Psychosocial characteristics of potential and actual living kidney donors.

Autor: Cholin LK; Department of Nephrology, The Ohio State University Wexner Medical Center, 300 W 10Th Ave, Columbus, OH, #1150, USA. liza.cholin@osumc.edu., Ramos EF; Department of Internal Medicine, Cleveland Clinic, Cleveland, USA., Yahr J; Department of Internal Medicine, Cleveland Clinic, Cleveland, USA., Schold JD; Department of Surgery and Transplant, University of CO Anschutz Medical Campus, Aurora, CO,, USA., Poggio ED; Department of Kidney Medicine, Cleveland Clinic, Cleveland, OH, USA.; Department of Transplantation, Cleveland Clinic, Cleveland, OH, USA., Delvalle CL; Department of Transplantation, Cleveland Clinic, Cleveland, OH, USA., Huml AM; Department of Kidney Medicine, Cleveland Clinic, Cleveland, OH, USA.; Department of Transplantation, Cleveland Clinic, Cleveland, OH, USA.
Jazyk: angličtina
Zdroj: BMC nephrology [BMC Nephrol] 2024 Jan 24; Vol. 25 (1), pp. 31. Date of Electronic Publication: 2024 Jan 24.
DOI: 10.1186/s12882-023-03375-z
Abstrakt: The psychosocial assessment is an essential component of the living kidney donor (LKD) evaluation. However, it remains uncertain how specific psychosocial factors impact LKD eligibility. We performed a retrospective chart review of LKD candidates who initiated the evaluation process and who had completed a required, in-person licensed social work (LSW) visit. LSW notes were reviewed for frequency of psychosocial factors that may impact the success of LKD candidate approval by the selection committee. 325 LKD candidates were included in the study: 104 not-approved and 221 approved. Not-approved LKD candidates were more likely to receive a negative family reaction to wanting to donate than approved LKD candidates (8.7% vs 1.4%, p < 0.01). On multivariate analysis, Black race, history of psychiatric illness, highest level of education being high school, and high psychosocial risk score assignment were all associated with a lower odds ratio of being approved. The majority of not-approved LKD candidates were disqualified for medical reasons (N = 76, 73.1%). In conclusion, psychosocial factors impact donation even after LKD candidates make it to an in-person evaluation.
(© 2024. The Author(s).)
Databáze: MEDLINE
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