12th Congress of the Polish Transplantation SocietyRenal transplantationLiving-Donor Versus Deceased-Donor Kidney Transplantation: Comparison of Psychosocial Consequences for Recipients
Section snippets
Purpose
The benefits of kidney transplantation for the patients' QOL are well-known [14], [20]. However, only few studies compare transplantation outcomes for patients receiving a kidney from a living donor (LD) or a deceased donor (DD). In this study we aim to investigate differences between these two groups of patients in terms of their somatic, psychological, and social functioning. Consequently, we will be able to describe the psychosocial characteristics of the LD transplant recipients.
Material and Methods
The study was conducted between February 2015 and June 2015 among randomly selected renal transplantation patients who were under the care of the Department of Transplantation Medicine and Nephrology. We collected data on basic demographics, medical data indicating health status (laboratory tests results), and patients' self-reports about QOL and psychological functioning (questionnaires).
Medical Data Among LD and DD Kidney Recipients
The most common cause of kidney disease in both groups was glomerulonephritis and autosomal dominant polycystic kidney disease, diagnosed at a similar stage. Waiting time for kidney transplantation (KT) was shorter in the LD group (P < .05); in this group it was more often the first transplantation (P < .01). During the pre-dialysis period, KT was performed in 23% of recipients from the LD group in relation to 4.8% of recipients from the DD group. Post-transplantation complications and total
Discussion
The present study yielded interesting results. There were no significant differences in laboratory parameters between a group of recipients from LDs and from DDs. Determination of health benefits from receiving a transplant from a LD over a DD are usually performed in large samples and long after the transplantation. The lack of this difference in our study can probably be traced back to a small sample size and varied time since transplantation or by the high quality of medical care and good
Conclusions
The quality of patient's life after transplantation is strongly connected to the somatic condition, yet not fully dependent on it. Self-efficacy and social support are important aspects as well. Positive psychological effects of transplantation depend on the form of donation. Patients receiving a kidney from a living person declare a greater sense of happiness. Patients after kidney transplantation may achieve a high QOL if they receive systemic support. This systemic support should include:
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