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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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Live Donor Assessment Tool (LDAT): A Turkish validity and reliability study.

Berker Duman1, Oğuzhan Herdi2, Damla Sayar-Akaslan2

  • 1Division of Consultation-Liaison Psychiatry, Department of Psychiatry, Ankara University School of Medicine, Ankara, Turkey.

The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology
|February 24, 2021
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Summary

The Turkish version of the Live Donor Assessment Tool (LDAT) is a valid and reliable instrument for evaluating live donor candidates' psychosocial and psychiatric suitability. This tool accurately predicts clinical decisions for organ donation.

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Area of Science:

  • Transplantation Surgery
  • Psychiatry
  • Medical Assessment Tools

Background:

  • Psychosocial and psychiatric evaluations are essential for assessing live organ donor candidates.
  • The Live Donor Assessment Tool (LDAT) was developed to standardize these evaluations.
  • Validating the Turkish version of LDAT is crucial for its clinical application in Turkey.

Purpose of the Study:

  • To evaluate the validity and reliability of the Turkish version of the Live Donor Assessment Tool (LDAT).
  • To determine if LDAT can accurately assess the psychosocial and psychiatric appropriateness of live donor candidates.

Main Methods:

  • 132 live kidney or liver donor candidates were randomized for assessment using standard clinical evaluation or LDAT.
  • Internal consistency was measured using Cronbach's alpha; inter-rater reliability was assessed with Spearman's correlation.
  • LDAT scores were compared to clinical decisions using Mann-Whitney U test and logistic regression.

Main Results:

  • The Turkish LDAT demonstrated good internal consistency (α=0.773) and strong inter-rater reliability (ICC=0.72).
  • LDAT scores effectively differentiated between accepted and declined donor groups.
  • LDAT strongly predicted clinical decisions, with a cut-off score of 60.5 showing high sensitivity and specificity.

Conclusions:

  • The Turkish version of LDAT is a valid and reliable tool for assessing live donor candidates.
  • LDAT can be effectively utilized in the psychosocial and psychiatric evaluation of potential live organ donors.