Abdelwahab Hisham H, Shigidi Mazin M T, Ibrahim Lamees S, El-Tohami Alyaa K
Department of Medicine, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.
Saudi J Kidney Dis Transpl. 2013 Sep;24(5):1044-9. doi: 10.4103/1319-2442.118093.
Kidney transplantation remains the preferred modality of treatment for patients with end-stage renal disease. In Sudan, kidney transplantation accounted for 28% of the total provided renal replacement therapies. A cross-sectional, hospital-based study was conducted in hemodialysis (HD) units in Khartoum State during the period from September 2010 to January 2011. It aimed to determine the main reasons for the currently low renal transplantation rate. Data were obtained by direct interviewing using a specifically pre-coded and pre-tested questionnaire following a pilot study. A total of 462 adult HD patients were randomly selected from the various HD units in Khartoum State; these patients accounted for 16.9% of the total HD population in Khartoum State. The mean age of the study patients was 48.5 ± 23.6 years and 312 (67.5%) were males. Upon interviewing, only 316 patients (68.4%) said that they had been counseled for kidney transplantation. One hundred and twenty-two patients (26.4%) were on the active transplant list; of these, 50% preferred to have their kidney transplantation performed abroad, mostly due to the availability of commercial transplantation and/or a presumed better outcome. The low renal transplantation rate was due to financial constraints in 112 patients (24.2%), lack of medical fitness in 97 patients (21%) and absence of a suitable kidney donor in 92 patients (20%), while 56 patients (12%) were still having misperceptions regarding transplantation and preferred to continue on dialysis. To improve the kidney transplantation rate in Khartoum State, the Sudan program for organ transplantation is expected to take more initiatives to promote and improve the outcome of kidney transplants inside the country and, accordingly, regain the patients' confidence on the health system.
肾移植仍然是终末期肾病患者首选的治疗方式。在苏丹，肾移植占所提供的全部肾脏替代疗法的28%。2010年9月至2011年1月期间，在喀土穆州的血液透析（HD）单位开展了一项基于医院的横断面研究。其目的是确定当前肾移植率较低的主要原因。在一项试点研究之后，通过使用专门预先编码和预先测试的问卷进行直接访谈来获取数据。从喀土穆州的各个HD单位中随机选取了462名成年HD患者；这些患者占喀土穆州HD总人口的16.9%。研究患者的平均年龄为48.5±23.6岁，其中312名（67.5%）为男性。经访谈，只有316名患者（68.4%）表示他们曾接受过肾移植咨询。122名患者（26.4%）在活跃的移植名单上；其中，50%的患者更倾向于在国外进行肾移植，主要是因为有商业移植服务以及/或者认为国外移植效果更好。肾移植率低的原因包括：112名患者（24.2%）存在经济限制，97名患者（21%）身体状况不符合要求，92名患者（20%）没有合适的肾脏供体，而56名患者（12%）对移植仍存在误解，更愿意继续接受透析治疗。为提高喀土穆州的肾移植率，苏丹器官移植项目预计将采取更多举措来促进和改善国内肾移植的效果，从而重新赢得患者对医疗系统的信任。
