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Mood, body image, fear of kidney failure, life satisfaction, and decisional...

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https://www.ncbi.nlm.nih.gov/pubmed/?term=10.1111%2Fajt.14618

Am J Transplant. 2018 Jun;18(6):1397-1407. doi: 10.1111/ajt.14618. Epub 2018 Jan 9.
Mood, body image, fear of kidney failure, life satisfaction, and decisional stability following living kidney donation: Findings from the KDOC study.
Rodrigue JR1,2, Schold JD3, Morrissey P4, Whiting J5, Vella J5, Kayler LK6,7, Katz D8, Jones J8, Kaplan B9,10, Fleishman A1, Pavlakis M1,2, Mandelbrot DA11; KDOC Study Group.

Abstract
Prior studies demonstrate that most living kidney donors (LKDs) report no adverse psychosocial outcomes; however, changes in psychosocial functioning at the individual donor level have not been routinely captured. We studied psychosocial outcomes predonation and at 1, 6, 12, and 24 months postdonation in 193 LKDs and 20 healthy controls (HCs). There was minimal to no mood disturbance, body image concerns, fear of kidney failure, or life dissatisfaction, indicating no incremental changes in these outcomes over time and no significant differences between LKDs and HCs. The incidence of any new-onset adverse outcomes postdonation was as follows: mood disturbance (16%), fear of kidney failure (21%), body image concerns (13%), and life dissatisfaction (10%). Multivariable analyses demonstrated that LKDs with more mood disturbance symptoms, higher anxiety about future kidney health, low body image, and low life satisfaction prior to surgery were at highest risk of these same outcomes postdonation. It is important to note that some LKDs showed improvement in psychosocial functioning from pre- to postdonation. Findings support the balanced presentation of psychosocial risks to potential donors as well as the development of a donor registry to capture psychosocial outcomes beyond the mandatory 2-year follow-up period in the United States.
KEYWORDS:
allied health/nursing; clinical research/practice; donors and donation; donors and donation : living; donors and donation: donor follow-up; health services and outcomes research; kidney transplantation/nephrology; social sciences
PMID: 29206349 PMCID: PMC5988866 [Available on 2019-06-01] DOI: 10.1111/ajt.14618

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