Considering adult living donor liver transplantation: a qualitative study of patients and their potential donors.

In April 2006, the Scottish Liver Transplant Unit became the first NHS transplant unit in the UK to offer adult Living Donor Liver Transplantation (LDLT). However, within the first 21 months of its availability, no patients on the transplant waiting list had pursued this treatment option. A qualitat...

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Published in:Psychology & Health Vol. 25; no. 6; pp. 751 - 767
Main Authors: McGregor LM, Swanson V, Hayes PC, Forsythe JR, O'Carroll RE
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Jul2010
Online Access:View this record in EBSCOhost
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      dt: Jul2010
      vid: 25
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        atl: Considering adult living donor liver transplantation: a qualitative study of patients and their potential donors.
      aug:
        au:
          McGregor LM
          Swanson V
          Hayes PC
          Forsythe JR
          O'Carroll RE
        affil: Department of Psychology, University of Stirling, UK
      sug:
        subj:
          Liver Transplantation
          Living Donors
          Patient Attitudes
          Transplant Recipients Psychosocial Factors
          Adult
          Aged
          Attitude to Risk
          Family Attitudes
          Female
          Funding Source
          Human
          Interview Guides
          Interviews
          Male
          Middle Age
          Qualitative Studies
          Thematic Analysis
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: In April 2006, the Scottish Liver Transplant Unit became the first NHS transplant unit in the UK to offer adult Living Donor Liver Transplantation (LDLT). However, within the first 21 months of its availability, no patients on the transplant waiting list had pursued this treatment option. A qualitative interview study was devised to elicit the views of patients and their families with regards to LDLT. Interviews were conducted with 21 patients and 20 potential donors. The main reason why recipients did not pursue LDLT was their perception of risk to their donor. The anticipated feelings of guilt if the donor was harmed resulted in LDLT being rejected. However, despite this, many recipients would possibly consider LDLT as a 'last option'. For donors, considering becoming a donor was an automatic response, driven by their need to help their loved one to survive. However, consideration of the effects of donating upon their own immediate family often superseded their wish to donate. Whilst donors need to be given time to consider the implications of LDLT upon their own lives, it is essential that recipients understand that LDLT cannot be a last option, in order to allow them to reconsider their options realistically.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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