Altruistic Kidney Donation: A Single US Transplant Center Experience.
1Transplantation, Albert Einstein College of Medicine, Bronx, NY
2Transplantation, University of Buffalo, Buffalo, NY.
Meeting: 2016 American Transplant Congress
Abstract number: C146
Keywords: Donation, Donors, Kidney transplantation, unrelated
Session Information
Session Name: Poster Session C: Kidney Donor Evaluation and Donor Nephrectomy
Session Type: Poster Session
Date: Monday, June 13, 2016
Session Time: 6:00pm-7:00pm
Presentation Time: 6:00pm-7:00pm
Location: Halls C&D
Background: Altruistic donors (ADs) continue to make rising contributions to the donor pool. Increasing efforts have been made to assess ADs to understand the motivations behind donation and outcomes after transplant surgery as compared to traditional donors (TDs).
Methods: ADs (n=23) and TDs (n=66) were identified in the electronic medical records of the transplant center and completed a survey assessing a variety of psychosocial and functional outcomes.
Results: ADs were more likely to be married (78% versus 56%, p=0.08) but less likely to have completed some higher education (35% of ADs compared to 57.6% of TDs, p=0.08). ADs demonstrated more altruistic behaviors such as donating blood when compared to TDs (p=0.02) and reported significantly more favorable quality of health (p=0.01). ADs and TDs did not differ in the total motivation score, which revealed that both were primarily motivated by a desire to help (Table 1). Both groups indicated similar degrees of psychosocial benefits. ADs were more likely to cite religious beliefs as a motive to donate (p=0.007).
Conclusions: This study demonstrates that ADs experience comparable psychosocial and functional outcomes to TDs. Both groups reported psychosocial benefits to kidney donation and this supports the continued use of ADs in live kidney donor transplantation.
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Table 1 |
AD (n=23) |
TD (n=66) |
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Motivation behind donation decisiona A desire to help A sense of moral duty An improved self-esteem from doing a good deed Pressure from others Personal gain from improvements in the recipients health Imagining yourself in the position of the recipient Guilt from past relationships Religious beliefs Benefits to recipient outweigh the risk to you as a donor So that others would view you more favorably For attention from the media To get time away from work Because someone close to you has benefited from a medical procedure and you wanted to give back Total donation motivation score |
4.7±0.5 4.7±0.5 1.8±1.0 1.1±0.4 2.0±1.4 3.4±1.3 1.1±0.3 3.2±1.4 4.1±1.3 1.5±0.9 1.1±0.5 1.1±0.5 1.4±1.1
31.2±11.1 |
4.5±1.1 4.5±1.1 2.5±1.6 1.2±0.6 2.9±1.8 3.9±1.4 1.2±0.7 2.3±1.5 3.9±1.5 1.4±0.8 1.1±0.4 1.1±0.4 1.5±1.1
32.0±14.0 |
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Data presented as mean (± SD). Mean scores are based on responses using respective scales as listed: a 1, not at all; 2 a little; 3, moderately; 4, quite a bit; 5, extremely. AD= altruistic donor; TD= traditional donor. |
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CITATION INFORMATION: Aguire-Alarcon A, Lubetzky M, McKinney M, Kayler L. Altruistic Kidney Donation: A Single US Transplant Center Experience. Am J Transplant. 2016;16 (suppl 3).
To cite this abstract in AMA style:
Aguire-Alarcon A, Lubetzky M, McKinney M, Kayler L. Altruistic Kidney Donation: A Single US Transplant Center Experience. [abstract]. Am J Transplant. 2016; 16 (suppl 3). https://atcmeetingabstracts.com/abstract/altruistic-kidney-donation-a-single-us-transplant-center-experience/. Accessed November 25, 2024.« Back to 2016 American Transplant Congress