Abstract: FR-PO1140
Factors Associated with the Willingness to Donate a Kidney to a Family Member with ESRD Among Adults in Metro Manila
Session Information
- Transplantation: Clinical - Transplant Access, Recipient Evaluation, Living Donors, Pregnancy, and More
October 23, 2026 | Location: Exhibit Hall A, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Transplantation
- 2002 Transplantation: Clinical
Authors
- Escultero, Aries Delmo, St. Luke’s Medical Center – Global City, Taguig City, Metro Manila, Philippines
- Flores, Gian Paulo, St. Luke’s Medical Center – Global City, Taguig City, Metro Manila, Philippines
Background
Living kidney donation remains a critical intervention for End-Stage RenalDisease (ESRD), yet procurement rates often fail to meet clinical demand. This study aimed to determine the sociodemographic, cognitive, and attitudinal factors associated with the willingness of adult relatives to donate a kidney to a family member with ESRD in Metro Manila.
Methods
A descriptive cross-sectional analytic study was conducted among 634 adult relatives of ESRD patients. A structured questionnaire was utilized to gather data on sociodemographic profiles, knowledge, attitudes, and four parameters of donation willingness. Data were analyzed using descriptive statistics, and a binary logistic regression model was employed to identify significant independent predictors of willingness for living familial donation.
Results
A total of 634 recipients were analyzed. The sample was predominantly female (n=459, 72.4%) and aged 18–23 (n=239, 37.7%). Willingness for living donation was reported by n=364 (57.4%), yet a significant readiness gap was observed as n=209 (33.0%) were "Not Sure" and n=416 (65.6%) were "Not Sure" regarding formal registration. Binary Logistic Regression revealed that Total Knowledge (AOR = 0.902; 95% CI: 0.821–0.991; p = 0.032) and Total Attitude (AOR = 0.955; 95% CI: 0.928–0.983; p = 0.002) were the only significant predictors.
Conclusion
A significant "readiness gap" exists among relatives of ESRD patients. Contrary to traditional health literacy models, elevated clinical knowledge acts as a deterrent in this highly educated demographic, likely due to surgical risk hyper-awareness. To effectively increase donation rates, pre-transplant counseling must pivot away from purely factual medical education and focus heavily on psychological support to dismantle cultural fears and decisional ambivalence.
Acknowledgment
The authors acknowledge the support of the Center for Renal Disease, St. Luke’s Medical Center, and all study participants.