Attitudes of kidney transplanted patients toward illegal kidney transplantation

CILJ ISTRAŽIVANJA: Utvrditi imaju li bolesnici s bubrežnim presatkom spoznaje o ilegalnim TX-ovima, jesu li razmišljali o takvom rješenju za svoju bolest i je li im ikad nuđen ilegalan TX. Također, utvrditi postoje li razlike u ovim spoznajama, stavovima i ponudama s obzirom na spol, duljinu trajanja dijalize prije TX-a, vrijeme proteklo od TX-a, osnovnu bubrežnu bolest, život u urbanoj ili ruralnoj sredini, bračno stanje, obrazovanje i zaposlenost. USTROJ ISTRAŽIVANJA: Istraživanje je ustrojeno kao presječno istraživanje (26). ISPITANICI I POSTUPCI: Ispitano je 100 bolesnika s bubrežnim presatkom, kontroliranih u Zavodu za nefrologiju KBCO, 52 muškarca (52 %) i 48 žena (48 %). Ispitani su pomoću anonimnog upitnika, sastavljenog od strane mentorice ovog rada, koji se sastojao od pet pitanja, koja se odnose na saznanja o ilegalnim bubrežnim TX-ovima općenito, u RH, o stavu prema ilegalnim bubrežnim TX-ovima, mogućnosti kupovine bubrega za TX i ponudi takvog TX-a. Ispitanici su u upitniku dali podatke o dobi, spolu, obrazovanju, mjestu stanovanja, bračnom statusu i radnom odnosu. Podatci o osnovnoj bubrežnoj bolesti, o dijalizi i TX-u preuzeti su iz medicinskih zapisa. Podatci su statistički analizirani pomoću SPSS-a za Windows (inačica 16.0, SPSS Inc., Chicago, IL, SAD). REZULTATI: Saznanja o ilegalnim bubrežnim TX-ovima ima 23 % ispitanika, a 7 % ispitanika misli da se ilegalni bubrežni TX-ovi vrše u RH, 4 % ispitanika podvrgnulo bi se takvom TX-u, 50 % ispitanika misli da se može pronaći način ilegalne kupovine bubrega za TX i 2 % ispitanika dobilo je ponudu za ilegalni TX bubrega. Spol, bračno stanje, radni odnos i stupanj obrazovanja nisu utjecali na rezultate odgovora na pitanja upitnika. Ispitanici koji su živjeli u gradu češće su imali spoznaje o ilegalnim bubrežnim TX-ovima. ZAKLJUČAK: Transplantirani bubrežni bolesnici u RH relativno često imaju zanimanje za ilegalan bubrežni TX, ali rijetko imaju pogrešne spoznaje o njemu.AIM: To examine if patients with a kidney transplant have knowledge about illegal kidney TX; if they had ever thought about that kind of a solution for their disease and if they've ever been offered that way of TX. Furthermore, to examine if there was a difference regarding personal attitudes, thoughts and knowledge when considering gender, age, dialysis vintage, years after TX, basic kidney disease, living in a rural or urban area, marital status, education or employment. STUDY DESIGN: Cross - sectional study (26). PATIENTS AND METHODS: The study included 100 kidney transplant patients, of which 52 (52 %) were male and 48 (48 %) female, treated at the Department for Nephrology at University Hospital Center Osijek. They were examined through an anonymous questionnaire, composed by a mentor, consisting of 5 questions related to knowledge about illegal kidney TX in general and in Croatia, attitudes toward an illegal TX, and about the possibility of buying a kidney and undergoing illegal kidney TX. Patients gave information about age, gender, education, place of residence, marital status and employment. The participants' data about basic kidney disease, dialysis and TX was extracted from medical records and statistically analyzed by SPSS for Windows (version 16.0, SPSS Inc., Chicago, IL, SAD). RESULTS: 23 % of participants had knowledge about illegal kidney TX, 7 % of them thought that that way of TX was being done in Croatia, 4 % of participants would undergo illegal kidney TX, 50 % thought that it was possible to buy a kidney illegally while 2 % of them were offered an illegal kidney TX. Gender, marital status, employment and education did not differ between patients according to the questionnaire. Patients living in urban area were more aware of illegal kidney TX. CONCLUSION: Kidney transplant patients in Croatia often have interest in illegal kidney TX, but they rarely have wrong knowledge about it