Kidney and Liver Living Donors: A Comparison of Experiences

Rudow, Dianne LaPointe; Charlton, Marian; Sanchez, Carla; Chang, Sara; Serur, David; Brown, Robert S.

doi:10.1177/152692480501500213

Cited by 27 publications

(27 citation statements)

References 10 publications

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“…Studies were from 19 countries; most were conducted in the United States (43% of studies) followed by Germany (10%), Canada (6%), India (4%), Sweden (4%), Australia (4%), the Netherlands (4%) and Switzerland (4%). During follow-up, 46 studies assessed the physical health of donors (29)(30)(31)(32)(33)(34)(35)(36)38,(40)(41)(42)(43)(44)(45)(46)(48)(49)(50)(51)(53)(54)(55)(56)(57)(58)(59)(60)(61)(63)(64)(65)(66)(67)(68)(69)(70)(71)(72)(73)(74)(75)(76)(77)(78)(79) and 26 reported that some donors had faced graft failure or recipient death (29,(31)(32)…”

Section: Description Of Studiesmentioning

confidence: 99%

“…The remaining studies contacted previous donors' months to years after nephrectomy, with 20 studies not reporting the average time since donation (29)(30)(31)(32)(33)36,39,41,47,49,55,59,66,(68)(69)(70)(73)(74)(75)(76). The number of donors considered for follow-up was often unreported and thus for some studies, the response rate could not be calculated (37,39,41,52,56,59,64,68,72 (40,44,46,48,50,60,62,63,65,73,78) and five compared their characteristics to responders (40,44,46,50,65).…”

Section: Psychosocial Health Of Live Kidney Donorsmentioning

confidence: 99%

“…The majority were married and employed at the time of follow-up. Twenty-three studies described the use of routine preoperative screening (30)(31)(32)34,40,45,46,(49)(50)(51)53,54,56,60,61,63,67,70,71,73,74,77,78) and 3 reported that some donors had a psychiatric history prior to donation (30,34,63).…”

Section: Description Of Donorsmentioning

confidence: 99%

“…Many used standardized instruments such as the Short-Form 36 health survey (45,48,51,54,55,57,59,60,(63)(64)(65)(66)68,69,75,(77)(78)(79) and the Beck Depression Inventory (39,64,72). Investigator-developed questionnaires were also used in a majority of studies (29)(30)(31)(32)(33)35,36,38,(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)54,(56)(57)(58)60,64,67,(69)(70)(71)(72)(73)…”

Section: Description Of Questionnairesmentioning

confidence: 99%

“…Investigator-developed questionnaires were also used in a majority of studies (29)(30)(31)(32)(33)35,36,38,(40)(41)(42)(43)(44)(45)(46)(47)(48)(49)54,(56)(57)(58)60,64,67,(69)(70)(71)(72)(73)(74)(75)(76)78,79). Some studies reported that questionnaires were valid (33,36,38,70,74), reliable (32,38,47,67,74) and pilot tested (33,74). When reported, questionnaires were most often self-administered through the mail, internet, or in clinic (29- …”

Section: Description Of Questionnairesmentioning

confidence: 99%

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Psychosocial Health of Living Kidney Donors: A Systematic Review

Clemens

Thiessen‐Philbrook

Parikh

et al. 2006

American Journal of Transplantation

253

213

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Knowledge of the psychosocial benefits and harms faced by living kidney donors is necessary for informed consent and follow-up. We reviewed any English language study where psychosocial function was assessed using questionnaires in 10 or more donors after nephrectomy. We searched MEDLINE, EM-BASE, Web of Science, Psych INFO, Sociological Abstracts and CINAHL databases and reviewed reference lists from 1969 through July 2006. Independently, two reviewers abstracted data on study, donor and control group characteristics, psychosocial measurements and their outcomes. Fifty-one studies examined 5139 donors who were assessed an average of 4 years after nephrectomy. The majority experienced no depression (77-95%) or anxiety (86-94%), with questionnaire scores similar to controls. The majority reported no change or an improved relationship with their recipient (86-100%), spouse (82-98%), family members (83-100%) and nonrecipient children (95-100%). Some experienced an increase in self-esteem. A majority (83-93%) expressed no change in their attractiveness. Although many scored high on quality of life measures, some prospective studies described a decrease after donation. A small proportion of donors had adverse psychosocial outcomes. Most kidney donors experience no change or an improvement in their psychosocial health after donation. Harms may be minimized through careful selection and follow-up.

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Section: Description Of Studiesmentioning

confidence: 99%

Section: Psychosocial Health Of Live Kidney Donorsmentioning

confidence: 99%

Section: Description Of Donorsmentioning

confidence: 99%

Section: Description Of Questionnairesmentioning

confidence: 99%

Section: Description Of Questionnairesmentioning

confidence: 99%

See 3 more Smart Citations

Psychosocial Health of Living Kidney Donors: A Systematic Review

Clemens

Thiessen‐Philbrook

Parikh

et al. 2006

American Journal of Transplantation

253

213

View full text Add to dashboard Cite

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Survey of medical students about attitudes toward organ donation

Topić

Brkljačić

Grahovac

2006

Dialysis & Transplantation

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Objective. The aim of this study was to assess and explore medical students' attitudes toward tissue and organ donation and their willingness to donate their own organs or those of a deceased relative in a setting without well-organized organ donation programs and education. Methods. Medical students from all 6 years of medical studies were surveyed using a questionnaire that included attitude and willingness measures. We also asked the medical students about the feelings they would expect to experience if they had the responsibility of asking family members of a recently deceased patient about donating the patient's organs. Results. Participants had highly positive attitudes toward tissue and organ donation and a great willingness to donate tissues and organs. Students in this study were more willing to donate if the purpose was helping others than if the purpose was to help the development of science, and they were more willing to donate their own organs than those of a deceased family member. Although students were willing to donate all organs, the organ they were most willingness to donate after death was the kidney. Participants who had signed donor cards held more positive attitudes about organ donation and were more willing to donate organs than were participants who had not signed donor cards. More than half the medical students said they would feel uncomfortable if in a situation of asking others for organ donation. Conclusions. These findings suggest there is a constant need for structured education of medical students in the practical, legal, and ethical aspects of organ and tissue donation.

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