Living Kidney Donor Perceptions About Organ Donation: Who are They, and How Do They Feel About the Process?

IF 0.8 4区医学 Q4 IMMUNOLOGY

Transplantation proceedings Pub Date : 2025-09-01 DOI:10.1016/j.transproceed.2025.05.036

Manuela Almeida , Inês Carvalho Frade , Alexandra Sousa , La Salete Martins , Miguel Silva Ramos , Jorge Malheiro , Isabel Fonseca , Alice Lopes

{"title":"Living Kidney Donor Perceptions About Organ Donation: Who are They, and How Do They Feel About the Process?","authors":"Manuela Almeida , Inês Carvalho Frade , Alexandra Sousa , La Salete Martins , Miguel Silva Ramos , Jorge Malheiro , Isabel Fonseca , Alice Lopes","doi":"10.1016/j.transproceed.2025.05.036","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The panorama of living kidney donors (LKDs) in Portugal has changed over the past decade, including kidney-paired exchange programs, undirected donations, and more complex kidney transplants, which could affect the predisposition to donation. We sought to describe the sociodemographic characteristics of a cohort of LKDs at our center and assess their perceptions of the donation process.</div></div><div><h3>Material and Methods</h3><div>LKDs who donated between January 2018 and December 2019 underwent a predonation psychosocial evaluation and a follow-up evaluation in May 2022, which included questionnaires about perceptions regarding donation. We analyzed the results descriptively.</div></div><div><h3>Results</h3><div>Forty-four LKDs were included, aged 47.3 ± 10.3 years. Most were female (68.2%). A total of 52.4% only attended primary school; 52.3% were genetically related to the recipients, and 40.9% were spouses. In 86.4% of the LKDs, the decision to donate was easy; in 13.6%, it was a little difficult, with some doubts. All donors said that the information provided was adequate. Most LDs (79.5%) stated that the relationship with the recipient did not change, and most (88.6%) believed that the recipient’s health state improved significantly. Only one LD would not donate again, and 77.3% would strongly encourage others to do it.</div></div><div><h3>Conclusions</h3><div>The perceptions about donation in our cohort were very positive, and most donors would encourage others to donate. All felt well-informed about the process, and the regret rate was very low. Although these results must be studied in larger cohorts, sharing previous donors' experiences can add value to the dissemination of LKD programs.</div></div>","PeriodicalId":23246,"journal":{"name":"Transplantation proceedings","volume":"57 7","pages":"Pages 1251-1257"},"PeriodicalIF":0.8000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Transplantation proceedings","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0041134525003173","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"IMMUNOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background

The panorama of living kidney donors (LKDs) in Portugal has changed over the past decade, including kidney-paired exchange programs, undirected donations, and more complex kidney transplants, which could affect the predisposition to donation. We sought to describe the sociodemographic characteristics of a cohort of LKDs at our center and assess their perceptions of the donation process.

Material and Methods

LKDs who donated between January 2018 and December 2019 underwent a predonation psychosocial evaluation and a follow-up evaluation in May 2022, which included questionnaires about perceptions regarding donation. We analyzed the results descriptively.

Results

Forty-four LKDs were included, aged 47.3 ± 10.3 years. Most were female (68.2%). A total of 52.4% only attended primary school; 52.3% were genetically related to the recipients, and 40.9% were spouses. In 86.4% of the LKDs, the decision to donate was easy; in 13.6%, it was a little difficult, with some doubts. All donors said that the information provided was adequate. Most LDs (79.5%) stated that the relationship with the recipient did not change, and most (88.6%) believed that the recipient’s health state improved significantly. Only one LD would not donate again, and 77.3% would strongly encourage others to do it.

Conclusions

The perceptions about donation in our cohort were very positive, and most donors would encourage others to donate. All felt well-informed about the process, and the regret rate was very low. Although these results must be studied in larger cohorts, sharing previous donors' experiences can add value to the dissemination of LKD programs.

查看原文本刊更多论文

活体肾脏捐赠者对器官捐赠的看法：他们是谁，他们对这个过程的感受如何？

背景：在过去的十年中，葡萄牙的活体肾脏捐赠者（LKDs）的情况发生了变化，包括肾脏配对交换计划、无定向捐赠和更复杂的肾脏移植，这些都可能影响捐赠倾向。我们试图描述我们中心一组LKDs的社会人口学特征，并评估他们对捐赠过程的看法。材料和方法：2018年1月至2019年12月期间捐赠的lkd在捐赠前进行了心理社会评估，并于2022年5月进行了后续评估，其中包括关于捐赠看法的问卷调查。我们对结果进行了描述性分析。结果：纳入LKDs 44例，年龄47.3±10.3岁。女性居多（68.2%）。52.4%的人只上过小学；52.3%与受赠人有遗传关系，40.9%为配偶。在86.4%的LKDs中，决定捐赠是容易的；在13.6%，这有点困难，有一些疑问。所有捐助国都说，所提供的资料是充分的。大多数ld（79.5%）表示与受助人的关系没有改变，大多数ld（88.6%）认为受助人的健康状况显著改善。只有一名LD不会再捐赠，77.3%的LD会强烈鼓励其他人捐赠。结论：在我们的队列中，对捐赠的看法是非常积极的，大多数捐赠者会鼓励他人捐赠。所有人都对这个过程有充分的了解，而且后悔率非常低。虽然这些结果必须在更大的群体中进行研究，但分享以前捐助者的经验可以为LKD项目的传播增加价值。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Transplantation proceedings 医学-免疫学

CiteScore

1.70

自引率

0.00%

发文量

502

审稿时长

60 days

期刊介绍： Transplantation Proceedings publishes several different categories of manuscripts, all of which undergo extensive peer review by recognized authorities in the field prior to their acceptance for publication. The first type of manuscripts consists of sets of papers providing an in-depth expression of the current state of the art in various rapidly developing components of world transplantation biology and medicine. These manuscripts emanate from congresses of the affiliated transplantation societies, from Symposia sponsored by the Societies, as well as special Conferences and Workshops covering related topics. Transplantation Proceedings also publishes several special sections including publication of Clinical Transplantation Proceedings, being rapid original contributions of preclinical and clinical experiences. These manuscripts undergo review by members of the Editorial Board. Original basic or clinical science articles, clinical trials and case studies can be submitted to the journal?s open access companion title Transplantation Reports.