Psychosocial and Socioeconomic Issues Facing the Living Kidney Donor
Psychosocial and Socioeconomic Issues Facing the Living Kidney Donor
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DOI：
10.1053/j.ackd.2012.04.006
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发表时间：
2012-07-01
影响因子：
2.9
通讯作者：
Jacobs, Cheryl L.
中科院分区：
文献类型：
--
作者：
Dew, Mary Amanda;Jacobs, Cheryl L.
在2010年活体肾脏捐献者后续行动会议上，召开了一次专家会议，就4个广泛领域的证据状况发表意见：（a）捐献后与健康有关的生活质量;（B）捐献者的财务和经济关切;（c）新的捐献领域，即肾脏交换和匿名捐献的具体结果问题。（定向和非定向）捐赠;（d）知情同意在捐赠后心理社会结果中的作用。该报告试图就下一个十年的研究优先事项和完成所需研究的数据收集战略提出建议。研究人员得出结论，很少考虑活体捐赠者的任何长期心理社会结果的性质或预测因素。在某些领域（如肾脏交换和匿名捐赠），即使在捐赠后的早期，有关结果的信息也有限。在所有4个心理社会领域，需要进行前瞻性研究，跟踪捐助者，以检查发展过程和/或解决任何与捐助有关的困难。建立一个国家登记处，定期收集心理社会随访数据，可能是一个有效的战略，以监测捐赠后的短期和长期的捐赠成果。(C)2012年，美国国家肾脏基金会（National Kidney Foundation，Inc.）All rights reserved.
At the 2010 Conference on Living Kidney Donor follow-up, a workgroup was convened to comment on the state of the evidence in 4 broad areas: (a) health-related quality of life postdonation; (b) donors' financial and economic concerns; (c) outcomes issues specific to newer areas of donation, namely, kidney exchange and anonymous (directed and nondirected) donation; and (d) the role of informed consent in relation to postdonation psychosocial outcomes. The workgroup sought to offer recommendations regarding research priorities for the next decade and data collection strategies to accomplish the needed research. The workgroup concluded that there has been little consideration of the nature or predictors of any long-term psychosocial outcomes in living donors. In some areas (eg, kidney exchange and anonymous donation), there is limited information on outcomes even in the early aftermath of donation. Across all 4 psychosocial areas, prospective studies are needed that follow donors to examine the course of development and/or resolution of any donation-related difficulties. The formation of a national registry to routinely collect psychosocial follow-up data may be an efficient strategy to monitor donor outcomes in both the short- and long-term years after donation. (C) 2012 by the National Kidney Foundation, Inc. All rights reserved.