title: Intention of donors to re-donate livers after living donor liver transplantation in a liver transplant center in Asia.
abstract: BACKGROUND
  The aim of this study was to examine donor complications, satisfaction with the liver donation process, and factors associated with re-donation.
  
  
  METHODS
  To address these issues, we conducted a cross-sectional study to assess donor complications and used questionnaires (including the Likert scale for donation satisfaction and simple yes/no responses for willingness to re-donate) in 110 adults who underwent living donor liver transplantation (LDLT) at Tri-Service General Hospital. The following clinical characteristics were determined: donation volume; first-degree relative; education; duration of hospital stay; occupation (donor-associated); MELD score; Child classification; complications; outcome (recipient-associated); and graft/recipient weight ratio (donor-recipient-associated). Descriptive statistics and mean values were compared using t-tests and p values <0.05 were considered significant.
  
  
  RESULTS
  Twelve donors among 110 participants experienced complications above Clavien grade II. No surgical mortalities were observed. There were no differences in age, gender, left/right liver graft, donation volume, length of hospital stay, or satisfaction in donor complications. Ninety-four donors had satisfaction (score=4 and 5) about the donation process and no dissatisfaction was reported (score=1). Based on multivariate analysis, the intention to re-donate among liver donors was related to first-degree relatives, donor satisfaction, and recipient complications (P<0.05).
  
  
  CONCLUSIONS
  Factors associated with a willingness to re-donate included first-degree relatives of the recipient, donor satisfaction with the donation process, and recipient complications. This study not only showed the safety of liver donation, but also had a positive effect on the intention to re-donate to enhance motivation for liver donation and increase the recruitment of living liver donors.
authors.affiliation: Division of General Surgery, Division of Organ Transplants, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Yuan-Min
authors.initials: YM
authors.lastname: Chang
authors.affiliation: Graduate Institute Health Care Organization Administration, National Taiwan University, Taipei, Taiwan.
authors.forename: Kuo-Piao
authors.initials: KP
authors.lastname: Chung
authors.affiliation: Division of General Surgery, Division of Organ Transplants, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Teng-Wei
authors.initials: TW
authors.lastname: Chen
authors.affiliation: Division of General Surgery, Division of Organ Transplants, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Chung-Bao
authors.initials: CB
authors.lastname: Hsieh
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D033001:Directed Tissue Donation; D005260:Female; D006498:Hepatectomy / Q000009:adverse effects; D006801:Humans; D033182:Intention; D016031:Liver Transplantation / Q000009:adverse effects / Q000523:psychology*; D019520:Living Donors / Q000523:psychology*; D008297:Male; D061214:Patient Safety; D017060:Patient Satisfaction; D012086:Reoperation / Q000523:psychology; D013624:Taiwan; D009927:Tissue and Organ Procurement; D055815:Young Adult