{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T15:26:41Z","timestamp":1786807601653,"version":"build-2736575974"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000191","name":"Kidney Foundation of Canada","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100000191","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Canadian Donation and Transplantation Research Program (CDTRP) Research Innovation Grant"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Kidney Health Dis"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>An understanding of perspectives toward kidney transplant amongst individuals with kidney failure is integral to supporting treatment-related decision-making and preparing for life post-transplant, yet this has not been studied in a Canadian context. Therefore, the objective of this study was to examine the perspectives of individuals with kidney failure in Canada regarding kidney transplant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adults (18-75y) from four Canadian provinces who either had initiated dialysis within the prior 6 months or were preemptively referred for kidney transplantation within the prior 3 months were recruited to participate in focus group discussions (FGDs) or individual interviews. Data were analyzed using inductive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Fifteen individuals participated in one of four FGDs (n=13) or a semi-structured interview (n=2). Seven were on dialysis and eight were pre-dialysis (four and six of whom had been referred for transplant, respectively). Overall, participants expressed a clear preference for transplant compared to dialysis. Participants\u2019 willingness to consider transplant was influenced by their (1)\n                      <jats:italic toggle=\"yes\">relationship with the healthcare team<\/jats:italic>\n                      , recognition of (2)\n                      <jats:italic toggle=\"yes\">the necessity of treatment<\/jats:italic>\n                      , the (3)\n                      <jats:italic toggle=\"yes\">potential to live a \u201cnormal\u201d life<\/jats:italic>\n                      , and knowledge of (4)\n                      <jats:italic toggle=\"yes\">others\u2019 experiences with transplant<\/jats:italic>\n                      . Despite a preference for transplant, participants expressed (5)\n                      <jats:italic toggle=\"yes\">concerns regarding securing a living donor<\/jats:italic>\n                      and a sense of having (6)\n                      <jats:italic toggle=\"yes\">a lack of control<\/jats:italic>\n                      over the transplant referral process.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this study, we evaluated perceptions towards kidney transplantation amongst individuals with kidney failure in Canada. Understanding potential concerns regarding future transplant may lead to improved patient-centered education, communication and psychosocial support strategies to empower patients to confidently make treatment-related decisions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/20543581261472120","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T22:29:32Z","timestamp":1786573772000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Perspectives Toward Kidney Transplantation Amongst Individuals With Kidney Failure in Canada: A Qualitative Study"],"prefix":"10.1177","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8858-1812","authenticated-orcid":false,"given":"Cynthia","family":"Kendell","sequence":"first","affiliation":[{"name":"Dalhousie University"},{"name":"Nova Scotia Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2097-6416","authenticated-orcid":false,"given":"Jad","family":"Issa","sequence":"additional","affiliation":[{"name":"Kidney Research Institute of Nova Scotia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bethany","family":"Foster","sequence":"additional","affiliation":[{"name":"Research Institute of the McGill University Health Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7919-6709","authenticated-orcid":false,"given":"Karthik","family":"Tennankore","sequence":"additional","affiliation":[{"name":"Dalhousie University"},{"name":"Nova Scotia Health"},{"name":"Kidney Research Institute of Nova Scotia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9345-5252","authenticated-orcid":false,"given":"Amanda J.","family":"Vinson","sequence":"additional","affiliation":[{"name":"Dalhousie University"},{"name":"Nova Scotia Health"},{"name":"Kidney Research Institute of Nova Scotia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-6143.2011.03686.x"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1348\/135910702320645381"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/17.12.2204"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.4414\/smw.2008.12160"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-071348"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-011951"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.14604"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfn660"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.05890616"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.4324\/9781003503538"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10488-013-0528-y"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.2307\/330063"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04559.x"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_3_6_17_2","doi-asserted-by":"publisher","DOI":"10.52225\/narra.v4i3.903"},{"key":"e_1_3_6_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/tri.12575"},{"key":"e_1_3_6_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.kint.2024.08.032"},{"key":"e_1_3_6_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/1355819613514957"},{"key":"e_1_3_6_21_2","doi-asserted-by":"publisher","DOI":"10.1093\/ckj\/sfw012"},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.13109\/zptm.2008.54.2.174"},{"key":"e_1_3_6_23_2","unstructured":"Canadian Institute for Health Information (CIHI). 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