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Living Donation Discussion and News => Living Donation in the News => Topic started by: Clark on May 15, 2022, 08:42:05 AM
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https://onlinelibrary.wiley.com/doi/abs/10.1111/ctr.14621?campaign=woletoc (https://onlinelibrary.wiley.com/doi/abs/10.1111/ctr.14621?campaign=woletoc)
(https://livingdonorsonline.org/ldosmf/blob:https://livingdonorsonline.org/d622cf11-a33d-419a-9a99-52393417c1ec)
ORIGINAL ARTICLE
Donor-reported barriers to living kidney donor follow-up
Babak J. Orandi (https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorRaw=Orandi%2C+Babak+J), Rhiannon D. Reed (https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorRaw=Reed%2C+Rhiannon+D), Haiyan Qu (https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorRaw=Qu%2C+Haiyan), Grace Owens (https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorRaw=Owens%2C+Grace), Sydney Brooks (https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorRaw=Brooks%2C+Sydney), A. Cozette Killian (https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorRaw=Killian%2C+A+Cozette), Vineeta Kumar (https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorRaw=Kumar%2C+Vineeta), Saulat S. Sheikh (https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorRaw=Sheikh%2C+Saulat+S), Robert M. Cannon (https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorRaw=Cannon%2C+Robert+M), Douglas J. Anderson (https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorRaw=Anderson%2C+Douglas+J), Cora E. Lewis (https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorRaw=Lewis%2C+Cora+E), Jayme E. Locke (https://onlinelibrary.wiley.com/action/doSearch?ContribAuthorRaw=Locke%2C+Jayme+E) … See fewer authors
First published: 19 February 2022 https://doi.org/10.1111/ctr.14621 (https://doi.org/10.1111/ctr.14621)
Abstract
Background
Despite regulations mandating follow-up laboratory testing for living kidney donors, less than half of transplant centers are in compliance. We sought to understand barriers to follow-up testing from the donors’ perspective.
Methods
We surveyed our center's living kidney donors. Binary logistic regression was used to assess factors associated with follow-up testing completion.
Results
Of 185 living kidney donors, 110 (59.4%) participated. Among them, 82 (74.5%) completed 6-month laboratory testing, 76 (69.1%) completed 12-month testing, 68 (61.8%) completed both, and 21 (19.0%) completed neither. Six-month testing completion was strongly associated with 12-month testing completion (OR 9.74, 95%CI: 2.23-42.50; p = .002). Those who disagreed with the statements, “Getting labs checked wasn't a priority for me,” (OR for completing 6-month testing: 15.05, 95%CI: 3.70-61.18; p < .001; OR for completing 12-month testing: 5.85, 95%CI: 1.94-17.63; p = .002); and, “I forgot to get labs drawn [until I was reminded]” (OR for completing 6-month testing: 6.93, 95%CI: 1.59-30.08; p = .01; OR for completing 12-month testing: 6.55, 95%CI: 1.98-21.63; p = .002) were more likely to complete testing.
Conclusions
To our knowledge, this is the only study providing perspective on donor insights regarding the need for follow-up testing post donation. Interventions to influence living donor attitudes toward follow-up testing may improve follow-up.