Malakoutian T, Hakemi M S, Nassiri A A, Rambod M, Haghighi A N, Broumand B, Fazel I
Academy of Medical Sciences of Iran, Tehran, Iran.
Transplant Proc. 2007 May;39(4):824-5. doi: 10.1016/j.transproceed.2007.04.018.
Renal transplantation is the best treatment modality for end-stage renal disease (ESRD) patients. In Iran, a living unrelated donor (LURD) transplant program was started in 1988, because of the shortage of living related and cadaver donors. In this study, we evaluated the socioeconomic status of LURD in Iran. We enrolled 478 LURDs from 30 transplant centers between October 2005 and March 2006. The demographic data, education, employment, motivation, and satisfaction status were asked. Economic status was assessed using criteria of the statistics center of Iran. Ninety-six percent of donors were referred from the Kidney Foundation of Iran (KFI). The mean age of the donors was 27 +/- 4.8 years and 85% were men (n=408). Fifty-one percent were smokers, 82% married, and 79% the breadwinner; 29% were unemployed; 2.7%, 90.8%, and 6.5% were illiterate, school graduates, and university graduates, respectively. Coercion was documented for only one donor. Financial issues were the most frequent motive. Among them, 91% were satisfied with the donation. Finally, 53% suggested kidney donation to others. Of donors, 62% were living below the poverty line. In the Iran model, the KFI is a bridge that connects recipients and donors. As a result, there is no middle man or broker introducing donors to recipients. The transplantation team knows nothing about money transactions between recipient and donor. Most donors were satisfied with the donation. However, establishment of a government-regulated program for social support of donors, such as lifelong health insurance may be a compensation for donors.
肾移植是终末期肾病（ESRD）患者的最佳治疗方式。在伊朗，由于亲属活体供者和尸体供者短缺，1988年启动了非亲属活体供者（LURD）移植项目。在本研究中，我们评估了伊朗非亲属活体供者的社会经济状况。2005年10月至2006年3月期间，我们从30个移植中心招募了478名非亲属活体供者。询问了他们的人口统计学数据、教育程度、就业情况、捐赠动机和满意度状况。经济状况根据伊朗统计中心的标准进行评估。96%的供者由伊朗肾脏基金会（KFI）推荐。供者的平均年龄为27±4.8岁，85%为男性（n = 408）。51%的供者吸烟，82%已婚，79%是家庭主要经济支柱；29%失业；文盲、中学毕业生和大学毕业生分别占2.7%、90.8%和6.5%。仅记录到1名供者存在强迫捐赠情况。经济问题是最常见的捐赠动机。其中，91%的供者对捐赠感到满意。最后，53%的供者建议向他人捐赠肾脏。62%的供者生活在贫困线以下。在伊朗模式中，KFI是连接受者和供者的桥梁。因此，没有中间人或经纪人将供者介绍给受者。移植团队对受者和供者之间的金钱交易一无所知。大多数供者对捐赠感到满意。然而，建立一个由政府监管的供者社会支持项目，如终身健康保险，可能是对供者的一种补偿。
