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Incidence of Anxiety Following Live Kidney Donation.

J. Leanza, A. Massie, D. Segev.

JHU, Baltimore.

Meeting: 2016 American Transplant Congress

Abstract number: D278

Keywords: Kidney transplantation, Quality of life

Session Information

Date: Tuesday, June 14, 2016

Session Name: Poster Session D: Psychosocial and Treatment Adherence

Session Time: 6:00pm-7:00pm

 Presentation Time: 6:00pm-7:00pm

Location: Halls C&D

Related Abstracts
  • Incidence of Depression Following Live Kidney Donation.
  • Addressing Low Live Kidney Donation Rates in African Americans through the Live Donor Champion Program

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).

           

aOR anxiety

% with PA

Age

 

 

            > 50

ref

9.7

            ≤ 50

1.162.023.54

17.5

Gender

 

 

            Female

ref

12.7

            Male

0.370.651.15

9.6

Preoperative anxiety

1.373.277.80

27.0

Any comorbidity

1.282.243.91

18.2

Marital status

 

 

            Married

ref

9.0

            Single

0.591.122.10

17.6

            Divorced

1.453.106.59

10.3

Employment

 

 

            Employed

ref

9.5

            Unemployed

0.801.824.14

25.8

            Retired

0.340.751.45

5.8

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).

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To cite this abstract in AMA style:

Leanza J, Massie A, Segev D. Incidence of Anxiety Following Live Kidney Donation. [abstract]. Am J Transplant. 2016; 16 (suppl 3). https://atcmeetingabstracts.com/abstract/incidence-of-anxiety-following-live-kidney-donation/. Accessed February 27, 2021.

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