AI Article Synopsis
- In Japan, most kidney transplants involve living related donors, and third-party interviews are conducted to ensure that donors are making voluntary decisions.
- A study analyzed 446 living donor candidates, identifying factors for those who withdrew their donation decision after interviews, with 11 individuals in the withdrawal group.
- Six key reasons for withdrawal emerged, including concerns about pregnancy risks, alternative treatments, physical burden on the donor, the recipient's behavior, the need for more time, and feelings of psychological pressure.
- The study emphasizes the importance of understanding each donor's situation and providing them enough information and time to safeguard their right to refuse.
Article Abstract
Background: In Japan, 90% of kidney transplantations involve living related donors. A third-party interview is conducted during latter stages of preparation for transplantation to ensure the donor's voluntary decision-making. In this study, we investigated the factors responsible for withdrawal of decision for kidney donation by related living donors after third-party interview.
Methods: Related living donor candidates were divided into 2 groups based on their final decision: those who finally donated the kidney (FDG; n = 435); and those who withdrew their decision after third-party interview (WG; n = 11). The psychosocial and medical variables were compared and the reasons for withdrawal were investigated.
Results: Multiple logistic regression analysis revealed that none of the variables were significantly related to WG. Six categories of reasons for withdrawal were identified: "avoiding pregnancy risk"; "selecting alternative treatment"; "avoiding physical burden for donor"; "recipients' intemperance"; "need to take more time for decision-making"; and "psychological pressure."
Conclusion: A certain number of donor candidates withdrew their decision for different reasons, even in the latter stages of the transplant preparation. Careful verification of the donor candidates' individual situation and provision of adequate information and time are important to protect the donor's right to refuse.
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| http://dx.doi.org/10.1016/j.transproceed.2018.06.031 | DOI Listing |
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