Living-Donor Versus Deceased-Donor Kidney Transplantation: Comparison of Psychosocial Consequences for Recipients

Gozdowska, Jolanta; Zatorski, Mateusz; Torchalla, Patrycja; Białek, Łukasz; Bojanowska, Agnieszka; Tomaszek, Aleksandra; Serwańska-Świętek, Marta; Kieszek, R.; Kwiatkowski, A.; Chmura, A.; Durlik, M.

doi:10.1016/j.transproceed.2016.01.075

Cited by 20 publications

(17 citation statements)

References 35 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Zimmerman et al showed that feeling of guilty is significantly higher in the recipients from a living donor; however, they reported no significant difference in transplant disclosure between the two groups. The results of Gozdwoska et al in comparison of emotional and social impacts in the recipients from living and deceased donors in others study is same as our results (24).…”

Section: Discussionsupporting

confidence: 92%

Comparison of the Quality of Life and Emotional Responses in Kidney Transplant Recipients from Living and Deceased Donors in Nephrology Clinics

2021

View full text Add to dashboard Cite

Background: Quality of life (QoL) is one of the essential measures in assessing a patient's status after kidney transplant, and emotional response is an important factor in evaluating the patient’s compatibility with the transplant. Also, emotional response affects a patient’s QoL. Objectives: This study aimed to compare the QoL and emotional responses of kidney recipients from deceased and living donors. Methods: This descriptive comparative study randomly selected 118 kidney transplant patients (67 recipients from living donors and 51 recipients from deceased) referred to the Nephrology Clinic of Tehran University of Medical Sciences for a post-surgery follow-up. The QoL questionnaire for patients with renal transplants introduced by Laupacis et al. and the emotional response questionnaire (ERQ) by Ziegelmann et al. were used in this study. For data analysis, Mann-Whitney, independent t-test, and Pearson’s correlation tests were used. All the analyses were performed using SPSS software version 20. Results: The kidney recipients from living donors had significantly higher QoL score (especially emotionally) compared with kidney recipients from deceased donors (P=0.04). The score of emotional response was higher in recipients from a living donor, which is related to feeling guilty, transplant disclosure. Furthermore, recipients from a living donor felt guiltier and were unwilling to disclose their transplant compared with recipients from deceased donors. Conclusions: Feeling of guilt and being anxious about transplant disclosure were higher in recipients from living donors. A significant difference was observed in the QoL and emotional response between the two groups of kidney recipients. Therefore, it is important to involve the transplant team, specifically nurses, in the identification of emotional response and planning accordingly to improve the patients’ QoL, especially in recipients from a living donor.

show abstract

Section: Discussionsupporting

confidence: 92%

Comparison of the Quality of Life and Emotional Responses in Kidney Transplant Recipients from Living and Deceased Donors in Nephrology Clinics

2021

View full text Add to dashboard Cite

show abstract

“…As well as expanding the donor organ pool, living-donor kidneys allow preemptive transplantation, and surgery can be efficiently planned with both the donor and the recipient in optimum medical condition. Hence, the outcome of living-donor kidney transplantation is superior to transplantation of deceased donor kidneys in terms of improved long-term recipient survival, quality of life, early graft function and better graft survival [ 4 – 6 ]. However, living-donor nephrectomy (LDN) remains a surgical challenge in terms of minimizing postoperative complications as it is performed on healthy individuals.…”

Section: Introductionmentioning

confidence: 99%

Hand-assisted living-donor nephrectomy: a retrospective comparison of two techniques

et al. 2018

View full text Add to dashboard Cite

BackgroundLiving-donor nephrectomy (LDN) is challenging, as surgery is performed on healthy individuals. Minimally invasive techniques for LDN have become standard in most centers. Nevertheless, numerous techniques have been described with no consensus on which is the superior approach. Both hand-assisted retroperitoneoscopic (HARS) and hand-assisted laparoscopic (HALS) LDNs are performed at Zurich University Hospital. The aim of this study was to compare these two surgical techniques in terms of donor outcome and graft function.MethodRetrospective single-center analysis of 60 consecutive LDNs (HARS n = 30; HALS n = 30) from June 2010 to May 2012, including a one-year follow-up of the recipients.ResultsThere was no mortality in either group and little difference in the overall complication rates. Median warm ischemia time (WIT) was significantly shorter in the HARS group. The use of laxatives and the incidence of postoperative vomiting were significantly greater in the HALS group. There was no difference between right- and left-sided nephrectomies in terms of donor outcome and graft function.ConclusionsBoth techniques appear safe for both donors and donated organs. The HARS technique is associated with a shorter WIT and a reduced incidence of postoperative paralytic ileus. Therefore, we consider HARS LDN a valuable alternative to HALS LDN.

show abstract

“…In fact, living donor kidney transplantation provides a better patient and allograft outcome when compared to deceased donor kidney transplantation. 30,31 Therefore, our results might be due to a better graft function providing better cognitive function in living donor patients. Previous studies showed weak correlations between increasing urea and creatinine levels and poorer performance on certain cognitive tests.…”

Section: Discussionmentioning

confidence: 86%

Up to a Third of Renal Transplant Recipients Have Deficiencies in Cognitive Functioning

et al. 2017

View full text Add to dashboard Cite

Altough cognitive performance in renal transplant recipients matches normative data and confirms former findings, the amount of patients scoring more than 1 SD below average suggests that there are a considerable number of patients whose cognitive performance in certain domains lies below those of the general population. The identified sociodemographic and biochemical factors might be helpful to identify renal transplant recipients at risk.

show abstract

Living-Donor Versus Deceased-Donor Kidney Transplantation: Comparison of Psychosocial Consequences for Recipients

Cited by 20 publications

References 35 publications

Comparison of the Quality of Life and Emotional Responses in Kidney Transplant Recipients from Living and Deceased Donors in Nephrology Clinics

Comparison of the Quality of Life and Emotional Responses in Kidney Transplant Recipients from Living and Deceased Donors in Nephrology Clinics

Hand-assisted living-donor nephrectomy: a retrospective comparison of two techniques

Up to a Third of Renal Transplant Recipients Have Deficiencies in Cognitive Functioning

Contact Info

Product

Resources

About