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Challenges of COVID: Lessons Learned From Living Kidney Donors' Experience

Kelly L Nottingham1, Rebekah Perkins Crawford1, Sophia D Starkie1

  • 1Public Health, Department of Social & Public Health, Ohio University, College of Health Sciences & Professions, Athens, OH, USA.

Journal of Patient Experience
|August 4, 2025
PubMed

Insights

The COVID pandemic caused significant delays and communication issues for living kidney donor (LKD) predonation evaluations (PDE). Patient-centered care and clear communication are crucial for improving the LKD evaluation experience during health crises.

Area of Science:

  • Transplant Surgery
  • Public Health
  • Qualitative Research

Background:

  • The COVID-19 pandemic significantly disrupted global healthcare systems, impacting tertiary care centers and transplant services.
  • Living kidney donation predonation evaluations (PDE) faced particular challenges, including care delays, communication barriers, and increased donor burden.

Purpose of the Study:

  • To explore the lived experiences of individuals undergoing living kidney donor (LKD) predonation evaluation (PDE) during the COVID-19 pandemic.
  • To identify challenges and facilitators impacting the LKD PDE process during a public health crisis.

Main Methods:

  • Qualitative study employing 25 semistructured interviews.
  • Constant comparative analysis to identify key themes in participant experiences.

Main Results:

  • Key themes identified: delays in care due to COVID-19, inconsistent communication, pandemic-related emotions, and facilitators in the pandemic era.
  • Participants reported significant disruptions to their evaluation timelines and communication.

Conclusions:

  • The study underscores the importance of patient-centered care and effective communication in LKD evaluations, especially during disruptions.
  • Findings offer insights for improving LKD processes and mitigating future disruptions in living kidney donation.
Keywords:
COVIDCommunicationhealthcareliving kidney donationpatient burdenpatient experience

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