| Ambivalence in living liver donors. | |
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MedLine Citation:
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PMID: 21604356 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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All right hepatic lobe (RHL) donors in our program are asked to participate in a longitudinal quality-of-life study that begins at their evaluation and continues throughout the first postdonation year. Here we report the characteristics of donor candidates who completed the donation process despite ambivalence. In all, 183 RHL candidates consented, and 133 became donors. Ambivalent donors (ADs; n = 45) identified themselves through verbal statements or written comments, or they were identified by staff during the evaluation. ADs were predominantly male (73.3%), were older than unambivalent donors (UADs; >35 years: 76% of ADs versus 53% of UADs, P = 0.008), and were well educated (college graduate: 60% of ADs versus 17% of UADs, P = 0.01). Brother-to-brother and son-to-father combinations were most common among ADs. Alcohol (22% versus 11%, P = 0.04) and hepatitis C virus (51% versus 27%, P = 0.008) were more common as disease etiologies for recipients with ADs versus recipients with UADs. More ADs than UADs considered themselves to be religious (68.9% versus 43.2%, P = 0.007). Ambivalence about RHL donation was present in 33.8% of the candidates who completed the donation process. These results suggest that ambivalence should not be the sole reason for disqualifying a potential donor who otherwise satisfies program requirements. |
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Authors:
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Mary Ann Simpson; Julia Kendrick; Jennifer E Verbesey; Denise S Morin; Mary Amanda Dew; Agnes Trabucco; James J Pomposelli; Elizabeth A Pomfret |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society Volume: 17 ISSN: 1527-6473 ISO Abbreviation: Liver Transpl. Publication Date: 2011 Oct |
Date Detail:
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Created Date: 2011-09-28 Completed Date: 2012-01-27 Revised Date: 2012-03-05 |
Medline Journal Info:
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Nlm Unique ID: 100909185 Medline TA: Liver Transpl Country: United States |
Other Details:
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Languages: eng Pagination: 1226-33 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 American Association for the Study of Liver Diseases. |
Affiliation:
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Department of Transplantation, Lahey Clinic, Burlington, MA 01805, USA. mary.a.simpson@lahey.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Age Distribution Conflict (Psychology) Donor Selection* Educational Status Family Relations Female Health Knowledge, Attitudes, Practice* Hepatectomy / psychology* Humans Linear Models Liver Transplantation / psychology* Living Donors / psychology* Male Massachusetts Middle Aged Observer Variation Quality of Life Questionnaires Religion Reproducibility of Results Retrospective Studies Time Factors Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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