Ossareh S, Asl M B, Al-Zubairi S, Naseem S
Hasheminejad Kidney Center, Iran University of Medical Sciences, Vanak Square, Tehran.
Transplant Proc. 2007 May;39(4):819-21. doi: 10.1016/j.transproceed.2007.03.051.
Living unrelated kidney donation (LURD) is increasing worldwide due to the shortage of cadaveric kidneys. In our country an LURD program has been practiced since 1988. This study sought to evaluate the attitude of Iranian nephrologists towards various aspects of the program. Questionnaires including 20 queries were sent to nephrologists. Among 100 randomly selected nephrologists, 50 completed and returned the questionnaires. Forty six (92%) and 45 (90%) believed that LURD has potential minor short- and long-term complications, respectively. Forty two percent assumed renal failure was a potential complication. Ninety two percent used to inform donors about the complications, all verbally. Thirty four percent and 72% assumed inhalational opium addiction and heroin addiction were contraindications to LURD, respectively. Twenty eight percent and 68% believed that the amount of recipients' gift and the governmental award are not sufficient, respectively. Thirty two percent believed that all compensation should be paid by the government. Sixty six percent believed that donors should be given social advantages, and 26% believed that they should not, in order to not enhance persuasion of nonaltruistic donation. Eighty eight percent claimed that donor follow-up is not regularly done and should be organized. Finally, 30 agreed and 19 disagreed with LURD. We conclude that despite the success of our LURD program in elimination of the transplant waiting list, most Iranian nephrologists believe that there should be some revisions. Verbal information about complications may not be sufficient to help the donors to make a correct decision. We should reconsider the method and amount of financial compensation and organize a regular follow-up program.
由于尸体肾源短缺，活体非亲属肾移植（LURD）在全球范围内呈上升趋势。在我国，自1988年起就开展了LURD项目。本研究旨在评估伊朗肾病学家对该项目各个方面的态度。向肾病学家发放了包含20个问题的问卷。在随机抽取的100名肾病学家中，50名完成并返还了问卷。46名（92%）和45名（90%）分别认为LURD存在潜在的轻微短期和长期并发症。42%的人认为肾衰竭是一种潜在并发症。92%的人过去会口头告知捐赠者有关并发症的情况。34%和72%的人分别认为吸入性阿片成瘾和海洛因成瘾是LURD的禁忌证。28%和68%的人分别认为受赠者的礼物金额和政府奖励不足。32%的人认为所有补偿都应由政府支付。66%的人认为应该给予捐赠者社会福利，26%的人认为不应该给予，以免增强对非利他性捐赠的诱导。88%的人声称对捐赠者的随访没有定期进行，应该加以组织。最后，30人同意LURD，19人不同意。我们得出结论，尽管我们的LURD项目成功消除了移植等待名单，但大多数伊朗肾病学家认为应该进行一些修订。关于并发症的口头信息可能不足以帮助捐赠者做出正确的决定。我们应该重新考虑经济补偿的方式和金额，并组织定期的随访项目。
