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Kostro J.Z.,Medical University of Gdansk | Hellmann A.,Medical University of Gdansk | Kobiela J.,Medical University of Gdansk | Skora I.,Regional Transplant Coordination Center | And 3 more authors.
Transplantation Proceedings

Background The purpose of renal transplantation is to achieve a maximal improvement in quality of life (QoL) and life expectancy in patients with end-stage renal disease (ESRD) while minimizing the potential side effects of this procedure. It is important to achieve an optimal balance between graft function and the patient's QoL. This study was designed to assess the changes in the QoL after kidney transplantation (KTx) in patients with ESRD previously treated with hemodialysis (HD) or peritoneal dialysis (PD). Methods QoL was prospectively analyzed in 69 patients after kidney transplantation in a single-center study. Patients with ESRD were divided into 2 groups: those previously treated with HD (n = 44 patients; group 1) or PD (n = 25 patients; group 2). Both groups were asked to complete the KDQOL-SFtm questionnaire before and 12 months after kidney transplantation. Results We observed significant differences in many parameters of QoL in both groups after KTx but more positive changes of most parameters in question exhibited by patients previously treated by means of HD than PD. Patients treated with HD and PD demonstrated improvement after KTx in 74% of dimensions. There were no statistical differences in the QoL between group 1 and group 2 before or after KTx. Conclusions The study demonstrated post- to pre-transplant improvements of QoL independently of previous treatment. © 2016 Elsevier Inc. Source

Martinez-Alarcon L.,Hospital Universitario Virgen Of La Arrixaca | Martinez-Alarcon L.,Regional Transplant Coordination Center | Rios A.,Hospital Universitario Virgen Of La Arrixaca | Rios A.,Regional Transplant Coordination Center | And 4 more authors.
Revista Espanola de Enfermedades Digestivas

Objective: to analyze attitude of patients on the liver transplant waiting list toward living donation (LD). Design and patients: patients on the transplant waiting list -2003-2005 (n = 164)- were selected. Attitude was evaluated using a validated questionnaire, completed by an independent heal thcare professional. Results: the questionnaire completion rate was 97% (n = 159). A total of 87% (n = 138) of patients stated that they would donate an organ while alive if a family member needed one. However, only 39% (n = 61) would be prepared to receive a liver donation from a living relative and 50% would prefer to wait on the list (n = 80). 90% accepted that living liver donation involves a certain amount of risk. This assumption was not associated with a willingness to accept related LD (p = 0.170). A willingness to accept LD was related to patient's knowledge of his or her family's attitude toward donating an organ to the patient (p = 0.027). Conclusions: patients had a favorable attitude toward living liver donation. When there was a family base that is in favor of LD then this encouraged acceptance, and therefore, it is essential to carry out family screening of patients to detect those cases in which this type of LD can be successfully requested. © 2011 ARÁN EDICIONES, S. L. Source

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