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Psychosocial Outcomes of Donors Whose Recipients Died After Living Donor Liver Transplantation

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Abstract

Purpose

Our aim was to investigate the psychosocial outcomes of the donors whose recipients died after living donor liver transplantation (LDLT).

Methods

Forty-one donors whose recipients died and 87 donors whose recipients were alive after LDLT at Inonu University Liver Transplantation Institute between 2012 and 2017 were included into the study. Demographic data form, Beck anxiety scale, Beck depression scale, Beck Hopelessness Scale, Posttraumatic Growth Inventory, Decision Regret Scale, Multidimensional Scale of Perceived Social Support, and general evaluation questionnaire (24 questions) were used in all donors by face to face questioning. In addition to the descriptive statistical analysis, chi-square and student’s t tests were used to evaluate the differences between the groups.

Results

Recipient death after living donor liver transplantation is a factor that negatively increases the level of anxiety, depression, hopelessness levels, and repentance of donors, and adversely affects the psychological growth of the donors after donation experience.

Conclusion

Regular follow-up of the donors should be done psychosocially in the postoperative period, especially the donors whose recipients have died should be followed up more frequently, and their support and treatment should be provided when needed. The donors should also be informed about the psychosocial implications of operative management and postoperative period. More studies are needed regarding the psychosocial problems of the donors.

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Abbreviations

BAS:

Beck’s Anxiety Scale

BDS:

Beck’s Depression Scale

DRS:

Decision Regret Scale

LDH:

Live donor hepatectomy

LDLT:

Living donor liver transplantation

LLD:

Live liver donor

LT:

Liver transplantation

Mean ± SD:

Mean ± standard deviation

MPSSS:

Multi-Dimensionally Perceived Social Support Scale

PTGI:

Post-Traumatic Growth Inventory

THS:

The Hopelessness Scale

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Availability of Data and Material

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Funding

This work is supported by the Inonu University Scientific Research Support Division (Project No: 2016-165).

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Authors and Affiliations

  1. Liver Transplant Institute, Inonu University, Elazig Yolu 10. Km, 44280, Malatya, Turkey

    Mukadder Ispir, Tolga Sahin, Emrah Otan, Cuneyt Kayaalp & Sezai Yilmaz

  2. Department of Psychiatry, Inonu University Faculty of Medicine, 244280, Malatya, Turkey

    Birgul Cumhur

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  1. Mukadder Ispir
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Contributions

All authors contributed equally to data acquisition, analysis, and writing of the manuscript. Prof. Sezai Yilmaz performed the critical review.

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Correspondence to Sezai Yilmaz.

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Ispir, M., Cumhur, B., Sahin, T. et al. Psychosocial Outcomes of Donors Whose Recipients Died After Living Donor Liver Transplantation. J Gastrointest Canc 51, 1200–1208 (2020). https://doi.org/10.1007/s12029-020-00496-8

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