation.

Matched MeSH terms: Kidney Transplantation/psychology*

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