Donor quality of life in living-donor lobar lung transplantation

Mai Nishioka, Chie Yokoyama, Mitsua Iwasaki, Michiko Inukai, Naomi Sunami, Takahiro Oto

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background: Living-donor lobar lung transplantation has been established as a life-saving option for end-stage pulmonary diseases. However, factors associated with quality of life (QOL) of living lung donors have not been fully investigated. Methods: A cross-sectional study was performed at Okayama University using the version 2 questionnaire of the 36-item Short Form (SF-36) Health Survey. Linear regression analysis was used to estimate the relationship of donor factors and recipient outcomes using the SF-36 component summary scores. Results: Of 65 donors, 42 (65%) agreed to participate in this study; the mean age was 42 ± 1 (range 25 to 59) years. Mean time from the operation to questionnaire was 39 ± 4 (range 1 to 78) months. Donorrecipient relationships were as follows: sibling (18 cases); spouse (9 cases); parent (11 cases); and child (4 cases). Thirty-four of 42 donors were paired with those who donated their organ to the same recipient. Both physical and mental health scores in donors were higher than those in the general Japanese population. Lower mental health scores were seen in those who donated to their child or parent. There was a significant correlation in mental health scores between the paired donors. In the univariate analysis, donor age (r = -0.35, p = 0.02), donorrecipient relationship (r = 0.38, p = 0.01) and recipient death (r = -0.42, p = 0.006) were factors significantly associated with donor mental health scores. Conclusions: The average QOL in the living lung donors was better than that of the general population. However, a fatal outcome in the recipient significantly impacted donor mental health QOL. Ensuring that donor candidates consider both the risks/benefits of donation, and the potential recipient outcomes may be critical in the informed consent process.

Original languageEnglish
Pages (from-to)1348-1351
Number of pages4
JournalJournal of Heart and Lung Transplantation
Volume30
Issue number12
DOIs
Publication statusPublished - Dec 2011

Keywords

  • living donor
  • lung transplantation
  • quality of life
  • short-form 36

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine
  • Transplantation

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  • Cite this

    Nishioka, M., Yokoyama, C., Iwasaki, M., Inukai, M., Sunami, N., & Oto, T. (2011). Donor quality of life in living-donor lobar lung transplantation. Journal of Heart and Lung Transplantation, 30(12), 1348-1351. https://doi.org/10.1016/j.healun.2011.07.004