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Post-donation satisfaction in kidney transplantation: a survey of living donors in Japan

BACKGROUND: No studies using a valid, standardized method to measure post-donation satisfaction levels among living kidney donors (LKDs) have been published. METHODS: Donor satisfaction levels were measured using the Japanese version of the Client Satisfaction Questionnaire-8 (CSQ-8), a validated, s...

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Autores principales: Kobayashi, Sayaka, Akaho, Rie, Omoto, Kazuya, Shirakawa, Hiroki, Shimizu, Tomokazu, Ishida, Hideki, Tanabe, Kazunari, Nishimura, Katsuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815382/
https://www.ncbi.nlm.nih.gov/pubmed/31655578
http://dx.doi.org/10.1186/s12913-019-4556-5
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author Kobayashi, Sayaka
Akaho, Rie
Omoto, Kazuya
Shirakawa, Hiroki
Shimizu, Tomokazu
Ishida, Hideki
Tanabe, Kazunari
Nishimura, Katsuji
author_facet Kobayashi, Sayaka
Akaho, Rie
Omoto, Kazuya
Shirakawa, Hiroki
Shimizu, Tomokazu
Ishida, Hideki
Tanabe, Kazunari
Nishimura, Katsuji
author_sort Kobayashi, Sayaka
collection PubMed
description BACKGROUND: No studies using a valid, standardized method to measure post-donation satisfaction levels among living kidney donors (LKDs) have been published. METHODS: Donor 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. RESULTS: The 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. CONCLUSIONS: Our findings suggest that careful pre-donation education and more detailed informed consent may be needed, especially in LKDs with low constitutional optimism.
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spelling pubmed-68153822019-10-31 Post-donation satisfaction in kidney transplantation: a survey of living donors in Japan Kobayashi, Sayaka Akaho, Rie Omoto, Kazuya Shirakawa, Hiroki Shimizu, Tomokazu Ishida, Hideki Tanabe, Kazunari Nishimura, Katsuji BMC Health Serv Res Research Article BACKGROUND: No studies using a valid, standardized method to measure post-donation satisfaction levels among living kidney donors (LKDs) have been published. METHODS: Donor 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. RESULTS: The 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. CONCLUSIONS: Our findings suggest that careful pre-donation education and more detailed informed consent may be needed, especially in LKDs with low constitutional optimism. BioMed Central 2019-10-26 /pmc/articles/PMC6815382/ /pubmed/31655578 http://dx.doi.org/10.1186/s12913-019-4556-5 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Kobayashi, Sayaka
Akaho, Rie
Omoto, Kazuya
Shirakawa, Hiroki
Shimizu, Tomokazu
Ishida, Hideki
Tanabe, Kazunari
Nishimura, Katsuji
Post-donation satisfaction in kidney transplantation: a survey of living donors in Japan
title Post-donation satisfaction in kidney transplantation: a survey of living donors in Japan
title_full Post-donation satisfaction in kidney transplantation: a survey of living donors in Japan
title_fullStr Post-donation satisfaction in kidney transplantation: a survey of living donors in Japan
title_full_unstemmed Post-donation satisfaction in kidney transplantation: a survey of living donors in Japan
title_short Post-donation satisfaction in kidney transplantation: a survey of living donors in Japan
title_sort post-donation satisfaction in kidney transplantation: a survey of living donors in japan
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6815382/
https://www.ncbi.nlm.nih.gov/pubmed/31655578
http://dx.doi.org/10.1186/s12913-019-4556-5
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