Decision making around living and deceased donor kidney transplantation: a qualitative study exploring the importance of expected relationship changes

Autor: de Groot Ingrid B, Schipper Karen, van Dijk Sandra, van der Boog Paul J M, Stiggelbout Anne M, Baranski Andrzej G, de Mheen Perla J
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Zdroj: BMC Nephrology, Vol 13, Iss 1, p 103 (2012)
Druh dokumentu: article
ISSN: 1471-2369
DOI: 10.1186/1471-2369-13-103
Popis: Abstract Background Limited data exist on the impact of living kidney donation on the donor-recipient relationship. Purpose of this study was to explore motivations to donate or accept a (living donor) kidney, whether expected relationship changes influence decision making and whether relationship changes are actually experienced. Methods We conducted 6 focus groups in 47 of 114 invited individuals (41%), asking retrospectively about motivations and decision making around transplantation. We used qualitative and quantitative methods to analyze the focus group transcripts. Results Most deceased donor kidney recipients had a potential living donor available which they refused or did not want. They mostly waited for a deceased donor because of concern for the donor’s health (75%). They more often expected negative relationship changes than living donor kidney recipients (75% vs. 27%, p = 0.01) who also expected positive changes. Living donor kidney recipients mostly accepted the kidney to improve their own quality of life (47%). Donors mostly donated a kidney because transplantation would make the recipient less dependent (25%). After transplantation both positive and negative relationship changes are experienced. Conclusion Expected relationship changes and concerns about the donor’s health lead some kidney patients to wait for a deceased donor, despite having a potential living donor available. Further research is needed to assess whether this concerns a selected group.
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