Psychosocial Health of Living Kidney Donors: A Systematic Review

Clemens, Kristin K.; Thiessen‐Philbrook, Heather; Parikh, Chirag R.; Yang, Robert C.; Karley, Mary Lou; Boudville, Neil; Prasad, G. V. Ramesh; Garg, Amit X.

doi:10.1111/j.1600-6143.2006.01567.x

Cited by 252 publications

(247 citation statements)

References 62 publications

Supporting

Mentioning

219

Contrasting

Unclassified

Order By: Relevance

“…Lack of strong social support may explain why the widowed patients (all of whom were women) were less likely to want LDKT in the multivariate analysis. This finding also suggests that, in addition to educating patients about health and quality of life benefits, the availability or lack of social support should be factored into the design of interventions (8,(42)(43)(44)(45)(46)(47)(48)(49)(50)(51). It is also important to note that black women are also more likely to be excluded from living kidney donation for medical reasons (52).…”

Section: Discussionmentioning

confidence: 99%

Sex Differences and Attitudes toward Living Donor Kidney Transplantation among Urban Black Patients on Hemodialysis

Gillespie

Hammer

Kolenikov³

et al. 2014

Clinical Journal of the American Society of Nephrology

View full text Add to dashboard Cite

Background and objectives Living donor kidney transplantation, the treatment of choice for ESRD, is underused by women and blacks. To better understand sex differences in the context of potential barriers to living donor kidney transplantation, the Dialysis Patient Transplant Questionnaire was administered in two urban, predominantly black hemodialysis units. Results Women were less likely to want living donor kidney transplantation compared with men (58.5% versus 87.5%, P=0.003), despite being nearly two times as likely as men to receive unsolicited offers for kidney transplant (73.2% versus 43.2%, P=0.02). They were also less likely to have been evaluated for a kidney transplant (28.3% versus 52.2%, P=0.01). The multiple logistic regression analysis showed that sex was a statistically significant predictor of wanting living donor kidney transplantation (women versus men odds ratio, 0.13; 95% confidence interval, 0.04 to 0.46), controlling for various factors known to influence transplant decisions. A sensitivity analysis indicated that mode of administration did not bias these results. ConclusionsIn contrast to previous studies, the study found that black women were less likely to want living donor kidney transplantation compared with black men. Black women were also less likely to be evaluated for a kidney transplant, although they were more likely to receive an unsolicited living donor kidney transplantation offer.

show abstract

Section: Discussionmentioning

confidence: 99%

Sex Differences and Attitudes toward Living Donor Kidney Transplantation among Urban Black Patients on Hemodialysis

Gillespie

Hammer

Kolenikov³

et al. 2014

Clinical Journal of the American Society of Nephrology

View full text Add to dashboard Cite

show abstract

“…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

View full text Add to dashboard Cite

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.

show abstract

“…Il ne s'agit en aucun cas de considérer les donneurs comme des malades mais de leur proposer une stratégie de dépistage et de prévention. Les aspects psychologiques sont plus complexes à appréhender [12,13]. Certains travaux récents suggèrent que le don d'un rein, loin de compromettre l'équilibre psychologique du donneur, peut au contraire constituer une expérience positive pour lui, renforcer l'estime de soi ou contribuer à améliorer sa qualité de vie [14,15].…”

Section: éPidémiologieunclassified

La transplantation rénale à partir de donneurs vivants

2010

View full text Add to dashboard Cite

Alors que la transplantation rénale est née en France de la pratique de transplantations à partir de donneurs vivants, son essor fut surtout lié au développement des greffes d'organes provenant de donneurs décédés. Les programmes de transplantation à partir de donneurs vivants se sont développés inégalement d'un pays à l'autre, le plus souvent de manière inversement proportionnelle au développement des programmes de transplantation d'organes provenant de donneurs décédés. Depuis quelques temps, la pénurie d'organes remet en cause la légitimité de ces choix et impose le développe-ment simultané des deux types de programmes. Actuellement, les médecins acceptent des greffons provenant de donneurs décédés de moins bonne qualité que par le passé pour tenter de faire face à la demande. La transplantation rénale à partir de donneurs vivants offre aux receveurs une meilleure garantie de recevoir un organe de bonne qualité. Ces considérations sont, bien entendu, à mettre en regard des conséquences d'une néphrectomie pour les donneurs. Cette revue est l'occasion de dresser le panorama actuel de la transplantation rénale à partir de donneurs vivants et d'évaluer ses enjeux, dont la complexité a imposé un cadre juridique très strict. En effet, à côté des questions médicales et scientifiques, des questions éthiques fondamentales continuent de se poser : les conséquences possibles de la néphrec tomie pour le donneur ; le respect de l'autonomie du donneur et du receveur ; et enfin, les risques de dérives et leurs conséquences internationales matérialisées par le trafic d'organes et le tourisme de transplantation qui menacent le respect des droits de l'homme et de la dignité humaine. Dans ce contexte difficile, la mission des législateurs est d'autant plus délicate que le cadre juridique doit être évolutif pour prendre en compte l'avancée des connaissances scientifiques ainsi que les besoins et les choix de société.

show abstract

Psychosocial Health of Living Kidney Donors: A Systematic Review

Cited by 252 publications

References 62 publications

Sex Differences and Attitudes toward Living Donor Kidney Transplantation among Urban Black Patients on Hemodialysis

Sex Differences and Attitudes toward Living Donor Kidney Transplantation among Urban Black Patients on Hemodialysis

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

La transplantation rénale à partir de donneurs vivants

Contact Info

Product

Resources

About