Mood,body image,fear of kidney failure,life satisfaction,and decisional stability following living kidney donation: Findings from the KDOC study |
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| Authors: | J. R. Rodrigue J. D. Schold P. Morrissey J. Whiting J. Vella L. K. Kayler D. Katz J. Jones B. Kaplan A. Fleishman M. Pavlakis D. A. Mandelbrot the KDOC Study Group |
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| Affiliation: | 1. The Transplant Institute, Beth Israel Deaconess Medical Center, Boston, MA, USA;2. Harvard Medical School, Boston, MA, USA;3. Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA;4. Transplant Center, Rhode Island Hospital, Providence, RI, USA;5. Maine Transplant Center, Maine Medical Center, Portland, ME, USA;6. Montefiore Einstein Center for Transplantation, Bronx, NY, USA;7. Regional Center of Excellence for Transplantation & Kidney Care, Erie County Medical Center, University of Buffalo, Buffalo, NY, USA;8. Organ Transplantation Program, University of Iowa Hospitals and Clinics, Iowa City, IA, USA;9. Department of Medicine, University of Arizona, Tucson, AZ, USA;10. School for the Science of Health Care Delivery, Arizona State University, Phoenix, AZ, USA;11. Department of Medicine, University of Wisconsin, Madison, WI, USA |
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| Abstract: | ![]()
Prior studies demonstrate that most living kidney donors (LKDs) report no adverse psychosocial outcomes; however, changes in psychosocial functioning at the individual donor level have not been routinely captured. We studied psychosocial outcomes predonation and at 1, 6, 12, and 24 months postdonation in 193 LKDs and 20 healthy controls (HCs). There was minimal to no mood disturbance, body image concerns, fear of kidney failure, or life dissatisfaction, indicating no incremental changes in these outcomes over time and no significant differences between LKDs and HCs. The incidence of any new‐onset adverse outcomes postdonation was as follows: mood disturbance (16%), fear of kidney failure (21%), body image concerns (13%), and life dissatisfaction (10%). Multivariable analyses demonstrated that LKDs with more mood disturbance symptoms, higher anxiety about future kidney health, low body image, and low life satisfaction prior to surgery were at highest risk of these same outcomes postdonation. It is important to note that some LKDs showed improvement in psychosocial functioning from pre‐ to postdonation. Findings support the balanced presentation of psychosocial risks to potential donors as well as the development of a donor registry to capture psychosocial outcomes beyond the mandatory 2‐year follow‐up period in the United States. |
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| Keywords: | allied health/nursing clinical research/practice donors and donation donors and donation: donor follow‐up donors and donation : living health services and outcomes research kidney transplantation/nephrology social sciences |
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