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Current Transplantation Reports

, Volume 6, Issue 2, pp 177–183 | Cite as

Outcomes of Interest to Living Kidney Donors

  • Camilla S. HansonEmail author
  • Allison Tong
Live Kidney Donation (K Lentine and R Schaffer, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Live Kidney Donation

Abstract

Purpose of this Review

The decision to donate a kidney requires potential donors to accept a range of possible risks and benefits of donation. Decision-making and informed consent should include explicit consideration of outcomes that are relevant and important to donors. Research and practice may not address some outcomes that are of importance to donors. We describe living kidney donor priorities and perspectives on outcomes and discuss implications for including their priorities in research, practice, and policy.

Recent Findings

The outcomes important to donors, from their perspective, include kidney function, time to recovery (defined as time taken to return to usual activities and physical and psychological functioning), surgical complications, impact on the family, quality of the donor-recipient relationship, life satisfaction, lifestyle restrictions, kidney failure, mortality, and pain or discomfort. In comparison, frequently reported outcomes in trials and observational studies of living kidney donors tend to be short-term process, surgical, and clinical outcomes. Clinical follow-up of living kidney donors typically focuses on hospital readmission, kidney failure, hypertension, diabetes, mortality, and kidney function.

Summary

Efforts to align research, practice, and policy with living donor priorities for outcomes may strengthen approaches to informed decision-making and consent, increase donor satisfaction, and inform strategies and interventions to improve outcomes for donors.

Keywords

Outcomes Living kidney donor Donation Transplant Risks Patient-centered care 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Sydney School of Public HealthUniversity of SydneySydneyAustralia
  2. 2.Centre for Kidney ResearchThe Children’s Hospital at WestmeadSydneyAustralia

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