Donor‐reported barriers to living kidney donor follow‐up. Issue 5 (27th February 2022)

• Record Type: Journal Article
• Authors: Orandi, Babak J.; Reed, Rhiannon D.; Qu, Haiyan; Owens, Grace; Brooks, Sydney; Killian, A. Cozette; Kumar, Vineeta; Sheikh, Saulat S.; Cannon, Robert M.; Anderson, Douglas J.; Lewis, Cora E.; Locke, Jayme E.
• Is Part Of: Clinical transplantation. Volume 36:Issue 5(2022)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2022-02-27
• Subjects: donors and donation -- donors and donation: donor follow‐up -- donors and donation: living -- kidney transplantation: living donor; Transplantation of organs, tissues, etc -- Periodicals; 617.95
• DOI: 10.1111/ctr.14621
• Languages: English
• ISSNs: 0902-0063

Abstract

Abstract: 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.