Laparoscopic donor nephrectomy vs. open live donor nephrectomy: a quality of life and functional study

Abstract

The results of this study support the decisions of many kidney transplant centers to adopt LDN programs as standard of care.

Psychosocial Health of Living Kidney Donors: A Systematic Review

“…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)…”

“…Some reported outcomes for a select subgroup of donors, such as those where the recipient was still alive (51) or where donors were parents to recipient children who were of minor age (42,73,75). Ten compared the outcomes of laparoscopic donors to those who received an open nephrectomy (50,53,57,60,62,66,(75)(76)(77)79) and one compared the outcomes of donors who underwent two different open procedures (69).…”

“…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).…”

“…Twenty-nine studies compared the psychosocial functioning of donors to nondonor controls from diverse sources, including the general population, medical outpatients, potential donors, healthy individuals, or family members of the recipient (32,36,(38)(39)(40)42,45,47,48,51,54,55,57,(59)(60)(61)(63)(64)(65)(66)(67)69,(71)(72)(73)(74)(75)78,79). Demographics or other relevant descriptors were provided for the control group in four studies (36,38,40,64).…”

“…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)…”