title: Willingness to pursue live-donor kidney transplantation among waitlisted patients infected with human immunodeficiency virus (HIV): a preliminary investigation.
abstract: We show that HIV-infected waitlisted patients (n=33) had significantly lower knowledge (P<0.001), more concerns (P=0.01), and lower willingness to pursue live-donor kidney transplantation (LDKT; P=0.02) than matched noninfected patients. The majority (78%) of patients felt that their HIV status reduced their chance of LDKT. Although limited to a single center and a small sample, our data suggest that HIV-infected patients who are waitlisted for kidney transplantation may need more education about the potential benefits of LDKT and may benefit from patient-centered decision support to facilitate a risk-benefit assessment consistent with their preferences and values.
authors: Center for Transplant Outcomes and Quality Improvement, The Transplant Institute, Beth Israel Deaconess Medical Center and the Harvard Medical School, Boston, MA, USA. jrrodrig@bidmc.harvard.edu
authors: James R
authors: JR
authors: Rodrigue
authors: Matthew J
authors: MJ
authors: Paek
authors: Ogo
authors: O
authors: Egbuna
authors: Amy D
authors: AD
authors: Waterman
authors: Martha
authors: M
authors: Pavlakis
authors: Didier A
authors: DA
authors: Mandelbrot
mesh_terms: D000328:Adult; D003661:Decision Support Techniques; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000628:therapy*; D006801:Humans; D016030:Kidney Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic; D018802:Patient-Centered Care; D051437:Renal Insufficiency / Q000150:complications* / Q000628:therapy*; D012306:Risk; D018570:Risk Assessment; D014850:Waiting Lists
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