title: The knowledge, awareness, and acceptability of renal transplantation among patients with end-stage renal disease in Ibadan, Nigeria.
abstract: Renal transplantation is well established in the USA, Europe, India, and South Africa. However, it is still in its infancy in Nigeria. The objective of our study is to determine the knowledge, awareness, and acceptability of renal transplant among patients with end-stage renal disease (ESRD) and the factors which are responsible for the low level of transplantation in Ibadan, Nigeria. A 15-item pilot-tested questionnaire was administered to willing patients with ESRD seen at the medical outpatient clinic of the University Teaching Hospital, from January to December 2011. There was 81% participation rate of the respondents. Exactly 90.1% had formal education and 44% earned <50,000 naira per month. Seventy-nine percent of respondents was aware of renal transplantation, 70.4% would recommend it to others, and 66.7% accepted renal transplantation; 77.8% would maintain a close relationship with their donors. About 61.7% considered it very expensive, while 33.3% did not know the cost for transplantation. Of the reason for the low level of kidney transplantation in Nigeria, 39.5% had no idea and in 27.2% of the respondents, the fear of death by potential donors may be responsible. Eleven percent of responded that recipients had no money for kidney transplantation and another 11% thought the potential donors would like to be paid for donating their kidneys. Most of the respondents with ESRD were knowledgeable, aware of, and accepted renal transplantation as the next step to treat chronic renal failure. However, majority of these patients could not afford the cost for renal transplantation.
authors.affiliation: Department of Surgery, Division of Urology, University College Hospital; Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.
authors.forename: A O
authors.initials: AO
authors.lastname: Takure
authors.affiliation: Department of Medicine (Nephrology Unit), University College Hospital, Ibadan, Nigeria.
authors.forename: Y O
authors.initials: YO
authors.lastname: Jinadu
authors.affiliation: Department of Surgery, Division of Urology, University College Hospital; Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.
authors.forename: S A
authors.initials: SA
authors.lastname: Adebayo
authors.affiliation: Department of Surgery, Division of Urology, University College Hospital; Department of Surgery, College of Medicine, University of Ibadan, Ibadan, Nigeria.
authors.forename: O B
authors.initials: OB
authors.lastname: Shittu
authors.affiliation: Department of Surgery, College of Medicine, University of Ibadan; Department of Medicine (Nephrology Unit), University College Hospital, Ibadan, Nigeria.
authors.forename: B L
authors.initials: BL
authors.lastname: Salako
authors.affiliation: Department of Surgery, College of Medicine, University of Ibadan; Department of Medicine (Nephrology Unit), University College Hospital, Ibadan, Nigeria.
authors.forename: S
authors.initials: S
authors.lastname: Kadiri
mesh_terms: D006801:Humans; D007676:Kidney Failure, Chronic; D016030:Kidney Transplantation; D009549:Nigeria