Living-related kidney donors: a multicenter study of donor education, socioeconomic adjustment, and rehabilitation

Am J Kidney Dis. 1986 Oct;8(4):223-33. doi: 10.1016/s0272-6386(86)80030-0.


To determine the consequences of living-related kidney donation, a study was conducted of 536 donors whose nephrectomies had been performed at nine geographically dispersed centers during the past 12 years. The data demonstrated that greater than 84.0% of the donors thought they had been adequately informed regarding all aspects of donation, and less than 15.0% reported being pressured in their decision. Only two serious medical complications were directly attributable to the surgery, greater than 92.0% of the donors believed their health had not been adversely affected by donation, and 96.8% reaffirmed their decision regardless of the graft's success or the financial distress they experienced (P greater than .05). However, greater than 14.0% experienced direct pressure, particularly not to donate. Donation also appeared to stress previously troubled marriages, especially among donors without a religious affiliation, who were pressured to donate by their families, or who borrowed from family members (P less than .05). Substantial unreimbursed expenses (greater than or equal to $1,000) were incurred by 43 donors, and 23.2% of all donors reported that donation caused a financial hardship.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • African Americans
  • Aged
  • Family*
  • Female
  • Hispanic or Latino
  • Humans
  • Kidney Transplantation*
  • Male
  • Marriage
  • Middle Aged
  • Patient Education as Topic
  • Postoperative Complications
  • Rehabilitation
  • Socioeconomic Factors
  • Tissue Donors / psychology*
  • Tissue and Organ Procurement
  • United States
  • Whites