Prospective Psychosocial Evaluation of Related Kidney Donors: Indian Perspective

Minz, Mukut; Udgiri, Navalkishor; Sharma, Ashish; Heer, M; Kashyap, Raghava; Nehra, Ritu; Sakhuja, Vinay

doi:10.1016/j.transproceed.2005.03.110

Cited by 33 publications

(47 citation statements)

References 10 publications

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“…A decision to follow donors prospectively in time was described in 10 studies (32,37,39,52,53,63,65,71,72,77). .…”

Section: Methods Appraisalmentioning

confidence: 99%

“…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 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%

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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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“…A decision to follow donors prospectively in time was described in 10 studies (32,37,39,52,53,63,65,71,72,77). .…”

Section: Methods Appraisalmentioning

confidence: 99%

Section: Description Of Studiesmentioning

confidence: 99%

See 1 more Smart Citation

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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“…3 Psychosocial evaluation of living kidney donation candidates is an important issue that has been the object of several studies, which have noted the presence of some anxiety and depressive symptoms, the possibility of adverse psychosocial outcomes, and associations with demographic, cultural, and psychological issues as well as medical outcomes. [13][14][15][16][17] Minimization of these harmful aspects depends on careful selection and follow-up.…”

mentioning

confidence: 99%

Depression and Anxiety in Living Kidney Donation: Evaluation of Donors and Recipients

Lopes

Frade

Teixeira³

et al. 2011

Transplantation Proceedings

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Background. Psychosocial status of donors before and after living kidney donor transplantation has been an important concern. Investigations of psychosocial issues in related recipients are not frequent. Aim. The aims of this study were to evaluate and compare psychopathologic dimensions in donors and recipients before and after transplantation. Methods. Thirty-five recipients and 45 donors completed a psychosocial evaluation before and after transplantation. We applied Pearson chi-square, McNemar, Fisher, Wilcoxon, and Mann-Whitney tests as well as linear and logistic regression statistical methods.Results. Before transplantation 100% of the recipients presented total anxiety, compared with 64.4% of donors, with higher anxiety levels in all dimensions (P Ͻ .001). Also, 38.7% of recipients and 16.3% of donors had moderate/serious depression (P ϭ .029). Men showed higher levels of cognitive anxiety before transplantation (odds ratio [OR] ϭ 4.3; P ϭ .008). After versus before transplantation central nervous system and cognitive anxiety had diminished in recipients (P ϭ .031; P ϭ .035, respectively); there were higher levels of cognitive anxiety than among the donors (P ϭ .007). Depression showed no significant changes in recipients or donors; the differences were no longer significant. There were less severely depressed recipients but an increase among severely depressed donors. Male recipients and donors showed greater cognitive anxiety (P ϭ .02; P ϭ .04, respectively) at both times. Female recipients presented with more severe depression (P ϭ .036). Conclusions. Anxiety is an important symptom. Surgery had a positive impact to lower anxiety in recipients. Most protagonists displayed little or no depression; it was more prevalent among recipients. Donors and recipients maintained some psychopathologic symptoms after surgery. We defined vulnerable groups among these cohorts.

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“…2,3,10,15 Studies have also consistently found that a small proportion of donors (<10%) regretted their decision to donate or would not donate again. 2,3,9,11,12 The proportion of donors who felt pressure to donate their kidney varied across studies.…”

Section: What Is the Evidence?mentioning

confidence: 99%

Psychosocial care of living kidney donors

Hardeveld¹,

Tong²

2010

Nephrology

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GUIDELINES No recommendations possible based on Level I or II evidence SUGGESTIONS FOR CLINICAL CARE(Suggestions are based on Level III and IV evidence)• A formal psychosocial assessment should be a mandatory part of the pre-transplant workup process.• Semi-structured interview guides (for preoperative and postoperative psychosocial assessments) are useful for focussing the discussion on relevant and critical issues while allowing open discussion.• Education and assessment of potential donors is essential to identify 'high-risk' donors.• Donors should be followed-up for psychological care post-donation.• Donors with poor recipient outcomes should have extensive psychological support available.• A formal multidisciplinary approach should be taken in the event of negative recipient outcome. IMPLEMENTATION AND AUDITLiving kidney donors should undergo psychosocial assessment and have access to psychosocial care before and after the transplant surgery.

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Prospective Psychosocial Evaluation of Related Kidney Donors: Indian Perspective

Cited by 33 publications

References 10 publications

Psychosocial Health of Living Kidney Donors: A Systematic Review

Psychosocial Health of Living Kidney Donors: A Systematic Review

Depression and Anxiety in Living Kidney Donation: Evaluation of Donors and Recipients

Psychosocial care of living kidney donors

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