Live donor kidney transplantation: attitudes of patients and health care professionals concerning the pre-surgical pathway and post-surgical follow-up

Abstract

Participants believed that LDKT is safe for the donor, and the pathway to surgery and post-operative follow-up should be performed in a way that ensures lack of coercion and includes family support and an extensive post-operative follow-up.

Communication and support from healthcare professionals is essential for living kidney donors

“…In this study group, the participant's response to the continued and repeated dialogue by health professionals of the option to stop the assessment at any time was negative. Mazaris et al 5 demonstrated similar findings with, donors ‘wanting to get on with it’, but healthcare professionals being more cautious. Ensuring donors are not being pressurised or coerced into donating a kidney is both a legal and ethical responsibility of the transplant team, however, with these reported findings perhaps more structured communication is required.…”

Do insulation products of man‐made vitreous fibres still cause skin discomfort?

“…In a study in Libby, Montana, United States, focus group methods were used in a community experiencing a disaster caused by widespread asbestos exposure . In both medical research and occupational and public health studies, focus groups have been used frequently to obtain a variety of information from patients or workers . Focus groups have been used in dermatology to obtain data concerning experiences of many conditions, for example pruritus in psoriasis , dermatological treatments , and hidradenitis .…”

Experiences of Recipients and Living Donors the First Three Days After Kidney Transplantation

“…Stress can occur at the time of the first decision-making process and continues during the perioperative period and post-operative recovery (Gill 2012). The concern recipients and donors have for each other is highlighted as a major stressor (Andersen et al 2005, Gill 2012, Mazaris et al 2012, and recipients are often worried about causing the donor pain. However, some recipients experience it as a special and emotional situation to be close to the donor in the post-operative recovery phase (Froejk 2006, Gill 2012.…”

“…They are also worried and concerned about the recipient and potential transplant failure (Tong et al 2012). Donors put themselves and their needs after the needs of the recipient (Andersen et al 2005, Mazaris et al 2012. One study showed that the donor's well-being depended on the well-being of the recipient if the donor and recipient were close (Tong et al 2012).…”

“…Nevertheless studies report that recipients donors benefit from support each other during hospitalisation (Crombie & Franklin 2006, Mazaris et al 2012. A study showed that 58% donors believed it was important that they were placed in the same room in the post-operative recovery period (Mazaris et al 2012) One study found that recipients and living donors do not have the same needs in the post-operative period. The living donor is a healthy individual voluntarily undergoing major surgery to help another human being, while the recipient is a patient with a chronic kidney disease, who is familiar to hospital routines (Kamper et al 2003).…”