Donor Quality of Life in Living Donor Liver Transplantation

Yoo, Jin Young; Yi, Nam Joon; Suh, Kyung Suk; Kwon, Choon Hyuck; Choi, Seok Ho; Lee, Kuhn Uk

Abstract

PURPOSE
The safety of donors and the impact on quality of life (QOL) was the most important thing in living donor liver transplantation (LDLT).
METHODS
Questionnaires were sent to 50 donors who were followed up more than 4 months after LDLT from December 2001 to January 2003 (response rate 92.0%). The control group was selected the same number of the general public (n=42). The questionnaire consisted of donors characteristics, medical and psychosocial outcomes, and global QOL (KHP 1.0). Follow-up investigations were also performed at out patient clinic 1, 4, and 12 months after discharge.
RESULTS
The donors were more prevalent in male patient (63.0%) and most common in twenties (23.8%). The relations to the recipients were 17 offsprings (37.0%), 12 parents (26.1%), 6 spouses (13.0%), and et cetera. There was no perioperative transfusion, reoperation, and none of the donors died or has suffered life-threatening complications. Average length of hospital stay is 11.4+/-4.5 days. The mean recovery time was 1~3 months in a half of them. All donors resumed their predonation occupation or regular activity and felt no limitation. Most donors were satisfied with their donation (95.6%) and their current life (87.0%) after operation. The score of QOL examined by KHP 1.0 showed that physica role of donors were more restricted but emotional health was better than that of the general public.
CONCLUSIONS
Most donors in LDLT felt it to be good, but some limitation ofl their physical role despite of their physical recoveries. Donor follow-up needs to be emphasized and followed more systemically.