Living-Donor Versus Deceased-Donor Kidney Transplantation: Comparison of Psychosocial Consequences for Recipients

Jolanta Gozdowska , Mateusz Zatorski , Agnieszka Bojanowska , p. Trochalla , Ł. Białek , A. Tomaszek , M. Serwańska-Świątek , R. Kieszek , A. Kwiatkowski , A. Chmura , M. Durlik

Abstract

Abstract Introduction Health benefits of a living-donor kidney transplantation are numerous and well known. There is, however, a dearth of knowledge on postoperative quality of life among the living-donor (LD) compared to deceased-donor (DD) transplant recipients. Materials and Methods The study involved 89 patients after renal transplantation: 48 from LDs and 41 from DDs. Interview data indirectly indicated the patients' health, whereas physiological parameters directly pinpointed the patients' health and the graft function. All study participants completed questionnaires to measure quality of life and the specificity of emotional and cognitive functioning. Results LD kidney recipients were younger than DD recipients (40 years vs. 49 years). LD and DD transplantation patients were similar in health status assessed by indirect methods (data from an interview) and direct methods (laboratory tests results). They, however, differed in their psychosocial functioning. LD patients had a greater sense of happiness (P < .01) and of self-efficacy (P = .07). Moreover, these patients were more actively involved in their social lives (P < .02) and were more satisfied with their social relationships (P = .07). LD recipients also had a higher quality of life in terms of mental functioning (P < .01) and satisfaction with their environments (P < .01). Additionally, there were significant correlations between quality of life and the quality of cognitive and emotional functioning in the group of LD recipients. The perceived impact of health on physical and professional activity and daily routines was similar in LD and DD groups. Conclusions LD post-transplantation patients may derive greater psychosocial benefits from this form of treatment. This effect is not dependent on somatic parameters (comparable data from an interview and laboratory tests results). This study suggests that patients should be assisted by a multidisciplinary healthcare team, and receive continuous support from relatives during the post-transplantation adaptation process. This facilitates the patients' postoperative quality of life.
Author Jolanta Gozdowska
Jolanta Gozdowska,,
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, Mateusz Zatorski (Wydział Zamiejscowy w Poznaniu)
Mateusz Zatorski,,
- Wydział Zamiejscowy w Poznaniu
, Agnieszka Bojanowska (Wydział Zamiejscowy w Poznaniu)
Agnieszka Bojanowska,,
- Wydział Zamiejscowy w Poznaniu
, p. Trochalla
p. Trochalla,,
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, Ł. Białek
Ł. Białek,,
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, A. Tomaszek
A. Tomaszek,,
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, M. Serwańska-Świątek
M. Serwańska-Świątek,,
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, R. Kieszek
R. Kieszek,,
-
, A. Kwiatkowski
A. Kwiatkowski,,
-
, A. Chmura
A. Chmura,,
-
et al.`
Journal seriesTransplantation Proceedings, ISSN 0041-1345, (A 15 pkt)
Issue year2016
Vol48
No5
Pages1498-1505
Publication size in sheets0.5
ASJC Classification2747 Transplantation; 2746 Surgery
DOIDOI:10.1016/j.transproceed.2016.01.075
URL www.sciencedirect.com/science/article/pii/S0041134516003341
Languageen angielski
File
Zatorski M_Living-Donor Versus_all_2016.pdf 690.27 KB
Score (nominal)15
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2016 = 0.514; WoS Impact Factor: 2016 = 0.908 (2) - 2016=1.024 (5)
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