Wahba, Roger, Vitinius, Frank, Walczuch, Bianca, Dieplinger, Georg, Buchner, Denise, Datta, Rabi, Luerssen, Nadine, Schloesser, Hans Anton, Thomas, Michael, Mueller, Roman, Kann, Martin ORCID: 0000-0003-2956-1699, Hellmich, Martin ORCID: 0000-0001-5174-928X, Kurschat, Christine and Stippel, Dirk L. (2021). Hand-Assisted Retroperitoneoscopic Donor Nephrectomy Compared to Anterior Approach Open Donor Nephrectomy: Improved Long-Term Physical Component Score in Health-Related Quality of Life in Living Kidney Donors. Transplant. Proc., 53 (3). S. 786 - 793. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1873-2623
Full text not available from this repository.Abstract
Background. Health-related quality of life (HRQL), fatigue, anxiety, and depression are crucial for the living kidney donor (LKD). Follow-up data for HRQL of LKDs comparing surgical techniques, especially regarding hand-assisted retroperitoneoscopic donor nephrectomy (HARP), are sparse. The aim of this study was to evaluate the influence of abdominal wall trauma minimized by HARP in comparison to open anterior approach donor nephrectomy (AA) on HRQL and additional psychosocial aspects of LKDs during the long-term follow-up. Material and Methods. This is a cross-sectional study comparing psychosocial aspects of LKD between HARP and AA. Results. This study included 100 LKDs (68 HARP, 28 AA, and 4 were excluded secondary to incomplete data). The time to follow-up was 22.6 +/- 11.7 (HARP) vs 58.7 +/- 13.9 (AA) months (P <.005). Complications >= 3a degrees due to Clavien-Dindo classification was 0% in both groups. There were higher scores in all physical aspects for HARP donors vs AA donors at that time (physical function: 89.8 +/- 14.6 vs 80.0 +/- 19.9, P =.008, and the physical component score: 53.9 +/- 7.6 vs 48.6 +/- 8.5, P =.006). One year later (follow-up time + 12 months), HRQL for HARP donors was still higher. Mental items showed no significant differences. HARP donors showed better physical scores compared to the age-matched nondonor population (AA donors had lower scores). Neither the Multidimensional Fatigue Inventory-20 (MFI-20) or the Hospital Anxiety and Depression Scale (HADS) showed any differences between the 2 groups. Fatigue scores were higher for HARP and for AA compared to the age-matched population. Conclusions. LKDs undergoing HARP showed better physical performance as part of HRQL in the long-term follow-up.
Item Type: | Journal Article | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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URN: | urn:nbn:de:hbz:38-568672 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
DOI: | 10.1016/j.transproceed.2020.08.026 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Journal or Publication Title: | Transplant. Proc. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Volume: | 53 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Number: | 3 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Page Range: | S. 786 - 793 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Date: | 2021 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Publisher: | ELSEVIER SCIENCE INC | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Place of Publication: | NEW YORK | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
ISSN: | 1873-2623 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Language: | English | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Faculty: | Unspecified | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Divisions: | Unspecified | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Subjects: | no entry | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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URI: | http://kups.ub.uni-koeln.de/id/eprint/56867 |
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