Outcome in emotionally related living kidney donor transplantation

Binet, Isabelle; Bock, A; Vogelbach, P.; Gasser, Thomas C.; Kiss, Ádám; Brunner, F; Thiel, G

doi:10.1093/ndt/12.9.1940

Cited by 84 publications

(32 citation statements)

References 15 publications

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“…It may be argued that the wife component is elevated due to the higher male:female incidence with ESRD 12 and be a consequence of sensitization of child-bearing female recipients against their husbands which reduces the likelihood of husbands as potential donors. We deduce that the spousal element of donation relates to the benefit of not only the recipient's quality of life but the quality-of-life effect this has on the marital and family life with a rise in self-esteem for the donor who has contributed to this improvement as previously reported by Binet et al 11 It is well documented that education is necessary to enable patients to make informed treatment decisions 13 and providing appropriate decision aids is crucial for this to be fully effective. Using decision aids in the form of pamphlets, videos, and discussion in a clinical session has the advantage of outlining the main risks and benefits of transplantation.…”

Section: Discussionsupporting

confidence: 81%

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Invited Manuscript Poster on Renal-Related Education American Society of Nephrology, Nov. 16–21, 2010 Improving Access to Kidney Transplant Information has Increased Preemptive Living Kidney Donation

et al. 2011

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Transplantation provides the best outcomes and quality of life for people with end-stage renal disease and therefore offers the optimum treatment of choice. Preemptive living donor (LD) transplantation is an increasingly preferable alternative to dialysis as transplantation outcomes indicate lower morbidity and mortality rates and greater graft and patient survival rates compared to those who are transplanted after dialysis has commenced. Despite nursing and medical teams giving information to patients regarding transplantation and living donation, the number of people coming forward for preemptive transplant work-up remained limited. Changing the format, environment, and quality of information given to patients and families seemed necessary in order to increase the number of preemptive transplants. Our data show that we have improved the access to the information seminars with attendance rising from 5 to 15 attendees per seminar (3 per year) in 2005 to average 65 attendees per seminar (6 per year) in 2010. By expanding the access to information for patients, their families and friends, living donation has increased with a growth in the proportion of preemptive LD transplants from 28% (23/81) in 2006 to 44% in 2010 (29/66; p = 0.05). We can conclude that expanding the pool accessing information has increased the number of preemptive (LD) transplants in our center.

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Section: Discussionsupporting

confidence: 81%

“…Non-blood-related, also described as emotionally related living kidney donors, 11 have been seen as a valuable option for transplant recipients for some time especially where this avoids the need for dialysis. We have seen a high level of motivation of spouse donation in our center, with wives donating most frequently.…”

Section: Discussionmentioning

confidence: 99%

Invited Manuscript Poster on Renal-Related Education American Society of Nephrology, Nov. 16–21, 2010 Improving Access to Kidney Transplant Information has Increased Preemptive Living Kidney Donation

et al. 2011

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“…Fifty-seven studies met our review criteria and six were subsequently excluded (23)(24)(25)(26)(27)(28).…”

Section: Study Selectionmentioning

confidence: 99%

Psychosocial Health of Living Kidney Donors: A Systematic Review

Clemens

Thiessen‐Philbrook

Parikh

et al. 2006

American Journal of Transplantation

252

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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“…27 It has been reported many times that the results of kidney transplant from living donors are more satisfactory than from deceased donors. [28][29][30][31][32][33][34] Because most of the PKD subtypes are genetic diseases, living relatives may avoid donating a kidney because of fear of a future appearance of polycystic disease. The rate of kidney transplants from living donors in patients with PKD was lower than the total rate of living-donor kidney transplant in our kidney transplant program (21% vs 36%).…”

Section: Discussionmentioning

confidence: 99%

Untitled

Mehrabi

Golriz

Maier

et al. 2015

Exp Clin Transplant

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27%). In deceased-donor versus living-donor transplant recipients, surgical complications included arterial stenosis (1% vs 0%), venous thrombosis (1% vs 0%), urine leakage (0.5% vs 1.9%), ureteral stenosis (0.5% vs 0%), reflux (0% vs 1.9%), lymphocele (11.7% vs 8.1%), and hernia (5.2% vs 8.1%), with no statistically significant differences shown between the groups. The living-donor group had graft and patient survival rates as high as the deceased-donor group. Conclusions: The low rate of morbidity and excellent survival rates make kidney transplant an excellent option for patients with polycystic kidney disease. Although fear of future appearance of polycystic kidney disease may reduce the rate of related living donors, our study showed that graft and patient survival rates in the living-donor group were as high as in the deceased-donor group.

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Outcome in emotionally related living kidney donor transplantation

Cited by 84 publications

References 15 publications

Invited Manuscript Poster on Renal-Related Education American Society of Nephrology, Nov. 16–21, 2010 Improving Access to Kidney Transplant Information has Increased Preemptive Living Kidney Donation

Invited Manuscript Poster on Renal-Related Education American Society of Nephrology, Nov. 16–21, 2010 Improving Access to Kidney Transplant Information has Increased Preemptive Living Kidney Donation

Psychosocial Health of Living Kidney Donors: A Systematic Review

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