By Henkie P. Tan, Amadeo Marcos, Ron Shapiro
Edited through leaders at one of many acclaimed transplant associations within the usa, this reference covers all points of dwelling donor reliable organ and mobile transplantation in present scientific perform, together with the kidney, liver, pancreas, lung, small bowel, islet, and hematopoietic stem mobilephone transplantation. specified, attractive, and organ- and cell-specific chapters hide instructions for donor and recipient choice and evaluate, contemporary surgical options, and an evaluate of donor dangers and long term sufferer results.
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Additional resources for Living Donor Transplantation
For NDLDs, it is important that they understand what information, if any, they will be given regarding recipient health outcomes in the short- and long-term after the donation. Consideration of the practical arrangements that donors plan to make for missed work, school, or other responsibilities will also help to gauge their understanding of the potential consequences of the surgery and their preparation for it. In particular, it is important to identify any major financial hardships that could arise from the donation and what plans donors will have in place to address financial issues (see Chapter 33 on financial issues).
There is no doubt that some potential donors will be psychologically poor candidates to serve as donors, and anecdotal examples have been described in the popular press and in commentaries on this topic (7,76,77). As we discuss below, there is also uniform recognition of the fact that an assessment of the psychiatric status of potential donors should be an important component of their general predonation psychosocial evaluation. But it is important to keep psychiatric issues in perspective: empirical evidence on the rates of psychiatric disorders in potential donors provides no indication that the pool of potential donors (either related or unrelated) shows unduly high levels of psychopathology.
Additional research is clearly needed to determine the extent to which decision-making processes are influenced by culture and any effect that this may have on postdonation outcomes (60). One limitation of almost all studies in this area is that by the time individuals are questioned about the process by which they reached their decisions to donate (or not to donate), they have already arrived at a decision. Therefore, memory biases may lead them to see their decisions, in retrospect, as spontaneous.