2023-09-28 14:46:10 +00:00
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abstract: 'There is ethnic inequity in access to living-donor kidney transplants in
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the UK. This study asked kidney patients from Black, Asian and minority
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ethnic groups why members of their family were not able to be living
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kidney donors. Responses were compared with responses from White
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individuals. This questionnaire-based mixed-methods study included
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adults transplanted between 1/4/13-31/3/17 at 14 UK hospitals.
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Participants were asked to indicate why relatives could not donate,
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selecting all options applicable from: Age; Health; Weight; Location;
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Financial/Cost; Job; Blood group; No-one to care for them after
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donation. A box entitled `Other-please give details'' was provided for
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free-text entries. Multivariable logistic regression was used to analyse
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the association between the likelihood of selecting each reason for
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non-donation and the participant''s self-reported ethnicity. Qualitative
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responses were analysed using inductive thematic analysis. In total,
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1240 questionnaires were returned (40\% response). There was strong
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evidence that Black, Asian and minority ethnic group individuals were
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more likely than White people to indicate that family members lived too
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far away to donate (adjusted odds ratio (aOR) = 3.25, 95\% Confidence
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Interval (CI) 2.30-4.58), were prevented from donating by financial
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concerns (aOR = 2.95, 95\% CI 2.02-4.29), were unable to take time off
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work (aOR = 1.88, 95\% CI 1.18-3.02), were ``not the right blood
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group{''''} (aOR = 1.65, 95\% CI 1.35-2.01), or had no-one to care for
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them post-donation (aOR = 3.73, 95\% CI 2.60-5.35). Four qualitative
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themes were identified from responses from Black, Asian and minority
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ethnic group participants: `Burden of disease within the family'';
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`Differing religious interpretations''; `Geographical concerns''; and `A
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culture of silence''. Patients perceive barriers to living kidney
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donation in the UK Black, Asian and minority ethnic population. If
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confirmed, these could be targeted by interventions to redress the
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observed ethnic inequity.'
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affiliation: 'Wong, KT (Corresponding Author), Univ Bristol, Bristol Med Sch Populat
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Hlth Sci, Bristol BS8 2PS, Avon, England.
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Wong, KT (Corresponding Author), North Bristol NHS Trust, Southmead Hosp, Bristol
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BS10 5NB, Avon, England.
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Wong, Katie; Owen-Smith, Amanda; Caskey, Fergus; MacNeill, Stephanie; Ben-Shlomo,
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Yoav; Bailey, Pippa, Univ Bristol, Bristol Med Sch Populat Hlth Sci, Bristol BS8
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2PS, Avon, England.
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Wong, Katie; Caskey, Fergus; Bailey, Pippa, North Bristol NHS Trust, Southmead Hosp,
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Bristol BS10 5NB, Avon, England.
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Tomson, Charles R. V., Newcastle Upon Tyne Hosp NHS Fdn Trust, Newcastle Upon Tyne
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NE7 7DN, Tyne \& Wear, England.
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Dor, Frank J. M. F., Imperial Coll Healthcare NHS Trust, London W12 0HS, England.
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Bouacida, Soumeya, Bristol Hlth Partners Chron Kidney Dis Hlth Integ, Bristol BS1
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2NT, Avon, England.
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Idowu, Dela, Gift Living Donat GOLD, London NW10 0NS, England.'
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article-number: '3751'
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author: Wong, Katie and Owen-Smith, Amanda and Caskey, Fergus and MacNeill, Stephanie
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and Tomson, Charles R. V. and Dor, Frank J. M. F. and Ben-Shlomo, Yoav and Bouacida,
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Soumeya and Idowu, Dela and Bailey, Pippa
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author-email: 'katie.wong@bristol.ac.uk
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a.owen-smith@bristol.ac.uk
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fergus.caskey@bristol.ac.uk
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stephanie.macneill@bristol.ac.uk
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ctomson@doctors.org.uk
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frank.dor@nhs.net
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pippa.bailey@bristol.ac.uk'
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author_list:
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- family: Wong
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given: Katie
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- family: Owen-Smith
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given: Amanda
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- family: Caskey
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given: Fergus
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- family: MacNeill
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given: Stephanie
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- family: Tomson
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given: Charles R. V.
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- family: Dor
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given: Frank J. M. F.
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- family: Ben-Shlomo
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given: Yoav
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- family: Bouacida
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given: Soumeya
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- family: Idowu
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given: Dela
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- family: Bailey
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given: Pippa
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da: '2023-09-28'
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doi: 10.3390/jcm9113751
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eissn: 2077-0383
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files: []
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journal: JOURNAL OF CLINICAL MEDICINE
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keywords: 'living kidney donation; living-donor kidney transplantation; ethnic
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disparity'
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keywords-plus: 'QUALITY-OF-LIFE; RENAL-TRANSPLANTATION; NETWORKS; BARRIERS; CRITERIA;
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RATES; RISK'
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language: English
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month: NOV
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number: '11'
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number-of-cited-references: '49'
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orcid-numbers: 'Ben-Shlomo, Yoav/0000-0001-6648-3007
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Wong, Katie/0000-0002-9175-9236
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Bailey, Phillippa/0000-0003-2323-1082
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MacNeill, Stephanie/0000-0001-6553-1433
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Caskey, Fergus John/0000-0002-5199-3925
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Owen-Smith, Amanda/0000-0003-1188-2371'
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papis_id: 387b934c91d6489f5a7a806c75930aac
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ref: Wong2020investigatingethnic
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researcherid-numbers: 'Ben-Shlomo, Yoav/ABD-2004-2021
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'
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times-cited: '7'
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title: 'Investigating Ethnic Disparity in Living-Donor Kidney Transplantation in the
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UK: Patient-Identified Reasons for Non-Donation among Family Members'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000593166800001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '3'
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volume: '9'
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web-of-science-categories: Medicine, General \& Internal
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year: '2020'
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