The expectancies of living kidney donors

Do they differ as a function of relational status and gender?

James R. Rodrigue, Michelle R. Widows, Robert Guenther, Robert C. Newman, Bruce Kaplan, Richard J. Howard

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

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 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.

Original languageEnglish (US)
Pages (from-to)1682-1688
Number of pages7
JournalNephrology Dialysis Transplantation
Volume21
Issue number6
DOIs
StatePublished - Jun 2006
Externally publishedYes

Fingerprint

Living Donors
Tissue Donors
Kidney
Multivariate Analysis
Unrelated Donors
Women's Health
Insurance Benefits
Growth
Analysis of Variance
Health
Surveys and Questionnaires

Keywords

  • Donor expectancies
  • Living donation
  • Organ donation

ASJC Scopus subject areas

  • Nephrology
  • Transplantation

Cite this

Rodrigue, J. R., Widows, M. R., Guenther, R., Newman, R. C., Kaplan, B., & Howard, R. J. (2006). The expectancies of living kidney donors: Do they differ as a function of relational status and gender? Nephrology Dialysis Transplantation, 21(6), 1682-1688. https://doi.org/10.1093/ndt/gfl024

The expectancies of living kidney donors : Do they differ as a function of relational status and gender? / Rodrigue, James R.; Widows, Michelle R.; Guenther, Robert; Newman, Robert C.; Kaplan, Bruce; Howard, Richard J.

In: Nephrology Dialysis Transplantation, Vol. 21, No. 6, 06.2006, p. 1682-1688.

Research output: Contribution to journalArticle

Rodrigue, JR, Widows, MR, Guenther, R, Newman, RC, Kaplan, B & Howard, RJ 2006, 'The expectancies of living kidney donors: Do they differ as a function of relational status and gender?', Nephrology Dialysis Transplantation, vol. 21, no. 6, pp. 1682-1688. https://doi.org/10.1093/ndt/gfl024
Rodrigue, James R. ; Widows, Michelle R. ; Guenther, Robert ; Newman, Robert C. ; Kaplan, Bruce ; Howard, Richard J. / The expectancies of living kidney donors : Do they differ as a function of relational status and gender?. In: Nephrology Dialysis Transplantation. 2006 ; Vol. 21, No. 6. pp. 1682-1688.
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title = "The expectancies of living kidney donors: Do they differ as a function of relational status and gender?",
abstract = "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 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.",
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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.

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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 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 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.

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