title: Psychosocial impact of living-related kidney transplantation on donors and partners.
abstract: Living-related kidney transplantation (LRKT) is an option for children with end-stage renal failure. In addition to medical concerns, there is uncertainty about the psychological impact of living-related donation on parent donors and families. A survey was conducted on the decision making process and medical and psychosocial consequences of LRKT. Between 1992 and 1999, 20 parents donated a kidney for their child. A questionnaire including 24 items was sent to parent donors and their partners. Nineteen parents and partners responded; the median time after LRKT was 3 years. Donors and partners reported an independent decision making process with no significant influence of partners, relatives, or hospital staff. Partners were more concerned about medical problems than donors themselves (P <0.02). Donors and partners cited no medical problems except sustained pain. Both reported an improved personal relationship towards the transplanted child. Donors and partners also cited an improved personal relationship. The vast majority (18/19) of couples still supported the decision for organ donation. In conclusion, there was a high degree of satisfaction with the decision making process in LRKT. The great majority of donors and partners did not report negative medical or psychological consequences. The relationship between donor, partner, and recipient child improved after LRKT.
authors.affiliation: Department of Pediatric Nephrology, University Children's Hospital, Steinwiesstrasse 75, 8032 Zurich, Switzerland. thomas.neuhaus@kispi.unizh.ch
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Neuhaus
authors.forename: Matthias
authors.initials: M
authors.lastname: Wartmann
authors.forename: Markus
authors.initials: M
authors.lastname: Weber
authors.forename: Markus A
authors.initials: MA
authors.lastname: Landolt
authors.forename: Guido F
authors.initials: GF
authors.lastname: Laube
authors.forename: Markus J
authors.initials: MJ
authors.lastname: Kemper
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003657:Decision Making; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000523:psychology*; D019520:Living Donors / Q000523:psychology*; D008297:Male; D008875:Middle Aged; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology; D017060:Patient Satisfaction; D011584:Psychology