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Quality of life of liver donors following donor hepatectomy.

Publication Type : Journal Article

Thematic Areas : Medical Sciences

Publisher : Indian J Gastroenterol

Source : Indian J Gastroenterol, Volume 36, Issue 2, p.92-98 (2017)

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Keywords : adolescent, adult, Age Factors, Body Mass Index, child, Cohort Studies, female, Hepatectomy, Humans, length of stay, liver transplantation, Living Donors, male, middle aged, Prospective Studies, quality of life, Time Factors, Tissue and Organ Procurement, Young Adult

Campus : Kochi

School : School of Medicine

Department : Gastrointestinal Surgery

Year : 2017

Abstract : BACKGROUND:Although morbidity following living liver donation is well characterized, there is sparse data regarding health-related quality of life (HRQOL) of donors.METHODS:HRQOL of 200 consecutive live liver donors from 2011-2014 performed at an Indian center were prospectively collected using the SF-36 version 2, 1 year after surgery. The effect of donor demographics, operative details, post-operative complications (Clavien-Dindo and 50-50 criteria), and recipient mortality on the quality-of-life (QOL) scoring was analyzed.

RESULTS: Among 200 donors (female/male=141:59), 77 (38.5%) had complications (14.5%, 16.5%, 4.5%, and 3.5%, Clavien-Dindo grades I-IV, respectively). The physical composite score (PCS) of donors 1 year after surgery was less than ideal (48.75±9.5) while the mental composite score (MCS) was good (53.37±6.16). Recipient death was the only factor that showed a statistically significant correlation with both PCS (p<0.001) and MCS (p=0.05). Age above 50 years (p<0.001), increasing body mass index (BMI) (p=0.026), and hospital stay more than 14 days ( p= 0.042) negatively affected the physical scores while emergency surgery (p<0.001) resulted in lower mental scores. Gender, postoperative complications, type of graft, or fulfillment of 50-50 criteria did not influence HRQOL. On asking the hypothetical question whether the donors would be willing to donate again, 99% reiterated there will be no change in their decision.CONCLUSION:Recipient death, donation in emergency setting, age above 50, higher BMI, and prolonged hospital stay are factors that lead to impaired HRQOL following live liver donation. Despite this, 99% donors did not repent the decision to donate

Cite this Research Publication : B. Chandran, Bharathan, V. Kumar, Mathew, J. Shaji, Amma, B. Sivasankar, Gopalakrishnan, U., Dinesh Balakrishnan, Ramachandran Narayana Menon, Dhar, P., Vayoth, S. Othiyil, and Surendran, S., “Quality of life of liver donors following donor hepatectomy.”, Indian J Gastroenterol, vol. 36, no. 2, pp. 92-98, 2017.

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