Psychosocial evaluation of live donors

Current Opinion in Organ Transplantation

Volumn 11, Issue 3, 2006, Pages 234-240

  Rodrigue, James R ^a   Guenther, Robert T ^b  

^a BETH ISRAEL DEACONESS MEDICAL CENTER   (United States)

^b UNIVERSITY OF FLORIDA   (United States)

Author keywords

Evaluation; Live liver donation; Psychosocial; Quality of life

Indexed keywords

FOLLOW UP; HUMAN; INFORMED CONSENT; LIVING DONOR; MEDICAL DECISION MAKING; PATIENT DECISION MAKING; PERSUASIVE COMMUNICATION; PSYCHOLOGIC ASSESSMENT; PSYCHOSOCIAL CARE; QUALITY OF LIFE; REVIEW;

EID: 33744491792     PISSN: 10872418     EISSN: 15317013     Source Type: Journal    
DOI: 10.1097/01.mot.0000227838.83710.ac     Document Type: Review

References (34)

1. Olthoff KM, Merion RM, Ghobrial RM, et al. Outcomes of 385 adult-to-adult living donor liver transplant recipients: a report from the A2ALL Consortium. Ann Surg 2005; 242:314-323.
2. Middleton PF, Duffield M, Lynch SV, et al. Living donor liver transplantation - adult donor outcomes: a systematic review. Liver Transplant 2006; 12:24-30. A systematic review of 214 studies reporting donor outcomes through January 2004. Median donor morbidity rate was 16%, with biliary complications and infections the most commonly reported. Postdonation QOL was found not to be significantly impaired. Rates of postdonation depression ranged from 0.2 to 15%.
3. Caplan AL. Proceed with caution: live living donation of lobes of liver for transplantation. Liver Transpl 2001; 7:494-495.
4. de Villa VH, Lo CM, Chen CL. Ethics and rationale of living-donor liver transplantation in Asia. Transplantation 2003; 75:S2-S5.
5. Shapiro RS, Adams M. Ethical issues surrounding adult-to-adult living donor liver transplantation. Liver Transpl 2000; 6:S77-S80.
6. Northup PG, Berg CL. Living donor liver transplantation: the historical and cultural basis of policy decisions and ongoing ethical questions. Health Policy 2005; 72:175-185.
7. Humar A. Donor and recipient outcomes after adult living donor liver transplantation. Liver Transpl 2003; 9:S42-S44.
8. Pomfret EA, Pomposelli JJ, Lewis WD, et al. Live donor adult liver transplantation using right lobe grafts: donor evaluation and surgical outcome. Arch Surg 2001; 136:425-433.
9. Trotter JF, Wachs M, Trouillot T, et al. Evaluation of 100 patients for living donor liver transplantation. Liver Transpl 2000; 6:290-295.
10. State of New York Department of Health. http://www.health.state.ny.us/ nysdoh/liver_donation. [Accessed 3 December 2005] The final report of the New York State Committee on Quality Improvement in Living Liver Donation, which includes guidelines and protocols concerning donor and recipient selection, informed consent, preoperative evaluation, and intraoperative and postoperative care of living liver donors.
11. United Network for Organ Sharing. http://www.unos.org. [Accessed 15 January 2006]
12. Valentin-Gamazo C, Malago M, Karliova M, et al. Experience after the evaluation of 700 potential donors for living donor liver transplantation in a single center. Liver Transpl 2004; 10:1087-1096.
13. Verna EC, Hunt KH, Renz JF, et al. Predictors of candidate maturation among potential living donors. Am J Transplant 2005; 5:2549-2554. An interesting multivariate analysis of factors that best predict which candidates will proceed to donation.
14. Marcos A. Right lobe living donor liver transplantation: a review. Liver Transpl 2000; 6:3-20.
15. Pascher A, Sauer IM, Walter M, et al. Donor evaluation, donor risks, donor outcome, and donor quality of life in adult-to-adult living donor liver transplantation. Liver Transpl 2002; 8:829-837.
16. Pomfret EA, Pomposelli JJ, Gordon FD, et al. Liver regeneration and surgical outcome in donors of right-lobe liver grafts. Transplantation 2003; 76:5-10.
