title: Exploring donors' and recipients' attitudes about living donor kidney transplantation.
abstract: BACKGROUND
  There is a growing interest in living donor kidney transplantation because of its potential to reduce the current kidney shortage.
  
  
  OBJECTIVE
  To explore the experience of potential recipients, recipients, potential donors, and donors with regard to living donor kidney transplantation and laparoscopic living donor nephrectomy.
  
  
  METHODS
  Twenty-five patients participated in a series of focus group interviews. The interviews were tape-recorded and a content analysis was performed.
  
  
  RESULTS
  All participants had a positive attitude toward living donor kidney transplantation and laparoscopic living donor nephrectomy, though this procedure was not a factor that influenced potential donors' decision to donate a kidney. None of the potential donors and donors felt coerced into giving a kidney; they were motivated by a desire to help a loved one who was suffering. The main perceived impediment to donate a kidney was the potential recipients' reluctance to accept the offer. Potential recipients and recipients found it difficult to ask for a kidney and worried about the consequences of a kidney removal on their donor's health. A potential barrier to living donor kidney transplantation was that recipients would never have accepted a kidney if their donor had to pay for the kidney removal. In addition, recipients believed that a kidney from a non-blood-related donor was not as a good a match as a kidney from a blood-related donor.
  
  
  CONCLUSIONS
  This exploratory study reveals that donors, potential donors, recipients, and potential recipients had an overall positive attitude toward living donor kidney transplantation and laparoscopic living donor nephrectomy. This study also sheds light on a number of barriers that have not been previously reported.
authors.affiliation: School of Pharmacy, Center on Drugs and Public Policy, University of Maryland, Baltimore, Md 21201, USA.
authors.forename: Françoise G
authors.initials: FG
authors.lastname: Pradel
authors.forename: C Daniel
authors.initials: CD
authors.lastname: Mullins
authors.forename: Stephen T
authors.initials: ST
authors.lastname: Bartlett
mesh_terms: D000328:Adult; D000368:Aged; D000533:Altruism; D001294:Attitude to Health; D015142:Baltimore; D003657:Decision Making; D005239:Fear; D005260:Female; D017144:Focus Groups; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000601:surgery; D016030:Kidney Transplantation / Q000523:psychology*; D010535:Laparoscopy / Q000523:psychology; D019520:Living Donors / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009392:Nephrectomy / Q000523:psychology; D018579:Patient Selection; D036301:Qualitative Research; D011788:Quality of Life; D011795:Surveys and Questionnaires