ArticleBMJ open2019
Native American patients' perception and attitude about kidney transplant: a qualitative assessment of patients presenting for kidney transplant evaluation.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Experiences, perspectives and values of Indigenous peoples regarding kidney transplantation: systematic review and thematic synthesis of qualitative studies.International journal for equity in health · 2019Pooled it
- Global landscape of kidney health across Indigenous populations.Nature reviews. Nephrology · 2026Review
- Informing transplant candidate and donor education in living kidney donation: mapping educational needs through a rapid review.BMC nephrology · 2025Review
- A Retrospective Analysis of National Kidney Registry Integration at a Single Center in the Northern Great Plains.Journal of transplantation · 2025Article
- Access to and Health Outcomes of Pediatric Solid Organ Transplantation for Indigenous Children in 4 Settler-colonial Countries: A Scoping Review.Transplantation · 2024Article
- Experience of Chronic Kidney Disease and Perceptions of Transplantation by Sex.JAMA network open · 2024Article
- Understanding people's decisions when choosing or declining a kidney transplant: a qualitative evidence synthesis.BMJ open · 2023Article
- A scoping review of inequities in access to organ transplant in the United States.International journal for equity in health · 2022Article
- Patient and allograft outcomes after kidney transplant for the Indigenous patients in the United States.PloS one · 2021Article
- Concerns and Challenges of Living Donors When Making Decisions on Organ Donation: A Qualitative Study.Iranian journal of nursing and midwifery researchArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveNative Americans suffer from lower rates of kidney transplantation compared with whites. Our goal was to elicit patients' perceptions of and attitudes about kidney transplant and the impact of financial burden and cultural taboos.
designThis is an exploratory qualitative interview study of 12 Native American patients recruited after completion of the kidney transplant evaluation.
settingSemistructured interviews were conducted. Interviews were coded using inductive methods, followed by interpretive coding by the investigators.
resultsThematic analysis revealed the following themes: (1) experience with kidney transplant education by the healthcare team; (2) cultural beliefs regarding kidney transplant; (3) personal motivation and attitude towards kidney transplant; (4) financial burden of kidney transplant and post-transplant care and (5) attitude about living donation.Most participants were educated about transplant as a treatment option after dialysis initiation. All patients in this study recognised that some taboos exist about the process of organ procurement and transplantation; however, the traditional views did not negatively impact their decision to pursue kidney transplant evaluation. Patients shared the common theme of preferring an organ from a living rather than a deceased person; however, the majority did not have a living donor and preferred not to receive an organ from a family member. Most patients did not perceive transplant-related cost as negatively impacting their attitude about receiving a transplant even for patients with below poverty level income.
conclusionsNative American patients presenting for kidney transplant were less likely to be educated about transplant before dialysis initiation; did not perceive financial burden and cultural beliefs were not discussed as obstacles to transplant. While a living donor was the preferred option, enthusiasm for living donation from family members was limited.
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