Differences Between Centers in Psychosocial Evaluations for Living Kidney Donors Do Not Influence Outcome: Results From an Observational Multicenter Study
| Autor: | Gundula Ludwig, PhD, Irene Geiger, MSc, MS, Lutz Götzmann, MD, Katja-Daniela Jordan, MD, Susanne Döbbel, MSc, MS, Richard Klaghofer, PhD, Michelle Salathé, MLaw, Urs Stillhard, MD, Gunther Meinlschmidt, PhD, Alexander Kiss, MD, Jean-Pierre Venetz, MD, Jürg Steiger, MD, Patricia Hirt-Minkowski, MD |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Transplantation Direct, Vol 8, Iss 12, p e1400 (2022) |
| Druh dokumentu: | article |
| ISSN: | 2373-8731 00000000 78225744 |
| DOI: | 10.1097/TXD.0000000000001400 |
| Popis: | Background. Rather little is known about how psychosocial evaluations for living kidney donation (LKD) are performed. We aimed to explore whether Swiss transplant centers (STCs) vary regarding the rate of living kidney donors refused for psychosocial reasons, the psychosocial evaluation process, and the characteristics of the donors. Methods. We investigated 310 consecutive candidates for LKD in 4 of 6 existing STC during mandatory psychosocial evaluations. We registered (i) sociodemographic data, (ii) the type of the decision-making process regarding LKD (ie, snap decision, postponed, deliberate, other), (iii) the evaluator’s perception of the donor’s emotional bonding and his/her conflicts with the recipient, (iv) the donor’s prognosis from a psychosocial perspective, (v) time taken for the psychosocial evaluation, and (vi) its result (eligible, eligible with additional requirements, not eligible). Results. Centers had comparable proportions of noneligible donors (2.9%–6.0%) but differed significantly in the percentage of donors accepted with additional requirements (3.4%–66%, P |
| Databáze: | Directory of Open Access Journals |
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