title: Impact of a "direct approach" to live kidney donation in the British Indo-Asian community.
abstract: Although a general imbalance exists between the demand for renal transplants and the supply of suitable organs, the shortfall is particularly severe for patients from the Indo-Asian (I-A) community. It seems unlikely that this will be remedied by any increase in cadaveric donation. Our aim was to increase the rate of live donor transplantation (LDT) in the I-A population through a direct approach to patients and their families, in a culturally acceptable environment by an Asian transplant coordinator. Whereas an increase in LDT was seen in the I-A population over the period of review, 1997 to 2003, 15 compared with none prior to 1997, significant attrition was seen within the program, with only 10% of the original cohort coming to donation. There are multiple reasons for this including medical, social and psychological.
authors.affiliation: Department of Nephrology and Renal Transplantation, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
authors.forename: D C
authors.initials: DC
authors.lastname: Windmill
authors.forename: N
authors.initials: N
authors.lastname: Jain
authors.forename: N G
authors.initials: NG
authors.lastname: Inston
authors.forename: A R
authors.initials: AR
authors.lastname: Ready
mesh_terms: D001208:Asia / Q000453:epidemiology / Q000208:ethnology; D001294:Attitude to Health; D004739:England; D006801:Humans; D007194:India / Q000453:epidemiology / Q000208:ethnology; D007668:Kidney; D007676:Kidney Failure, Chronic / Q000453:epidemiology / Q000601:surgery; D016030:Kidney Transplantation / Q000706:statistics & numerical data; D019520:Living Donors / Q000600:supply & distribution*; D009927:Tissue and Organ Procurement / Q000379:methods*; D014850:Waiting Lists