Intention of donors to re-donate livers after living donor liver transplantation in a liver transplant center in Asia
Journal
Annals of Transplantation
Journal Volume
19
Journal Issue
1
Pages
421-426
Date Issued
2014
Author(s)
Abstract
Background: The aim of this study was to examine donor complications, satisfaction with the liver donation process, and factors associated with re-donation. Material/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. ? Ann Transplant, 2014.
Subjects
Liver transplantation; Patient satisfaction; Tissue and organ procurement
SDGs
Other Subjects
abdominal abscess; adult; article; Asia; biloma; cholestasis; cross-sectional study; donor selection; female; fever; graft recipient; human; incisional hernia; length of stay; liver resection; liver transplantation; living donor liver transplantation; major clinical study; male; Model For End Stage Liver Disease Score; patient satisfaction; pleura effusion; postoperative complication; questionnaire; stomach ulcer; surgical infection; treatment outcome; wound infection; adverse effects; behavior; directed tissue donation; liver transplantation; living donor; patient safety; patient satisfaction; psychology; reoperation; Taiwan; transplantation; young adult; Adult; Cross-Sectional Studies; Directed Tissue Donation; Female; Hepatectomy; Humans; Intention; Liver Transplantation; Living Donors; Male; Patient Safety; Patient Satisfaction; Reoperation; Taiwan; Tissue and Organ Procurement; Young Adult
Type
journal article