TY - JOUR
T1 - The expectancies of living kidney donors
T2 - Do they differ as a function of relational status and gender?
AU - Rodrigue, James R.
AU - Widows, Michelle R.
AU - Guenther, Robert
AU - Newman, Robert C.
AU - Kaplan, Bruce
AU - Howard, Richard J.
N1 - Funding Information:
Acknowledgements. The authors are grateful to Jonathan Lin, Daniel Baughn, Kristin Gant, John Myers and Michelle Morgan for their assistance in conducting this study. The first author was supported by grants from the Health Resources and Services Administration (Division of Transplantation, 5H39OT00115) and the National Institute of Diabetes and Digestive and Kidney Diseases (R01 DK55706-01A2).
PY - 2006/6
Y1 - 2006/6
N2 - Background. While two-thirds of the living kidney donors continue to be genetically related to the recipient, there has been a 300% increase in unrelated living donors over the last 10 years. Also, women continue to represent more than half of all the living kidney donors. This study examined whether donor expectancies varied as a function of relational status or gender. Methods. 362 kidney donor candidates (232 related, 130 unrelated) completed the Living Donation Expectancies Questionnaire (LDEQ). A 2 (relational status: related or unrelated) × 2 (gender: male or female) multivariate analysis of variance was conducted to examine main and interaction effects across the six domains of the LDEQ: interpersonal benefit (IB), personal growth (PG), spiritual benefit (SB), quid pro quo (QPQ), health consequences (HC) and miscellaneous consequences (MC). Results. The highest expectancies were for PG (54.1%) and IB (29.8%), followed by expectations of MC (18.2%), SB (16.9%), HC (14.4%), and QPQ (4.4%). Multivariate analyses showed a relational main effect [F = 4.18, P = 0.02] and a gender main effect [F = 5.09, P = 0.01]. Subsequent univariate analyses showed significant effects (P <0.05) for IB (related > unrelated), QPQ (men > women), HC (unrelated > related, men > women) and MC (unrelated > related). Conclusion. Overall, donor candidate expectancies appear to be realistic in light of previous findings of donor benefit. However, some living donor expectancies may vary as a function of donor relational status and gender. It may be important to assess and appropriately address both positive and negative expectancies at the time of donor evaluation. The LDEQ may be a useful clinical tool for assessing such expectancies.
AB - Background. While two-thirds of the living kidney donors continue to be genetically related to the recipient, there has been a 300% increase in unrelated living donors over the last 10 years. Also, women continue to represent more than half of all the living kidney donors. This study examined whether donor expectancies varied as a function of relational status or gender. Methods. 362 kidney donor candidates (232 related, 130 unrelated) completed the Living Donation Expectancies Questionnaire (LDEQ). A 2 (relational status: related or unrelated) × 2 (gender: male or female) multivariate analysis of variance was conducted to examine main and interaction effects across the six domains of the LDEQ: interpersonal benefit (IB), personal growth (PG), spiritual benefit (SB), quid pro quo (QPQ), health consequences (HC) and miscellaneous consequences (MC). Results. The highest expectancies were for PG (54.1%) and IB (29.8%), followed by expectations of MC (18.2%), SB (16.9%), HC (14.4%), and QPQ (4.4%). Multivariate analyses showed a relational main effect [F = 4.18, P = 0.02] and a gender main effect [F = 5.09, P = 0.01]. Subsequent univariate analyses showed significant effects (P <0.05) for IB (related > unrelated), QPQ (men > women), HC (unrelated > related, men > women) and MC (unrelated > related). Conclusion. Overall, donor candidate expectancies appear to be realistic in light of previous findings of donor benefit. However, some living donor expectancies may vary as a function of donor relational status and gender. It may be important to assess and appropriately address both positive and negative expectancies at the time of donor evaluation. The LDEQ may be a useful clinical tool for assessing such expectancies.
KW - Donor expectancies
KW - Living donation
KW - Organ donation
UR - http://www.scopus.com/inward/record.url?scp=33744494165&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33744494165&partnerID=8YFLogxK
U2 - 10.1093/ndt/gfl024
DO - 10.1093/ndt/gfl024
M3 - Article
C2 - 16484237
AN - SCOPUS:33744494165
SN - 0931-0509
VL - 21
SP - 1682
EP - 1688
JO - Nephrology Dialysis Transplantation
JF - Nephrology Dialysis Transplantation
IS - 6
ER -