BACKGROUND: Despite regulations mandating follow-up laboratory testing for living kidney donors, less than half of transplant centers are in compliance. We sought to understand barriers to follow-up testing from the donors' perspective. METHODS: We surveyed our center's living kidney donors. Binary logistic regression was used to assess factors associated with follow-up testing completion. RESULTS: Of 185 living kidney donors, 110 (59.4%) participated. Among them, 82 (74.5%) completed 6-month laboratory testing, 76 (69.1%) completed 12-month testing, 68 (61.8%) completed both, and 21 (19.0%) completed neither. Six-month testing completion was strongly associated with 12-month testing completion (OR 9.74, 95%CI: 2.23-42.50; p = .002). Those who disagreed with the statements, "Getting labs checked wasn't a priority for me," (OR for completing 6-month testing: 15.05, 95%CI: 3.70-61.18; p < .001; OR for completing 12-month testing: 5.85, 95%CI: 1.94-17.63; p = .002); and, "I forgot to get labs drawn [until I was reminded]" (OR for completing 6-month testing: 6.93, 95%CI: 1.59-30.08; p = .01; OR for completing 12-month testing: 6.55, 95%CI: 1.98-21.63; p = .002) were more likely to complete testing. CONCLUSIONS: To our knowledge, this is the only study providing perspective on donor insights regarding the need for follow-up testing post donation. Interventions to influence living donor attitudes toward follow-up testing may improve follow-up.
BACKGROUND: Despite regulations mandating follow-up laboratory testing for living kidney donors, less than half of transplant centers are in compliance. We sought to understand barriers to follow-up testing from the donors' perspective. METHODS: We surveyed our center's living kidney donors. Binary logistic regression was used to assess factors associated with follow-up testing completion. RESULTS: Of 185 living kidney donors, 110 (59.4%) participated. Among them, 82 (74.5%) completed 6-month laboratory testing, 76 (69.1%) completed 12-month testing, 68 (61.8%) completed both, and 21 (19.0%) completed neither. Six-month testing completion was strongly associated with 12-month testing completion (OR 9.74, 95%CI: 2.23-42.50; p = .002). Those who disagreed with the statements, "Getting labs checked wasn't a priority for me," (OR for completing 6-month testing: 15.05, 95%CI: 3.70-61.18; p < .001; OR for completing 12-month testing: 5.85, 95%CI: 1.94-17.63; p = .002); and, "I forgot to get labs drawn [until I was reminded]" (OR for completing 6-month testing: 6.93, 95%CI: 1.59-30.08; p = .01; OR for completing 12-month testing: 6.55, 95%CI: 1.98-21.63; p = .002) were more likely to complete testing. CONCLUSIONS: To our knowledge, this is the only study providing perspective on donor insights regarding the need for follow-up testing post donation. Interventions to influence living donor attitudes toward follow-up testing may improve follow-up.
Authors: Sebastian Przech; Amit X Garg; Jennifer B Arnold; Lianne Barnieh; Meaghan S Cuerden; Christine Dipchand; Liane Feldman; John S Gill; Martin Karpinski; Greg Knoll; Charmaine Lok; Matthew Miller; Mauricio Monroy; Chris Nguan; G V Ramesh Prasad; Sisira Sarma; Jessica M Sontrop; Leroy Storsley; Scott Klarenbach Journal: J Am Soc Nephrol Date: 2018-11-07 Impact factor: 10.121
Authors: Amy D Waterman; Mary Amanda Dew; Connie L Davis; Melanie McCabe; Jennifer L Wainright; Cynthia L Forland; Lee Bolton; Matthew Cooper Journal: Transplantation Date: 2013-03-27 Impact factor: 4.939
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Authors: Jonathan C Berger; Abimereki D Muzaale; Nathan James; Mohammed Hoque; Jacqueline M Garonzik Wang; Robert A Montgomery; Allan B Massie; Erin C Hall; Dorry L Segev Journal: Clin J Am Soc Nephrol Date: 2011-10-27 Impact factor: 8.237
Authors: Krista L Lentine; Mark A Schnitzler; Huiling Xiao; Georges Saab; Paolo R Salvalaggio; David Axelrod; Connie L Davis; Kevin C Abbott; Daniel C Brennan Journal: N Engl J Med Date: 2010-08-19 Impact factor: 91.245
Authors: Jesse D Schold; Laura D Buccini; Michael W Kattan; David A Goldfarb; Stuart M Flechner; Titte R Srinivas; Emilio D Poggio; Richard Fatica; Liise K Kayler; Ashwini R Sehgal Journal: Arch Surg Date: 2012-06
Authors: Geir Mjøen; Stein Hallan; Anders Hartmann; Aksel Foss; Karsten Midtvedt; Ole Øyen; Anna Reisæter; Per Pfeffer; Trond Jenssen; Torbjørn Leivestad; Pål-Dag Line; Magnus Øvrehus; Dag Olav Dale; Hege Pihlstrøm; Ingar Holme; Friedo W Dekker; Hallvard Holdaas Journal: Kidney Int Date: 2013-11-27 Impact factor: 10.612