Knowledge of Chronic Hemodialysis Patients on Kidney Transplantation in Morocco |
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Affiliation: | 1. Nephrology-Kidney Transplantation, Medical University Hospital, University Cadi Ayad, Marrakech, Morocco;2. Atlas Hemodialysis Center, Marrakech, Morocco;3. Targa Hemodialysis Center, Marrakech, Morocco;4. Marrakech Hemodialysis Center, Marrakech, Morocco;1. Urology Department, Hospital de Santo António, Centro Hospitalar do Porto, Portugal;2. Urology Department, Instituto Português de Oncologia do Porto, Portugal;3. Nephrology and Kidney Transplantation Department, Hospital de Santo António, Centro Hospitalar do Porto, Portugal;4. Angiology and Vascular Surgery Department, Hospital de Santo António, Centro Hospitalar do Porto, Portugal;1. Department of Anesthesiology and Pain Medicine, Seoul St Mary''s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea;2. Department of Surgery, Seoul St Mary''s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea;3. Department of Cardiology, Seoul St Mary''s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea;1. 3rd Department of Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece;2. 2nd Department of Propaedeutic Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece;1. Department of General Surgery and Transplantation, University of Health Sciences, Izmir Bozyaka Education and Research Hospital, Izmir, Turkey;2. Department of Nephrology, University of Health Sciences, Izmir Bozyaka Education and Research Hospital, Izmir, Turkey;1. Division of Vascular Surgery, Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea;2. Department of Pathology, Konkuk University Hospital, Seoul, Republic of Korea;3. Department of Surgery, Konkuk University Hospital, Seoul, Republic of Korea;1. Department of Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, Alberta, Canada;2. Department of Radiology & Diagnostic Imaging, University of Alberta, Edmonton, Alberta, Canada;3. Department of Medicine, Division of Gastroenterology, University of Alberta, Zeidler Ledcor Centre, Edmonton, Alberta, Canada |
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Abstract: | BackgroundKidney transplantation (KT) is the optimal treatment for chronic end-stage renal failure. However, it is experiencing a huge delay in Morocco, and the lack of information on this alternative treatment could contribute to this delay. The purpose of our work is to evaluate the knowledge of hemodialysis (HD) on renal transplantation and to propose sensitization and information strategies.MethodsThis is a multicenter study conducted in 4 hemodialysis centers in Marrakesh from November to December 2017. An individual questionnaire was submitted to 310 patients concerning sociocultural status, willingness to be transplanted, the main benefits and risks of renal transplantation, knowledge of religious attitudes toward organ donation and transplantation, cost, and survival of the KT.ResultsOf the 310 patients, 56% were men, with a mean age of 49.43 ± 10.3 years. The mean duration of hemodialysis was 6.7 ± 5.3 years. Only 18% were in school, and 57% had moderate economic status. Of the 310 respondents, 71% said they wanted to be transplanted, and 15.5% believed that Islam was unfavorable by encouraging them to accept the fate that God chose for them. The rest were afraid of multiple complications and returning to dialysis. However, 41.7% thought transplantation was more expensive than hemodialysis. Only 65.8% believed that renal transplantation provided a better quality of life.ConclusionsRaising the awareness of hemodialysis patients and their families is essential to promote KT in Morocco. |
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