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Impact Assessment in Living Kidney Donation: Psychosocial Aspects
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ABSTRACT
Background. Living donor kidney transplantation has positive influence on graft
survival and recipient quality of life (QoL)We assessed the psychosocial impact of
donation to the donor.
Methods. Before and after the procedure 32 living kidney donors (mean age 41 years)
completed the Zung Self-Rating Anxiety and Depression Scales; Sociodemographic,
Short-Form 36 Health Survey (SF-36)and Donation Perceptions Questionnaire.
Results. Living kidney donors were siblings (62.5%)parents (34.4%)or daughter
(3.1%)Transplantation was not successful in two cases: one recipient death and one graft
failure. No significant changes were observed in donor QoL except for the SF-36 social
functioning subscale that showed significant improvement after donation (.038)
reduction in depression symptom frequency was verified after donation (from 65.6% to
46.9%)There was an almost significant decrease in depression scores (.077)which
was in fact was significant when one considered only successful transplants (.021)There
was no significant variation in anxiety scores among donors. Time since transplantation was
inversely correlated with overall anxiety (.443, .011)and with somatic anxiety subscales
(.357, .045)For most donors, the decision to donate was easy and spontaneous. Nearly
all donors would donate again and strongly encourage others to donate.
Conclusions. Except for the social functioning scale that improved, no significant
changes were observed in QoL of living kidney donors after the procedure. Depression
scores significantly decreased after donation, but anxiety scores remained stable. Donors,
who were mostly siblings, showed positive perceptions about donation, did not regret their
decision, and strongly recommend it to others.
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Transplantation Proceedings