Abstract
BackgroundNo studies using a valid, standardized method to measure post-donation satisfaction levels among living kidney donors (LKDs) have been published.MethodsDonor satisfaction levels were measured using the Japanese version of the Client Satisfaction Questionnaire-8 (CSQ-8), a validated, self-report questionnaire. To identify factors related to post-donation satisfaction levels, we compared donors’ sociodemographic and psychological characteristics and health-related quality of life (HRQoL), using the Short Form-36 Health Survey (SF-36), as well as recipients’ clinical characteristics and SF-36 scores between donors with and without low satisfaction. In addition, donors’ perceptions of the donation results and transplant procedure were assessed using measures that we developed.ResultsThe mean (standard deviation [SD]) CSQ-8 score for the 195 participants was 26.9 (3.4). Twenty-nine (14.9%) respondents with total scores < 1 SD below the mean CSQ-8 score were placed into the low satisfaction group. Multiple logistic regression analysis demonstrated that lower perceptions of receiving adequate information prior to transplantation (odds ratio [OR] = 0.17; 95% confidence interval [CI] = 0.079–0.379; p < 0.001), lower optimism according to the Life Orientation Test (OR = 1.24; 95% CI = 1.045–1.470; p = 0.014), and increased serum creatinine levels in the paired recipient (OR = 0.05; 95% CI = 0.250–1.011; p = 0.054) independently increased the odds of having less satisfaction with donation.ConclusionsOur findings suggest that careful pre-donation education and more detailed informed consent may be needed, especially in LKDs with low constitutional optimism.
Highlights
No studies using a valid, standardized method to measure post-donation satisfaction levels among living kidney donors (LKDs) have been published
A systemic review of the psychosocial health of LKDs demonstrated that a small proportion of LKDs had adverse psychosocial outcomes, such as decreased psychological well-being and a decrease in health-related quality of life (HRQoL) [12], which may lead to post-donation dissatisfaction
Post-donation satisfaction levels The mean (SD) Client Satisfaction Questionnaire-8 (CSQ-8) score for the 195 participants was 26.9 (3.4)
Summary
No studies using a valid, standardized method to measure post-donation satisfaction levels among living kidney donors (LKDs) have been published. There are no published studies that have used a valid, standardized method to measure postdonation satisfaction levels. A systemic review of the psychosocial health of LKDs demonstrated that a small proportion of LKDs had adverse psychosocial outcomes, such as decreased psychological well-being (e.g., depression) and a decrease in HRQoL [12], which may lead to post-donation dissatisfaction. In Japan, living organ donors are, in principle, limited to family members (blood relatives within six degrees of kinship or relatives by marriage within three degrees of kinship), which may affect decision-making based on Asian attitudes regarding family relationships [16, 17]. Lower-quality relationships between recipients and family members or feelings of unattractiveness that occur after donation may result in donor dissatisfaction [12]
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