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

  • Sommerer, Claudia1
  • Estelmann, Sarah1
  • Metzendorf, Nicole G.1
  • Leuschner, Maren2
  • Zeier, Martin1
  • 1 Medical University Hospital Heidelberg, Division of Nephrology, Im Neuenheimer Feld 162, Heidelberg, 69120, Germany , Heidelberg (Germany)
  • 2 University Hospital Heidelberg, Department of General Internal and Psychosomatic Medicine, Im Neuenheimer Feld 410, Heidelberg, D-69120, Germany , Heidelberg (Germany)
Published Article
BMC Nephrology
Springer (Biomed Central Ltd.)
Publication Date
Dec 27, 2018
DOI: 10.1186/s12882-018-1187-8
Springer Nature


BackgroundThe 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.MethodsClinical 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).ResultsTwo 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.ConclusionsOverall, 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.

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