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Gender disparity in health-related quality of life and fatigue after living renal donation

Sommerer, Claudia ; Estelmann, Sarah ; Metzendorf, Nicole G. ; Leuschner, Maren ; Zeier, Martin

In: BMC Nephrology, 19 (2018), Nr. 377. pp. 1-10. ISSN 1471-2369

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Abstract

Background: The clinical outcome and health-related quality of life (HRQoL) of living kidney donors is mostly not detrimental, but some donors experience impairment after donation. Gender-specific effects of living kidney donors was evaluated.

Methods: Clinical outcome was assessed in living kidney donors and HRQoL was obtained by self-reporting validated test systems as the Multidimensional Fatigue Inventory (MFI-20), the Short Form 36 (SF-36), and the Patient Health Questionnaire (PHQ-9).

Results: Two hundred and eleven (211) living renal donors were evaluated (female 62.2%). Response rate was 80.8%. In both genders, a decrease of renal function of 26% was observed after donation. De novo antihypertensives were introduced in 28.3% of women and 36.5% of men. HRQoL was comparable in female and male donors, except for mental HRQoL, which was lower in 51- to 60-year-old female donors, compared to age-matched male donors and to the female general population. Female donors aged 40–59 years demonstrated more fatigue than the age-matched general population. A low mental HRQoL (MCS; SF-36) was associated with higher values for fatigue (General Fatigue Score; MFI-20) in both genders. Multiple regression analysis detected the General Fatigue score of the MFI-20 questionnaire and depression identified by the PHQ-9 score as independent variables predicting MCS of the SF-36 in both genders. Lower age at time of donation contributed to a lower MCS in female donors.

Conclusions: Overall, HRQoL in living kidney donors exceeds that of the general population. Inferior mental health status and fatigue seem to be a problem, especially in middle-aged female donors, but not in all female donors. Psychological evaluation pre donation and psychological support post donation are required.

Item Type: Article
Journal or Publication Title: BMC Nephrology
Volume: 19
Number: 377
Publisher: BioMed Central
Place of Publication: London
Date Deposited: 08 Feb 2019 12:03
Date: 2018
ISSN: 1471-2369
Page Range: pp. 1-10
Faculties / Institutes: Medizinische Fakultät Heidelberg > Medizinische Universitäts-Klinik und Poliklinik
Medizinische Fakultät Heidelberg > Psychosomatische Universitätsklinik
Subjects: 610 Medical sciences Medicine
Uncontrolled Keywords: Living renal donation, Gender, Quality of life, Fatigue, Depression
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