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Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Acute Kidney Injury (AKI) progresses through distinct clinical phases: the oliguric, diuretic, and recovery phases, each marked by unique manifestations and challenges.Oliguric Phase:The oliguric phase is the initial stage of AKI, typically lasting 10 to 14 days. This phase is marked by a significant reduction in urine output, usually less than 400 mL per day, indicating decreased kidney function. Fluid retention is a prominent feature, leading to symptoms such as edema, hypertension, and...
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Updated: Apr 8, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Patient-Reported Outcomes Following Living Kidney Donation: A Single Center Experience.

James R Rodrigue1,2, Tanya Vishnevsky3, Aaron Fleishman3

  • 1Center for Transplant Outcomes and Quality Improvement, Transplant Institute, Beth Israel Deaconess Medical Center, 110 Francis Street, 7th Floor, Boston, MA, 02215, USA. jrrodrig@bidmc.harvard.edu.

Journal of Clinical Psychology in Medical Settings
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PubMed
Summary

Most living kidney donors (LKDs) report positive outcomes, but some experience unexpected pain, slower recovery, and decreased vitality. This study highlights the need for ongoing psychosocial assessment in kidney donation surveillance.

Keywords:
Kidney donationLiving donationOutcomesPsychosocial

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Area of Science:

  • Nephrology
  • Transplant Surgery
  • Psychosocial Health

Background:

  • Living kidney donation is a critical component of transplant programs.
  • Long-term psychosocial outcomes for living kidney donors require systematic evaluation.
  • Assessing donor well-being is essential for ethical and sustainable donation practices.

Purpose of the Study:

  • To describe the development and implementation of a psychosocial outcomes assessment initiative for living kidney donors.
  • To analyze the psychosocial and physical well-being of living kidney donors one and two years post-donation.
  • To identify factors associated with survey non-completion and understand donor experiences.

Main Methods:

  • Retrospective cohort analysis of 208 adult living kidney donors at a single transplant center (September 2005 - August 2012).
  • Annual post-donation psychosocial assessments including surveys at one and two years.
  • Statistical analysis to compare characteristics of survey completers versus non-completers.

Main Results:

  • High donor satisfaction and no regret reported by the majority.
  • A significant minority experienced greater than expected pain, slower recovery, and reduced vitality.
  • Younger, minority, and uninsured donors were less likely to complete follow-up surveys.

Conclusions:

  • While most living kidney donors report positive outcomes, a notable subset experiences adverse effects requiring attention.
  • The findings inform clinical practice and highlight challenges in long-term donor surveillance.
  • Systematic, long-term psychosocial monitoring is crucial for living kidney donor care.