17. Erim Y, Malago M, Valentin-Gamazo C, et al. Guidelines for the psychosomatic evaluation of living liver donors: analysis of donor exclusion. Transplant Proc 2003; 35:909-910.
18. Papachristou C, Walter M, Dietrich K, et al. Motivation for living-donor liver transplantation from the donor's perspective: an in-depth qualitative research study. Transplantation 2004; 78:1506-1514.
19. Lee SH, Jeong JS, Ha HS, et al. Decision-related factors and attitudes toward donation in living related liver transplantation: ten-year experience. Transplant Proc 2005; 37:1081-1084.
20. Rudow DL, Chariton M, Sanchez C, et al. Kidney and liver living donors: a comparison of experiences. Prog Transplant 2005; 15:185-191. An interesting retrospective study of the motivations, perceived risks, and experiences of 40 live liver donors, with a comparison made to 32 live kidney donors.
21. Jendrisak MD, Hong B, Shenoy S, et al. Altruistic living donors: evaluation for nondirected kidney or liver donation. Am J Transplant 2006; 6:115-120.
22. Rodrigue JR, Widows MR, Guenther R, et al. The expectancies of living kidney donors: do they differ as a function of relational status and gender? Nephrol Dial Transplant 2006 (in press).
23. Erim Y, Senf W, Heitfeld M. Psychosocial impact of living donation. Transplant Proc 2003; 35:911-912.
24. Walter M, Bronner E, Pascher A, et al. Psychosocial outcome of living donors after living donor liver transplantation: a pilot study. Clin Transplant 2002; 16:339-344.
25. Walter M, Papachristou C, Fliege H, et al. Psychosocial stress of living donors after living donor liver transplantation. Transplant Proc 2002; 34:3291-3292.
26. Verbesey JE, Simpson MA, Pomposelli JJ, et al. Living donor adult liver transplantation: a longitudinal study of the donor's quality of life. Am J Transplant 2005; 5:2770-2777. An excellent prospective study of donors' QOL, employment status, relationship changes, physical symptoms, and pain in 47 live donors. Assessments were made prior to donation and then again at 1, 4, 12, 24, and 52 weeks postdonation.
27. Coelho JC, Parolin MB, Baretta GA, et al. Donor quality of life after living donor liver transplantation. Arq Gastroenterol 2005; 42:83-88.
28. Miyagi S, Kawagishi N, Fujimori K, et al. Risks of donation and quality of donors' life after living donor liver transplantation. Transpl Int 2005; 18:47-51. This study compared the QOL of four donor groups: lateral segment group, left lobe group, left lobe with the middle hepatic vein group (n = 11), and right lobe group.
29. Shah SA, Grant DR, Greig PD, et al. Analysis and outcomes of right lobe hepatectomy in 101 consecutive living donors. Am J Transplant 2005; 5:2764-2769.
30. Humar A, Carolan E, Ibrahim H, et al. A comparison of surgical outcomes and quality of life surveys in right lobe vs. left lateral segment liver donors. Am J Transplant 2005; 5:805-809. A study of the QOL of two groups of donors - right lobe and left lateral segment donors, with findings showing no significant differences 6 months after surgery.
31. Walter M, Dammann G, Kuchenhoff J, et al. Psychosocial situation of living donors: moods, complaints, and self-image before and after liver transplantation. Med Sci Monit 2005; 11:CR503-CR509.
32. Abecassis M, Adams M, Adams P, et al. Consensus statement on the live organ donor. JAMA 2000; 284:2919-2926.
33. UNOS. http://www.unos.org/ContentDocuments/Living_Liver_Donor_ Evaluation_Guidelines2(1).pdf. [Accessed 3 January 2006]
34. Olbrisch ME, Benedict SM, Haller DL, Levenson JL. Psychosocial assessment of living organ donors: clinical and ethical considerations. Prog Transplant 2001; 11:40-49.