Psychosocial risk factors for impaired health-related quality of life in living kidney donors: results from the ELIPSY prospective study

Living kidney donors’ follow-up is usually focused on the assessment of the surgical and medical outcomes. Whilst the psychosocial follow-up is advocated in literature. It is still not entirely clear which exact psychosocial factors are related to a poor psychosocial outcome of donors. The aim of ou...

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Bibliographic Details
Published in:Scientific reports 2020-12, Vol.10 (1), p.21343-21343, Article 21343
Main Authors: Menjivar, Ana, Torres, Xavier, Manyalich, Marti, Fehrman-Ekholm, Ingela, Papachristou, Christina, de Sousa-Amorim, Erika, Paredes, David, Hiesse, Christian, Yucetin, Levent, Oppenheimer, Federico, Kondi, Entela, Peri, Josep Maria, Kvarnström, Niclas, Ballesté, Chloë, Dias, Leonidio, Frade, Inês C., Lopes, Alice, Diekmann, Fritz, Revuelta, Ignacio
Format: Article
Language:English
Subjects:
631/477
692/308
692/4022
Clinical Medicine
Decision making
Humanities and Social Sciences
Kidneys
Klinisk medicin
Medicin och hälsovetenskap
multidisciplinary
Organ donors
Quality of life
Risk assessment
Risk factors
Science
Science (multidisciplinary)
Socioeconomics
Surgery
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Summary:Living kidney donors’ follow-up is usually focused on the assessment of the surgical and medical outcomes. Whilst the psychosocial follow-up is advocated in literature. It is still not entirely clear which exact psychosocial factors are related to a poor psychosocial outcome of donors. The aim of our study is to prospectively assess the donors’ psychosocial risks factors to impaired health-related quality of life at 1-year post-donation and link their psychosocial profile before donation with their respective outcomes. The influence of the recipient’s medical outcomes on their donor’s psychosocial outcome was also examined. Sixty donors completed a battery of standardized psychometric instruments (quality of life, mental health, coping strategies, personality, socio-economic status), and ad hoc items regarding the donation process (e.g., motivations for donation, decision-making, risk assessment, and donor-recipient relationship). Donors’ 1-year psychosocial follow-up was favorable and comparable with the general population. So far, cluster-analysis identified a subgroup of donors (28%) with a post-donation reduction of their health-related quality of life. This subgroup expressed comparatively to the rest, the need for more pre-donation information regarding surgery risks, and elevated fear of losing the recipient and commitment to stop their suffering.
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-020-78032-8