Evidence map›Paper›PMID 33849488›Full record

ArticleBMC nephrology2021

Determinants of willingness to accept kidney transplantation among chronic kidney disease patients in Ghana.

V Boima, M B Amissah-Arthur, E Yorke, D Dey, Delali Fiagbe, A E Yawson, J Nonvignon, C C Mate-Kole

Registry-linked trialAbstract read
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In one paragraph

Article in BMC nephrology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06592781 (Assessing the Knowledge and the Willingness to Accept Renal Transplantation As a Treatment Option Among CKD Patients ,a Cross-sectional Study), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06592781 not yet recruitingnot on this mapstarted 2024, after this paper: background citation

Assessing the Knowledge and the Willingness to Accept Renal Transplantation As a Treatment Option Among CKD Patients ,a Cross-sectional Study

TypeobservationalSponsorAssiut UniversityRan2024 to 2026Enrolled850ConditionsAssessing the Knowledge and the Willingness to Accept Renal Transplantation As a Treatment Option Among CKD Patients, a Cross-sectional Study
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

V BoimaDepartment of Medicine and Therapeutics, College of Health Sciences, University of Ghana Medical School, University of Ghana, P. O. Box 4236, Korle-Bu, Accra, Ghana. vboima@ug.edu.gh.ORCID 0000-0002-0562-6307
M B Amissah-ArthurDepartment of Medicine and Therapeutics, College of Health Sciences, University of Ghana Medical School, University of Ghana, P. O. Box 4236, Korle-Bu, Accra, Ghana.
E YorkeDepartment of Medicine and Therapeutics, College of Health Sciences, University of Ghana Medical School, University of Ghana, P. O. Box 4236, Korle-Bu, Accra, Ghana.
D DeyDepartment of Medicine and Therapeutics, College of Health Sciences, University of Ghana Medical School, University of Ghana, P. O. Box 4236, Korle-Bu, Accra, Ghana.
Delali FiagbeDepartment of Psychiatry, College of Health Sciences and Center for ageing studies, University of Ghana Medical School, University of Ghana, Accra, Ghana.
A E YawsonDepartment of Medicine and Therapeutics, College of Health Sciences, University of Ghana Medical School, University of Ghana, P. O. Box 4236, Korle-Bu, Accra, Ghana.
J NonvignonDepartment of Health Policy, Planning and Management, School of Public Health, University of Ghana, Legon, Accra, Ghana.
C C Mate-KoleDepartment of Medicine and Therapeutics, College of Health Sciences, University of Ghana Medical School, University of Ghana, P. O. Box 4236, Korle-Bu, Accra, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe burden of chronic kidney disease in Africa is three to four times higher compared to high-income countries and the cost of treatment is beyond the reach of most affected persons. The best treatment for end stage renal disease is kidney transplantation which is not available in most African countries. As kidney transplantation surgery is emerging in Ghana, this study assessed factors which could influence the willingness of patients with chronic kidney disease to accept it as a mode of treatment.

methodsThis cross-sectional survey was carried out among patients with chronic kidney disease in Korle-Bu Teaching Hospital. A consecutive sampling method was used to recruit consenting patients. A structured questionnaire and standardized research instruments were used to obtain information on demographic, socio-economic characteristics, knowledge about transplantation, perception of transplantation, religiosity and spirituality. Logistic regression model was used to assess the determinants of willingness to accept a kidney transplant.

results342 CKD patients participated in the study of which 56.7% (n = 194) were male. The mean age of the participants was 50.24 ± 17.08 years. The proportion of participants who were willing to accept a kidney transplant was 67.3% (95%CI: 62.0-72.2%). The factors which influenced participants' willingness to accept this treatment included; willingness to attend a class on kidney transplantation (p < 0.016), willingness to donate a kidney if they had the chance (p < 0.005), perception that a living person could donate a kidney (p < 0.001) and perceived improvement in quality of life after transplantation (p < 0.005). The barriers for accepting kidney transplantation were anticipated complications of transplant surgery and financial constraints.

conclusionMore than two-thirds of CKD patients were willing to accept a kidney transplant and this is influenced by multiple factors. Government health agencies must consider full or partial coverage of kidney transplantation through the existing national health insurance scheme. Further, efficient educational programmes are required to improve both patients' and physicians' knowledge on the importance of kidney transplantation in the management of end stage renal disease in Ghana.

Indexed as

Health Knowledge, Attitudes, PracticeKidney TransplantationAdultAgedAged, 80 and overCost of IllnessFemaleGhanaHealth Care CostsHealth SurveysHumansKidney Failure, ChronicMaleMiddle AgedPatient Acceptance of Health CarePatient Education as TopicDeterminantsKidney transplantationWillingness

Identifiers

PMID33849488
PMCPMC8045236

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.