• Chuan-Ya Lee, Min-Huey Lin, Hui-Ying Lin, Yuang-Tzi Ting, Hsin-Kai Wang, Chieh-Li Wang, Meng-Kun Tsai, Chien-Chia Chen, and Chih-Yuan Lee.
• Department of Psychiatry, Shuang Ho Hospital, Taipei Medical University, Taipei, Taiwan.
• J Formos Med Assoc. 2022 Nov 1; 121 (11): 2300-2307.

BackgroundLiving donor kidney transplantation (LDKT) is an important organ resource, especially in countries with low deceased donation rates. Strategies for expanding access to transplantation should be developed by identifying the modifiable factors. In this study, we evaluated these factors in the relatives of patients from both medical centers and dialysis clinics using questionnaires.MethodsThe questionnaires were anonymous and confidential. We collected questionnaires from previous donors, relatives of patients on the waitlist in the medical center, and relatives of dialysis patients in three nephrology clinics. The study groups were divided into three categories: donor group (n = 68), willing group (n = 43), and non-donor group (n = 65).ResultsRespondents in the clinics had lower cognition and willingness towards LDKT than those in the medical center. More knowledge of LDKT, better relationship with patients, more familial support, and female gender were positively related to donation. The non-donor group tended to want to maintain an intact body for the afterlife. There was no significant difference in age, educational degree, average monthly income, and medical compliance among the three groups.ConclusionMore efforts need to be made in dialysis clinics, where general nephrologists are important for the outreach of information. In addition, dealing with religious ambivalence and reestablishing cultural mindsets with health education programs are important issues in a non-Christian country.Copyright © 2022 Formosan Medical Association. Published by Elsevier B.V. All rights reserved.

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