A qualitative systematic review of anonymous/unspecified living kidney and liver donors' perspectives.

Autor: Lim WH; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Chan KE; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Ng CH; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Tan DJH; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Tay PWL; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Chin YH; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Yong JN; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Xiao J; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Fu CE; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Nah B; Division of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore., Tiong HY; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.; National University Centre for Organ Transplantation, National University Health System, Singapore, Singapore.; Department of Urology, University Surgical Cluster, National University Hospital, Singapore, Singapore., Syn N; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Devi K; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore., Griva K; Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore., Mak LLY; Division of Gastroenterology and Hepatology, Department of Medicine, The University of Hong Kong, Pok Fu Lam, Hong Kong., Huang DQ; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.; Division of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore.; National University Centre for Organ Transplantation, National University Health System, Singapore, Singapore., Fung J; Division of Liver Transplantation, Department of Surgery at Queen Mary Hospital, Pok Fu Lam, Hong Kong., Siddiqui MS; Division of Gastroenterology, Hepatology and Nutrition, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia, United States of America., Muthiah M; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.; Division of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore.; National University Centre for Organ Transplantation, National University Health System, Singapore, Singapore., Tan EXX; Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.; Division of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore, Singapore.; National University Centre for Organ Transplantation, National University Health System, Singapore, Singapore.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2022 Dec 30; Vol. 17 (12), pp. e0277792. Date of Electronic Publication: 2022 Dec 30 (Print Publication: 2022).
DOI: 10.1371/journal.pone.0277792
Abstrakt: Objectives & Background: Anonymous live organ donors or unspecified donors are individuals willing to be organ donors for any transplant recipient with whom they have no biological or antecedent emotional relationship. Despite excellent recipient outcomes and the potential to help address organ scarcity, controversy surrounds the unconditional act of gifting one's organs to an unrelated recipient. This qualitative systematic review provides insights into the first-hand experiences, motivations, and challenges that unspecified donors face.
Methods: A systematic search was conducted on Medline, Embase, CINAHL, PsycINFO, and Web of Science database for qualitative literature regarding unspecified living donors' motivations and experiences in liver and kidney transplantation. An inductive thematic analysis was conducted to generate themes and supportive subthemes.
Results: 12 studies were included. The four major themes were (i) motivations, (ii) perception of risks, (iii) donor support, and (iv) benefits of donation. Unspecified donors demonstrated a deep sense of social responsibility but tended to underestimate health risks in favour of benefits for recipients. Despite the lack of emotional support from family and friends, the decision to donate was a resolute personal decision for donors. Majority benefitted emotionally and did not express regret.
Conclusion: This qualitative review bridges the gap in literature on unspecified living donor psychology and provides a comprehensive understanding of the decision-making matrix and experiences of donors.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2022 Lim et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
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