Purpose: Caring for subjective complaints is one of the most difficult aspects of any health care provider's job. These conditions in the transplant patient are even more challenging because they can impact the success of a transplant. Fatigue, mood, and pain are major complaints of patients after transplant that can impact length of stay, readmissions, and overall success of the transplant. Being able to objectively measure these aspects allows issues to be identified early and trends analyzed that may predict future outcomes.

Methods: Using the Patient-Reported Outcomes Measurement Information System or PROMIS, living kidney transplant recipients answered questions related to their mood, fatigue, and pain prior to transplant, one week, one month, and three months post-transplant. Patients receiving a living donor transplant between August, 2016 and October, 2017 were included. The program was able to take results and convert them into a percentile form versus the general population with a scale ranging from 0-100 with the average patient being the 50^th percentile. Data points were then traced over the course of the patient's recovery. Patients were examined in three categories: recipients as a group, pre-emptive vs. dialysis prior to transplant, and patients who were and weren't readmitted within 30 days post-transplant.

Results: 38 living donor transplants were completed with a response rate of 75% to the PROMIS program. For the group, mood (60.32 vs 66.14) and fatigue (40.75 vs 50.14) improved from pre-transplant through the three month recovery. More pain was reported during the post-transplant phase (18.49, 41.69, 48.76) compared to the pre-transplant phase (53.56). Patients that received pre-emptive transplant had improved mood, pain, and fatigue. Dialysis patients had significantly worse pain and fatigue but improved mood. Patients compared based on readmission, both pain and mood for both groups returned to baseline pre-transplant vs post- transplant, but fatigue was worse for patients readmitted.

Conclusion: While a small sample size, the results allow providers to better understand and treat patients after living donor kidney transplant in regards to their pain, fatigue, and mood with objective data. With further analysis, trends may develop that could predict which patients will require more care or are more at risk for readmission.

CITATION INFORMATION: Venniro E., Taylor J. Analysis of Patient Reported Outcomes for Patients That Received Living Donor Kidney Transplants Am J Transplant. 2017;17 (suppl 3).

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