Living-related liver transplantation from the view of the donor:: A 1-year follow-up survey

被引:73
作者
Karliova, M
Malagó, M
Valentin-Gamazo, C
Reimer, J
Treichel, U
Franke, GH
Nadalin, S
Frilling, A
Gerken, G
Broelsch, CE
机构
[1] Univ Hosp Essen, Dept Gen Surg & Transplantat, D-45122 Essen, Germany
[2] Univ Hosp Essen, Dept Gastroenterol & Hepatol, D-45122 Essen, Germany
[3] Univ Hosp Essen, Dept Psychol Med, D-45122 Essen, Germany
关键词
D O I
10.1097/00007890-200206150-00017
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Background In the past, follow-up surveys for living-related liver transplantation (LRLT) mainly focused on the medical outcome of recipients and donors. In this survey the prevalence of personal, familial, or economic problems of the donors and changes of quality of life after donation were studied. Methods. Questionnaires were sent to 24 donors after right hepatectomy for LRLT (response 92%). The modified EUROTOLD (European Multicenter Study of Transplantation Using Living Donors) questionnaire was used to inquire about the decision-making process, family problems, and economic problems related to the donation. Global quality of life was measured with the SF-36 Health Survey. Results. For most donors the decision to donate was easy or not very difficult (21/22) and was made spontaneously (17/22). The amount of information about the risks of LRLT was limited at the time of decision but increased remarkably immediately before the operation. In 28%, family conflicts occurred (5/22). Retrospectively, all but two donors (91%) would donate again. On average, donors started working after 9 (+/-3.7) weeks and felt fully recovered after 13 (+/-7.3) weeks. Adverse financial affects were experienced by 41% of the donors (9/22) because of the donation, and four of those received a compensation. Importantly, quality of life did not differ between donors and nondonors. Conclusion. Donors viewed LRLT positively. Quality of life after donation did not change. However, donors had a prolonged period of physical rehabilitation, and 41% experienced financial disadvantages.
引用
收藏
页码:1799 / 1804
页数:6
相关论文
共 25 条
[1]  
[Anonymous], 1998, SF 36 FRAGEBOGEN GES
[2]   The Italian SF-36 Health Survey: Translation, validation and norming [J].
Apolone, G ;
Mosconi, P .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1998, 51 (11) :1025-1036
[3]   GERMAN TRANSLATION AND PSYCHOMETRIC TESTING OF THE SF-36 HEALTH SURVEY - PRELIMINARY-RESULTS FROM THE IQOLA PROJECT [J].
BULLINGER, M .
SOCIAL SCIENCE & MEDICINE, 1995, 41 (10) :1359-1366
[4]   Complications in 100 living-liver donors [J].
Grewal, HP ;
Thistlethwaite, JR ;
Loss, GE ;
Fisher, JS ;
Cronin, DC ;
Siegel, CT ;
Newell, KA ;
Bruce, DS ;
Woodle, ES ;
Brady, L ;
Kelly, S ;
Boone, P ;
Oswald, K ;
Millis, JM .
ANNALS OF SURGERY, 1998, 228 (02) :214-219
[5]  
HIRVAS J, 1976, ACTA MED SCAND, V200, P17
[6]  
Janis I., 1979, Decision Making. A Psychological Analysis of Conflict, Choice, and Commitment
[7]  
JOHNSON EM, 1997, CLIN TRANSPL, V22, P231
[8]  
KAMSTRAHENNEN L, 1981, TRANSPLANT P, V13, P60
[9]   THE LIVING, RELATED KIDNEY DONOR - A FOLLOW-UP-STUDY [J].
LIOUNIS, B ;
ROY, LP ;
THOMPSON, JF ;
MAY, J ;
SHEIL, AGR .
MEDICAL JOURNAL OF AUSTRALIA, 1988, 148 (09) :436-&
[10]   Present and future challenges in living related liver transplantation [J].
Malagó, M ;
Burdelski, M ;
Broelsch, CE .
TRANSPLANTATION PROCEEDINGS, 1999, 31 (04) :1777-1781