ATC Abstracts

American Transplant Congress abstracts

Long-Term Impact of Live Liver Donation: A Self Report of the Donation Experience

1Mount Sinai Medical Center, New York, NY
2NYCLT, Albany, NY
3New York Presbyterian Hospital, New York, NY
4Montefiore Medical Center, Bronx, NY
5University of Rochester Medical Center, Rochester, NY
6Westchester Medical Center, Valhala, NY
7New York University Hospitals Center, New York, NY.

Meeting: 2015 American Transplant Congress

Abstract number: B155

Keywords: , , ,

Session Information

Date: Sunday, May 3, 2015

Session Name: Poster Session B: Liver: Living Donors

Session Time: 5:30pm-6:30pm

 Presentation Time: 5:30pm-6:30pm

Location: Exhibit Hall E

Introduction: Recipient outcomes of LDLT are well reported, however outcomes for adult to adult living liver donors (LD) are based on short term data. Much is unknown about the long-term impact of LD.

Purpose: The aim of this long-term study conducted by New York Center for Liver Transplantation (NYCLT) is to determine how LD impacts self-reported quality of life (QOL) indicators after one year.

Methods: Self-administered LD surveys from 2004- 2014 from 5 NYS Programs were analyzed. Domains examined: (1) employment, (2) finances, (3) health/life insurance, (4) activities of daily living, (5) physical/emotional health, (6) donor experience, (7) relationships, (8) LD opinions.

Results: There were 307 adult-to-adult LD in NYS 2004-2013; 347 surveys were received from LDs greater than one year after donation. Some completed the survey during more than one timeframe. Overall, LDs remain as comfortable about LD as they were at Y1 (94%). Most would choose LD if they had to do it again. The majority of LDs report feeling as well as before LD (70%), however incision and stomach muscle pain are increasingly present long term; 10% of LDs are receiving medical services related to LD. Most common long term effects are shown below.

Long Term Effects of LD
LT Positive Effects LT Negative Effects
Positive feeling about oneself; happy, confident, proud Digestive problems
Greater respect/appreciation for life Abdominal pain/discomfort
Increased faith Decreased energy/fatigue
Gave meaning to life Reduced exercise ability
Career change/change in life direction Scar discomfort
Most LDs are employed (>90%) and those not say LD is not the reason for unemployment. 93% have no current emotional problems as a result of LD compared to 71% at Y1. Reported family strain was reduced over time (7.4%), compared to 18.2%. at Y1.

Conclusion: This study tracks LDs over time rather than just shortly after LD. LDs remain satisfied with decision but some report long term medical issues. Conclusions provide information for educational intervention to improve informed choice to those considering donation.

To cite this abstract in AMA style:

Rudow DLaPointe, DeLair S, Florman S, Guarrera J, Kinkhabwala M, Orloff M, Wu Y, Teperman L. Long-Term Impact of Live Liver Donation: A Self Report of the Donation Experience [abstract]. Am J Transplant. 2015; 15 (suppl 3). https://atcmeetingabstracts.com/abstract/long-term-impact-of-live-liver-donation-a-self-report-of-the-donation-experience/. Accessed January 28, 2021.

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