Willingness to pursue live-donor kidney transplantation among waitlisted patients infected with human immunodeficiency virus (HIV): a preliminary investigation

Transplantation. 2013 Mar 27;95(6):787-90. doi: 10.1097/TP.0b013e318282f282.

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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Decision Support Techniques
  • Female
  • HIV Infections / complications*
  • HIV Infections / therapy*
  • Humans
  • Kidney Transplantation / methods*
  • Living Donors*
  • Male
  • Middle Aged
  • Patient Education as Topic
  • Patient-Centered Care
  • Renal Insufficiency / complications*
  • Renal Insufficiency / therapy*
  • Risk
  • Risk Assessment
  • Waiting Lists*