Multicenter investigation of the reliability and validity of the live donor assessment tool as an enhancement to the psychosocial evaluation of living donors
| Autor: | Akhil Shenoy, Dianne LaPointe Rudow, Yoon won Amy Kook, Janna S. Gordon-Elliott, Farrah Desrosiers, Julia Hunt, Sandra Weinberg, Joyce A. Trompeta, Weijia Fan, Sheila G. Jowsey-Gregoire, Margo Vandrovec |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Live donor 030230 surgery 03 medical and health sciences Patient safety 0302 clinical medicine Living Donors medicine Humans Immunology and Allergy Pharmacology (medical) 030212 general & internal medicine Reliability (statistics) Observer Variation Transplantation Risk level business.industry Reproducibility of Results Middle Aged Kidney Transplantation Liver Transplantation Inter-rater reliability Multicenter study Donation Physical therapy Female business Psychosocial |
| Zdroj: | American Journal of Transplantation. 19:1119-1128 |
| ISSN: | 1600-6135 |
| Popis: | The live donor assessment tool (LDAT) is the first psychosocial assessment tool developed to standardize live donor psychosocial evaluations. A multicenter study was conducted to explore reliability and validity of the LDAT and determine its ability to enhance the psychosocial evaluation beyond its center of origin. Four transplant programs participated, each with their own team of evaluators and unique demographics. Liver and kidney living donors (LDs) undergoing both standard psychosocial evaluation and LDAT from June 2015 to September 2016 were studied. LDAT interrater reliability, associations between LDAT scores and psychosocial evaluation outcome, and psychosocial outcomes postdonation were tested. 386 LD evaluations were compared and had a mean LDAT score of 67.34 ± 7.57. In 140 LDs with two LDATs by different observers, the interrater scores correlated (r = 0.63). LDAT scores at each center and overall stratified to the conventional grouping of psychosocial risk level. LDAT scores of 131 subjects who proceeded with donation were expectedly lower in LDs requiring postdonation counseling (t = -2.78, P = .01). The LDAT had good reliability between raters and predicted outcome of the psychosocial evaluation across centers. It can be used to standardize language among clinicians to communicate psychosocial risk of LD candidates and assist teams when anticipating postdonation psychosocial needs. |
| Databáze: | OpenAIRE |
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