Quality of Life, Coping, and Mental Health Status After Living Kidney Donation

Wiedebusch, Silvia; Reiermann, Stefanie; Steinke, Camela M.; Muthny, F. A.; Pavenstaedt, Hermann; Schoene-Seifert, Bettina; Senninger, N.; Suwelack, Barbara; Buyx, Alena

doi:10.1016/j.transproceed.2009.02.102

Cited by 48 publications

(50 citation statements)

References 30 publications

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“…The process of donating a kidney is actually considered to be physically safe (Gai et al, 2007) once the donor has passed the evaluation examinations. There are also various benefits to donating that have been reported across the literature, such as improved quality of life and self-esteem (Corley et al, 2000;Jacobs et al, 1998;Wiedebusch et al, 2009). Second, some donors reported avoiding communication with others because they did not have enough information to answer all the questions they knew they would encounter from family and friends.…”

Section: Implications For Practitionersmentioning

confidence: 99%

Living Kidney Donor Decision Making and Communication

Smith

Nazione

LaPlante

et al. 2011

Journal of Health Communication

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There is high demand for kidney donors in the United States, and it is widely accepted that living donation is optimal for individuals who need a kidney. Much research has focused on the potential recipient, but little has been studied about the communication and decision making of living kidney donors. Interviews assessed the communication and decision-making processes of 43 kidney donor volunteers. Almost all of the participants were not asked, but instead volunteered, to donate. The majority of donors reported having conversations with the recipient and speaking about their decisions with other individuals in their social networks besides the recipient. Some participants said that they stopped talking to others because of negative feedback. Future research should further examine the communication of donors with non-recipient others and potential methods of training recipients and donors to communicate effectively about the donation process.

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Section: Implications For Practitionersmentioning

confidence: 99%

Living Kidney Donor Decision Making and Communication

Smith

Nazione

LaPlante

et al. 2011

Journal of Health Communication

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“…12,[14][15][16][17][18][19][20][21][22][23][24][25][26][27] The studies published to date suffer from design limitations and are either retrospective, [14][15][16][17][18][19][20][21][22][23][30][31][32][33][34][35] from a single center, 12,[14][15][16][17][18][24][25][26][28][29][30] or involve fewer than 150 donors. 12,[14][15][16][21][22][23][24][25]…”

Section: Introductionmentioning

confidence: 99%

Recipient Graft Failure or Death Impact on Living Kidney Donor Quality of Life Based on the Living Organ Donor Network Database

Watson

Behnke²,

Fabrizio

et al. 2013

Journal of Endourology

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“…First, the post-donation prevalence of these conditions remains unclear, with wide ranges reported of 6–67% for anxiety, 5–23% for depression, and 0–7% for regretting the donation [9, 12–21]. Beyond unclear prevalence estimates, our understanding is limited by a paucity of studies identifying risk factors for these conditions.…”

Section: Introductionmentioning

confidence: 99%

“…In a cohort of 45 Portuguese donors, 67% had post-donation anxiety; however, risk factors for anxiety were not studied [19]. Wiedebusch et al studied 161 German LKDs and found a 21% prevalence of anxiety and that both anxiety and depression were associated with worse quality of life [21]. A higher risk of depression has been reported in unmarried LKDs, those with a history of pre-donation depression, greater financial burden, recipient graft failure or death, and short-term medical complications or re-hospitalizations [16, 18, 19, 22].…”

Section: Introductionmentioning

confidence: 99%

Anxiety, depression, and regret of donation in living kidney donors

et al. 2018

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BackgroundPrevious studies have reported a wide range of prevalence of post-donation anxiety, depression, and regret in living kidney donors (LKDs). It is also unclear what risk factors are associated with these outcomes.MethodsWe screened 825 LKDs for anxiety and depression using 2-item GAD-2 and PHQ-2 scales and asked about regret.ResultsOverall, 5.5% screened positive for anxiety, 4.2% for depression, and 2.1% reported regretting their donation. While there was moderate correlation between positive anxiety and depression screens (r = 0.52), there was no correlation between regret and positive screens (r < 0.1 for both). A positive anxiety screen was more likely in LKDs with a positive depression screen (adjusted relative risk [aRR] 13.72, 95% confidence interval [CI] 6.78–27.74, p < 0.001). Similarly, a positive depression screen was more likely in LKDs with a positive anxiety screen (aRR 19.50, 95% CI 6.94–54.81, p < 0.001), as well as in those whose recipients experienced graft loss (aRR 5.38, 95% CI 1.29–22.32, p = 0.02). Regret was more likely in LKDs with a positive anxiety screen (aRR 5.68, 95% CI 1.20–26.90, p = 0.03). This was a single center cross-sectional study which may limit generalizability and examination of causal effects. Also, due to the low prevalence of adverse psychosocial outcomes, we may lack power to detect some associations between donor characteristics and anxiety, depression, or regret.ConclusionsAlthough there is a low prevalence of anxiety, depression, and regret of donation among LKDs, these are interrelated conditions and a positive screen for one condition should prompt evaluation for other conditions.

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Quality of Life, Coping, and Mental Health Status After Living Kidney Donation

Cited by 48 publications

References 30 publications

Living Kidney Donor Decision Making and Communication

Living Kidney Donor Decision Making and Communication

Recipient Graft Failure or Death Impact on Living Kidney Donor Quality of Life Based on the Living Organ Donor Network Database

Anxiety, depression, and regret of donation in living kidney donors

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