TY - JOUR
T1 - Living-Related Kidney Donors
T2 - A Multicenter Study of Donor Education, Socioeconomic Adjustment, and Rehabilitation
AU - Smith, Marc D.
AU - Kappell, Dean F.
AU - Province, Michael A.
AU - Hong, Barry A.
AU - Robson, Alan M.
AU - Dutton, Sue
AU - Guzman, Theda
AU - Hoff, Judy
AU - Shelton, Linda
AU - Cameron, Elizabeth
AU - Emerson, Wilma
AU - Glass, Neal R.
AU - Hopkins, Jean
AU - Peterson, Corbin
N1 - Funding Information:
From the Health Administration Program and Departments of Preventive Medicine and Public Health (Division of Biostatistics), Psychiatry, and Pediatrics (Division of Pediatric Nephrology), Washington University School of Medicine, St Louis, Mo; Missouri Kidney Program and the University of Missouri, Columbia, Mo; The Jewish Hospital of St Louis; St. Louis Children's Hospital; University of Missouri Medical Center, Columbia, Mo; Barnes Hospital, St Louis, Mo; John Cochran J-l?terans Administration Medical Center, St Louis, Mo; St Luke's Hospital, Kansas City, Mo; Hospital of the University of Pennsylvania, Philadelphia, Pa; Parkland Memorial Hospital, Dallas, Tex; Department of Surgery, University of Wisconsin School of Medicine, Madison, Wis; l1lnderbilt University Medical Center, Nashville, Tenn; and Duke University Medical Center, Durhan, NC. Supported by a contract from the Missouri Kidney Program and the University of Missouri, Columbia (Dr Smith, Dr Hong, and Mr Province) and a grant from the Council of Nephrology Social Workers of the National Kidney Foundation (Mr Kappel and Dr Smith). Address reprint requests to Marc D. Smith, PhD, Assistant Professor, Health Administration Program, Washington University School of Medicine, 4547 Clayton Ave, St Louis, MO 63110. © 1986 by the National Kidney Foundation, Inc. 0272-6386/86/0804-0002$03.00/0
PY - 1986
Y1 - 1986
N2 - To determine the consequences of living-related kidney donation, a study was conducted of 536 donors whose nephrectomies had been performed at nine geographically dispersed centers during the past 12 years. The data demonstrated that > 84.0% of the donors thought they had been adequately informed regarding all aspects of donation, and < 15.0% reported being pressured in their decision. Only two serious medical complications were directly attributable to the surgery, > 92.0% of the donors believed their health had not been adversely affected by donation, and 96.8% reaffirmed their decision regardless of the graft's success or the financial distress they experienced (P > .05). However, > 14.0% experienced direct pressure, particularly not to donate. Donation also appeared to stress previously troubled marriages, especially among donors without a religious affiliation, who were pressured to donate by their families, or who borrowed from family members (P < .05). Substantial unreimbursed expenses (≥ $1,000) were incurred by 43 donors, and 23.2% of all donors reported that donation caused a financial hardship.
AB - To determine the consequences of living-related kidney donation, a study was conducted of 536 donors whose nephrectomies had been performed at nine geographically dispersed centers during the past 12 years. The data demonstrated that > 84.0% of the donors thought they had been adequately informed regarding all aspects of donation, and < 15.0% reported being pressured in their decision. Only two serious medical complications were directly attributable to the surgery, > 92.0% of the donors believed their health had not been adversely affected by donation, and 96.8% reaffirmed their decision regardless of the graft's success or the financial distress they experienced (P > .05). However, > 14.0% experienced direct pressure, particularly not to donate. Donation also appeared to stress previously troubled marriages, especially among donors without a religious affiliation, who were pressured to donate by their families, or who borrowed from family members (P < .05). Substantial unreimbursed expenses (≥ $1,000) were incurred by 43 donors, and 23.2% of all donors reported that donation caused a financial hardship.
KW - Renal transplantation
KW - health status
KW - living-related donors
KW - rehabilitation
KW - socioeconomic status
UR - http://www.scopus.com/inward/record.url?scp=0023033266&partnerID=8YFLogxK
U2 - 10.1016/S0272-6386(86)80030-0
DO - 10.1016/S0272-6386(86)80030-0
M3 - Article
C2 - 3532770
AN - SCOPUS:0023033266
SN - 0272-6386
VL - 8
SP - 223
EP - 233
JO - American Journal of Kidney Diseases
JF - American Journal of Kidney Diseases
IS - 4
ER -