Universität zu Köln

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

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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
Creators:	Creators Email ORCID ORCID Put Code Wahba, Roger UNSPECIFIED UNSPECIFIED UNSPECIFIED Vitinius, Frank UNSPECIFIED UNSPECIFIED UNSPECIFIED Walczuch, Bianca UNSPECIFIED UNSPECIFIED UNSPECIFIED Dieplinger, Georg UNSPECIFIED UNSPECIFIED UNSPECIFIED Buchner, Denise UNSPECIFIED UNSPECIFIED UNSPECIFIED Datta, Rabi UNSPECIFIED UNSPECIFIED UNSPECIFIED Luerssen, Nadine UNSPECIFIED UNSPECIFIED UNSPECIFIED Schloesser, Hans Anton UNSPECIFIED UNSPECIFIED UNSPECIFIED Thomas, Michael UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, Roman UNSPECIFIED UNSPECIFIED UNSPECIFIED Kann, Martin UNSPECIFIED orcid.org/0000-0003-2956-1699 UNSPECIFIED Hellmich, Martin UNSPECIFIED orcid.org/0000-0001-5174-928X UNSPECIFIED Kurschat, Christine UNSPECIFIED UNSPECIFIED UNSPECIFIED Stippel, Dirk L. UNSPECIFIED UNSPECIFIED UNSPECIFIED
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
Uncontrolled Keywords:	Keywords Language Immunology; Surgery; Transplantation Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/56867