title: The Cost of Organ Donation: Potential Living Kidney Donors' Perspectives.
abstract: Living kidney transplantation is a treatment option for some people with end-stage kidney disease. The procedure has low complication rates and positive outcomes; despite this evidence, the number of living kidney donations has decreased in recent years, and the causes are not well understood. This qualitative study sought to explore the experiences of potential living kidney donors before the transplantation. A total of 19 semistructured interviews were conducted with potential living kidney donors in Perth, Western Australia. Results reported here relate to participants' experience of the employment and financial implications of living kidney donation. Participants incurred direct and indirect costs during the time leading up to the transplantation, and many had concerns about the potential financial impact during the recovery period. Employment status, occupation type, and financial commitments affected participants' experiences, and financial concerns were exacerbated for those who were donating to their partners. Results suggest that potential living kidney donors would benefit from tailored financial planning advice to help them prepare for the time of the surgery and the recovery period.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Cuesta-Briand
authors.forename: Natalie
authors.initials: N
authors.lastname: Wray
authors.forename: Neil
authors.initials: N
authors.lastname: Boudville
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D004651:Employment; D005260:Female; D005102:Health Expenditures; D006801:Humans; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000191:economics* / Q000523:psychology; D019520:Living Donors / Q000523:psychology / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D009042:Motivation; D036301:Qualitative Research; D012959:Socioeconomic Factors; D009927:Tissue and Organ Procurement; D014904:Western Australia