Few studies have explored post-donation anxiety (PA) for live kidney donors. Donors who are younger, who develop post-op kidney-related morbidities, who are divorced, and who have a history of anxiety disorder prior to kidney donation may be prone to developing PA.

METHODS:616 live kidney donors participated in a survey at median (IQR) 10 (7-14) years post-donation. Each participant completed a 2-item Generalized Anxiety Scale (GAD-2) and consented to pre-donation medical record abstractions.

We used logistic regression to investigate how PA was affected by age, sex, marital status, employment, preoperative anxiety disorders, and new onset kidney-related morbidities (measured as post-op incidence of HTN, diabetes, CKD, and kidney stones).

RESULTS:While 11.45% of donors had GAD-2 scores indicating PA, rates were much higher among those under 50 (17.5%, aOR=2.02, p=0.013), those with a pre-op history of anxiety (27%, aOR=3.27, p=0.008), and those with new-onset medical conditions (18.2%, aOR=2.24, p=0.005). Additionally, divorced donors had 3.1-fold higher odds of PA (aOR=3.10, p=0.003).

CONCLUSIONS:Younger age, divorce, pre-op history of anxiety, and new-onset medical conditions conferred greater risk of PA. These findings motivate further research into psychosocial outcomes for kidney donors, and emphasize the need for a holistic approach to patient health.

CITATION INFORMATION: Leanza J, Massie A, Segev D. Incidence of Anxiety Following Live Kidney Donation. Am J Transplant. 2016;16 (suppl 3).

« Back to 2016 American Transplant Congress