4.4 Article

Assessing health-related quality of life of living kidney donors using the 36-item medical outcomes Short-Form-36 questionnaire: a meta-analysis

Journal

PSYCHOLOGY HEALTH & MEDICINE
Volume 26, Issue 8, Pages 917-930

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/13548506.2020.1856392

Keywords

health-related quality of life; kidney transplantation; living donors; Medical Outcomes Short-Form-36 questionnaire; Meta-Analysis

Funding

  1. 2018 Annual Clinical Nursing Research Fund of The Second Xiangya Hospital of Central South University [2018-YHL-27]
  2. National Science Foundation of China [81800664, 81970655, 82070776, 81900370]
  3. Natural Science Foundation of Hunan Province of China [2019JJ50842]
  4. Huxiang Young Talents of Hunan Province [2019RS2013]

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Living kidney donors exhibit inferior physical health in terms of bodily pain compared to the general population, but are superior in general health. There is no significant difference between living kidney donors and the general population in physical function and role-physical. Living kidney donation has a positive impact on the psychological health of well-screened donors.
The purpose of this meta-analysis was to assess the health-related quality of life (HRQoL) of living kidney donors using the 36-item Medical Outcomes Short-Form-36 questionnaire (SF-36). A systematic search of the Web of Science, PubMed, Embase, Elsevier/ScienceDirect, Wanfang, Weipu, and China National Knowledge Infrastructure databases for studies that used the SF-36 to evaluate the HRQoL of living kidney donors up to April 2020 was performed. Stata version 12.0 (StataCorp LLC, College Station, TX, USA) was used for meta-analysis. In all, nine studies comprising 802 living kidney donors were included in this meta-analysis. The research revealed that living kidney donors were inferior in physical health to the general population with regard to bodily pain (BP), superior to the general population in terms of general health (GH), and exhibited no significant difference from the general population in physical function (PF) and role-physical (RP). In the case of psychological health, living kidney donation had a positive impact on well-screened living kidney donors. Based on our results, clinicians can inform potential kidney donors that there is a low risk in donating a kidney, which contributes to provide guidance to design counseling interventions for both kidney recipients and donors.

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