The Effect of Psychiatric History on Pain and Related Outcomes Among Living Kidney Donors.

Journal Article (Journal Article)

INTRODUCTION: Living donor transplantation of kidneys accounts for one quarter of transplants performed in the United States. Careful screening of psychiatric history is a standard part of the donor evaluation. Little is known about the impact of psychiatric history on post-donation course and pain experience. RESEARCH QUESTION: This study investigated whether psychiatric history was associated with pain and related outcomes among living kidney donors. DESIGN: A retrospective medical record review was conducted of 75 living kidney donors who underwent laparoscopic donor nephrectomy. All donor candidates completed a psychological evaluation and were approved for donation by a multidisciplinary committee. History of psychiatric diagnosis and psychiatric medication use were obtained from donors' psychological evaluation reports. Data on pain and related outcomes (ie, history of prescribed pain medication, post-donation pain, opioid use, length of hospital stay, post-donation emergency department visits), as well as demographic and donation-related characteristics were also abstracted from medical records. RESULTS: Psychiatric history, including current or historical psychiatric diagnosis or psychiatric medication use, in living kidney donors who were evaluated and approved for donation by a transplant psychologist was not associated with greater perceived pain, greater use of opioid pain medication in the post-operative period, longer hospital stays, or more frequent post-donation emergency department visits. DISCUSSION: The findings demonstrate that carefully screened donors with a psychiatric history have comparable pain-related outcomes as donors without a psychiatric history. This study highlights the importance of the pre-donation psychological evaluation in promoting positive postdonation outcomes through careful selection of donor candidates.

Full Text

Duke Authors

Cited Authors

  • Fox, KR; Gulin, SL; Bruschwein, HM; Rose, T; Burker, EJ; Kozlowski, T; Loiselle, MM

Published Date

  • June 2021

Published In

Volume / Issue

  • 31 / 2

Start / End Page

  • 108 - 116

PubMed ID

  • 34080486

Electronic International Standard Serial Number (EISSN)

  • 2164-6708

Digital Object Identifier (DOI)

  • 10.1177/15269248211002809


  • eng

Conference Location

  • United States