scholarly journals Financial burden associated with time to return to work after living kidney donation

2018 ◽  
Vol 19 (1) ◽  
pp. 204-207 ◽  
Author(s):  
Dawn B. Larson ◽  
Jennifer F. Wiseman ◽  
David M. Vock ◽  
Danielle M. Berglund ◽  
Ashley M. Roman ◽  
...  
Keyword(s):  
Return To Work ◽  
Financial Burden ◽  
Kidney Donation ◽  
Living Kidney Donation

Marital Status and Return to Work After Living Kidney Donation

2018 ◽  
Vol 28 (3) ◽  
pp. 226-230 ◽  
Author(s):  
Adrianne Frech ◽  
Ginny Natale ◽  
Don Hayes ◽  
Dmitry Tumin
Keyword(s):  
Return To Work ◽  
Marital Status ◽  
Smoking Status ◽  
Perioperative Complications ◽  
Kidney Donation ◽  
Living Kidney Donation ◽  
Income Risk ◽  
Social Predictors ◽  
Living Kidney Donors ◽  
Procedure Type

Purpose: Living kidney donation is safe and effective, but patients in need of a transplant continue to outnumber donors. Disincentives to living donation include lost income, risk of job loss, perioperative complications, and unreimbursed medical expenses. Methods: This study uses US registry and follow-up data on living kidney donors from 2013 to 2015 to identify social predictors of return to work across gender following living kidney donation. Results: Using logistic regression, we find that predictors of return to work following living kidney donation differ for women and men. Among women, age, education, smoking status, and procedure type are associated with return to work. Among men, education, procedure type, and hospital readmission within 6 weeks postdonation are associated with return to work. Notably, single and divorced men are less likely to return to work compared to married men (odds ratio [OR] for single men 0.51, 95% confidence interval [CI], 0.37-0.69, P < .001; OR for divorced men 0.51, 95% CI, 0.34-0.75, P = .006). Marital status is not associated with return to work for women. Single and divorced men’s greater odds of not returning to work are robust to controls for relevant pre- and postdonation characteristics. Conclusions: Single and divorced men’s lack of social support may present an obstacle to work resumption following living kidney donation.

scholarly journals Factors Impacting Conversations with Friends and Family about Living Kidney Donation

The Physician ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. 1-7
Author(s):  
Ahmed Ahmed ◽  
Anna Winterbottom ◽  
John Stoves ◽  
Shenaz Ahmed ◽  
Sunil Daga
Keyword(s):  
Kidney Transplantation ◽  
Risk Perception ◽  
South Asian ◽  
Health Professionals ◽  
Living Donor ◽  
Financial Burden ◽  
Cultural Influences ◽  
Kidney Donation ◽  
Medical Mistrust ◽  
Living Kidney Donation

Introduction  Living donor kidney transplantation is the optimal modality of renal replacement therapy for advanced kidney disease. It is associated with superior recipient and graft survival, a better quality of life and self-reported health status compared to dialysis. Living kidney donation occurs less frequently in members of Black, Asian and Minority Ethnic (BAME) communities in Western countries. This scoping review explores the factors affecting the ability of patients (and health professionals) to initiate conversations about living kidney donation with family and friends, with a focus on BAME population groups. Methods  208 published articles were identified from online databases using keywords: ‘barriers’, ‘decision making’, ‘living donor’, and ‘kidney transplantation. Studies limited to donors or involving paediatric recipients were excluded, Results There were 25 studies that met the inclusion criteria. Of these, 21 studies included BAME communities. Participants of South Asian ethnicity were underrepresented. Key themes were; 1) lack of knowledge 2) risk perception 3) fear of financial burden on donors 4) guilt 5) religious and cultural influences and 6) mistrust of the medical establishment. There were noticeable differences in ethnicity, in the level of knowledge, risk perception and fear of financial burden. Religious/cultural reservations and medical mistrust were only reported in people from BAME populations. Two studies explored health professionals’ views. Discussion This literature review has identified different barriers to the pursuit of living kidney donation, some of which are linked to ethnicity. This study informs the development of a patient decision aid to support people to have conversations with potential donors, with a particular focus on South Asian groups, the second largest ethnic group in the UK.

scholarly journals Positive and negative aspects of mental health after unspecified living kidney donation: A cohort study

2021 ◽  
Author(s):  
Emma K. Massey ◽  
Mathilde C. Pronk ◽  
Willij C. Zuidema ◽  
Willem Weimar ◽  
Jacqueline Wetering ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Kidney Donation ◽  
Living Kidney Donation

scholarly journals Living Kidney Donation: Practical Considerations on Setting Up a Program

2021 ◽  
Vol 2 (1) ◽  
pp. 75-86
Author(s):  
Maria Irene Bellini ◽  
Vito Cantisani ◽  
Augusto Lauro ◽  
Vito D’Andrea
Keyword(s):  
Good Practice ◽  
Kidney Donation ◽  
Living Kidney Donation ◽  
Exchange Programs ◽  
Paired Exchange ◽  
Stage Renal Disease ◽  
End Stage ◽  
Additional Value ◽  
Work Up

Living kidney donation represents the best treatment for end stage renal disease patients, with the potentiality to pre-emptively address kidney failure and significantly expand the organ pool. Unfortunately, there is still limited knowledge about this underutilized resource. The present review aims to describe the general principles for the establishment, organization, and oversight of a successful living kidney transplantation program, highlighting recommendation for good practice and the work up of donor selection, in view of potential short- and long-terms risks, as well as the additional value of kidney paired exchange programs. The need for donor registries is also discussed, as well as the importance of lifelong follow up.

Choice, pressure and markets in kidneys

2017 ◽  
Vol 44 (5) ◽  
pp. 310-313 ◽  
Author(s):  
Julian Koplin
Keyword(s):  
Kidney Donation ◽  
Living Kidney Donation ◽  
Legal Market ◽  
Course Of Action ◽  
Choice Sets ◽  
Financial Pressures

We do not always benefit from the expansion of our choice sets. This is because some options change the context in which we must make decisions in ways that render us worse off than we would have been otherwise. One promising argument against paid living kidney donation holds that having the option of selling a ‘spare’ kidney would impact people facing financial pressures in precisely this way. I defend this argument from two related criticisms: first, that having the option to sell one’s kidney would only be harmful if one is pressured or coerced to take this specific course of action; and second, that such forms of pressure are unlikely to feature in a legal market.

Coercion, dissatisfaction, and social stigma: an ethnographic study of compensated living kidney donation in Iran

2018 ◽  
Vol 52 (12) ◽  
pp. 2403-2414 ◽  
Author(s):  
Sigrid Fry-Revere ◽  
Deborah Chen ◽  
Bahar Bastani ◽  
Simin Golestani ◽  
Rachana Agarwal ◽  
...  
Keyword(s):  
Social Stigma ◽  
Ethnographic Study ◽  
Kidney Donation ◽  
Living Kidney Donation

Incentive Models to Increase Living Kidney Donation: Encouraging Without Coercing

2005 ◽  
Vol 5 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Ajay K. Israni ◽  
Scott D. Halpern ◽  
Sheldon Zink ◽  
Sonal A. Sidhwani ◽  
Arthur Caplan
Keyword(s):  
Kidney Donation ◽  
Living Kidney Donation
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