A team from Essen, Germany, investigated living-related liver transplantation (LRLT) from the view of the donor.
The prevalence of personal, familial, or economic problems of the donors, and changes of quality of life after donation were studied.
Questionnaires were sent to 24 donors after right hepatectomy for LRLT (response 92%).
The modified EUROTOLD (European Multicenter Study of Transplantation Using Living Donors) questionnaire was used to inquire about the decision-making process, family problems, and economic problems related to the donation.
Global quality of life was measured with the SF-36 Health Survey.
For most donors, the decision to donate was easy or not very difficult (95%) and was made spontaneously (77%).
The amount of information about the risks of LRLT was limited at the time of decision. However, it increased remarkably immediately before the operation.
|Disadvantages of donating:|
- Physical rehabilitation
- Financial difficulty
| Transplantation |
The researchers found that, in 28% of the donors, family conflicts occurred.
Retrospectively, all but 2 donors (91%) said that they would donate again.
On average, donors started working after 9 weeks and felt fully recovered after 13 weeks.
Adverse financial affects were experienced by 41% (9/22) of the donors because of the donation, and 4 of those received compensation.
Importantly, quality of life did not differ between donors and non-donors.
Marc Karliova, of the University Hospital Essen, concluded on behalf of his group, "Donors viewed LRLT positively, and quality of life after donation did not change.
"However, donors had a prolonged period of physical rehabilitation, and 41% experienced financial disadvantages."