title: Comparative psychosocial analysis of patients on maintenance hemodialysis and transplanted patients.
abstract: OBJECTIVE
  Many previous studies have shown that renal transplantation is associated with superior psychosocial rehabilitation than patients on dialysis. Our objective was to test if the same findings apply in Saudi patients.
  
  
  METHODS
  Questionnaires probing demographic data, income, mental status, literacy and unemployment rates, family support, home ownership, satisfaction with previous transplantation and views and preferences about different types of transplantation were distributed to transplanted patients (n= 150) and patients on maintenance hemodialysis (HD) (n=210) at the Jeddah Kidney Center, King Fahd Hospital, Jeddah, Saudi Arabia. Illiterate patients were helped in completing the questionnaires by the social worker.
  
  
  RESULTS
  We found that the male to female ratio in the transplanted group was 1.7:1 whereas it was 1:1 in the HD group. It was also found that more people in the transplant group owned houses than in the HD group (52% vs. 36.7%). Twice as many transplanted patients earned more than 7000 Saudi Riyals monthly. The unemployment rates were equal in the two groups (25-26%). Interestingly, the rate of illiteracy in the transplant group was almost half the rate in the HD group. More transplanted patients were assessed as being mentally balanced and, rational (92%) as compared to 66.2% in the HD group. Gratifyingly, however, both groups reported solid family support in the majority of patients (>80%). Of particular interest was the finding that well over one third (37%) of the patients on dialysis preferred to have live-unrelated transplants. This is far higher than those wishing for live-related (16.7%) or cadaveric (17.1%).
  
  
  CONCLUSIONS
  Many of our findings coincide with what has been reported earlier. More patients with higher income were transplanted and there was no detected improvement in the employment rate associated with transplantation. Moreover, the vast majority of patients (92.7%) had no objection to receiving a living unrelated kidney and, in fact, as many as 37.6% actually felt preference for a living unrelated kidney over other types of transplantations.
authors.affiliation: Saudi Center for Organ Transplantation, Riyadh, Kingdom of Saudi Arabia. famshaheen@yahoo.com
authors.forename: Faissal A M
authors.initials: FA
authors.lastname: Shaheen
authors.forename: Ramprasad
authors.initials: R
authors.lastname: Kurpad
authors.forename: Besher A
authors.initials: BA
authors.lastname: Al-Attar
authors.forename: Bangash
authors.initials: B
authors.lastname: Muna
authors.forename: Abdullah A
authors.initials: AA
authors.lastname: Al-Khader
mesh_terms: D000328:Adult; D002102:Cadaver; D005195:Family Relations; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000523:psychology* / Q000628:therapy*; D016030:Kidney Transplantation / Q000523:psychology*; D008297:Male; D017060:Patient Satisfaction; D006435:Renal Dialysis / Q000523:psychology*; D012529:Saudi Arabia; D012944:Social Support; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D009927:Tissue and Organ Procurement