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The psychological evaluation of Samaritan kidney donors: a systematic review

Published online by Cambridge University Press:  09 July 2007

L. Kranenburg ,
W. Zuidema ,
R. Erdman ,
W. Weimar ,
J. Passchier  and
J. Busschbach
L. Kranenburg*
Affiliation:
Department of Medical Psychology and Psychotherapy, Erasmus University Medical Centre, Rotterdam, The Netherlands
W. Zuidema
Affiliation:
Department of Internal Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands
R. Erdman
Affiliation:
Department of Medical Psychology and Psychotherapy, Erasmus University Medical Centre, Rotterdam, The Netherlands Department of Cardiology, Erasmus University Medical Centre, Rotterdam, The Netherlands
W. Weimar
Affiliation:
Department of Internal Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands
J. Passchier
Affiliation:
Department of Medical Psychology and Psychotherapy, Erasmus University Medical Centre, Rotterdam, The Netherlands
J. Busschbach
Affiliation:
Department of Medical Psychology and Psychotherapy, Erasmus University Medical Centre, Rotterdam, The Netherlands
*
*Address for correspondence: Leonieke Kranenburg, M.Sc., Erasmus University Medical Centre, Department of Medical Psychology and Psychotherapy, PO Box 2040, 1738 DR Rotterdam, The Netherlands. (Email: [email protected])
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Abstract

Background

Living kidney donation to a loved one has become common practice. Another type of living donation that is becoming more acceptable to the transplant community is ‘Samaritan donation’. Samaritan kidney donors are willing to donate to patients they do not know. Until recently there has been great reluctance to accept the offers of Samaritan donors because it was feared that these donors might be mentally unstable.

Method

The purpose of this article is to review the literature about the psychological evaluation of potential Samaritan kidney donors for donor suitability. We have performed a systematic literature search in Pubmed, ISI Web of Science and PsycINFO. We compare and discuss how each study approaches the question about Samaritan donor selection. In addition, we have also screened the studies for reports of rejections of Samaritan donors on psychological grounds.

Results

We have found five articles that at least in some detail describe the evaluation of potential Samaritan donors. For all five articles found, a consultation with either a psychiatrist or a psychologist formed a standard part of the donor evaluation procedure. This evaluation consisted of an interview, and in most instances, additional psychometric testing. According to the articles found, the two major criteria for donor rejection were psychopathology/psychological instability and motivational issues. Three studies reported on the rejection of potential donors on psychological grounds.

Conclusions

The evaluation of Samaritan kidney donors is a developing field in clinical medicine. Given the relatively low incidence of these types of donations, we recommend the exchange of experience between centres that run a Samaritan donor programme, in order to improve donor evaluation criteria.

Type
ReviewArticle
Information
Psychological Medicine , Volume 38 , Issue 2 , February 2008 , pp. 177 - 185
Copyright
Copyright © Cambridge University Press 2007

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References

Abecassis, M., Adams, M., Adams, P., Arnold, R. M., Atkins, C. R., Barr, M. L., Bennett, W. M., Bia, M., Briscoe, D. M., Burdick, J., Corry, R. J., Davis, J., Delmonico, F. L., Gaston, R. S., Harmon, W., Jacobs, C. L., Kahn, J., Leichtman, A., Miller, C., Moss, D., Newmann, J. M., Rosen, L. S., Siminoff, L., Spital, A., Starnes, V. A., Thomas, C., Tyler, L. S., Williams, L., Wright, F. H. & Youngner, S.; Live Organ Donor Consensus Group (2000). Consensus statement on the live organ donor. Journal of the American Medical Association 284, 2919–2926.Google Scholar
Adams, P. L., Cohen, D. J., Danovitch, G. M., Edington, R. M., Gaston, R. S., Jacobs, C. L., Luskin, R. S., Metzger, R. A., Peters, T. G., Siminoff, L. A., Veatch, R. M., Rothberg-Wegman, L., Bartlett, S. T., Brigham, L., Burdick, J., Gunderson, S., Harmon, W., Matas, A. J., Thistlethwaite, J. R. & Delmonico, F. L. (2002). The nondirected live-kidney donor: ethical considerations and practice guidelines: A National Conference Report. Transplantation 74, 582–589.Google Scholar
APA (1994). Diagnostic and Statistical Manual of Mental Disorders (4th edn). American Psychiatric Association: Washington, DC.Google Scholar
Boulware, L. E., Ratner, L. E., Troll, M. U., Chaudron, A., Yeung, E., Chen, S., Klein, A. S., Hiller, J. & Powe, N. R. (2005). Attitudes, psychology, and risk taking of potential live kidney donors: strangers, relatives, and the general public. American Journal of Transplantation 5, 1671–1680.CrossRefGoogle ScholarPubMed
British Transplantation Society and the Renal Association (2005). The United Kingdom Guidelines for Living Donor Kidney Transplantation (http://www.cambridge-transplant.org.uk/program/renal/guidelines.htm).Google Scholar
Butcher, J. N., Dahlstrom, W. G., Graham, J. R., Tellegen, A. & Kraemmer, B. (1989). Minnesota Multiphasic Personality Inventory-2 (MMPI-2): Manual for Administration and Scoring. University of Minnesota Press: Minneapolis.Google Scholar
Cloninger, C. R., Przybeck, T. R., Svrakic, D. M. & Wetzel, R. D. (1994). The Temperament and Character Inventory (TCI): A Guide to Its Development and Use. Center for Psychobiology of Personality, Washington University: St Louis.Google Scholar
Costa, P. T. Jr., & McCrae, R. R. (1992). NEO PI-R: Professional Manual. Psychological Assessment Resources: Lutz.Google Scholar
Costa, P. T. Jr. & Widiger, T. A. (eds) (1994). Personality Disorders and the Five-factor Model of Personality. American Psychological Association: Washington, DC.CrossRefGoogle Scholar
Crowley-Matoka, M. & Switzer, G. (2005). Nondirected living donation: a survey of current trends and practices. Transplantation 79, 515–519.Google Scholar
Delmonico, F., Council of the Transplantation Society (2005). A report of the Amsterdam Forum on the Care of the Live Kidney Donor: data and medical guidelines. Transplantation 79 (Suppl. 6), 53–66.Google ScholarPubMed
Dew, M. A., Jacobs, C. I., Jowsey, S. G., Hanto, R., Miller, C. & Delmonico, F. L. (2007). Guidelines for the psychosocial evaluation of living unrelated kidney donors in the United States. American Journal of Transplantation 7, 1047–1054.Google Scholar
Dutch Transplant Foundation (2006). www.transplantatiestichting.nl. Accessed August 2006.Google Scholar
Ethics Committee of the Transplantation Society (2004). The consensus statement of the Amsterdam Forum on the Care of the Live Kidney Donor. Transplantation 78, 491–492.CrossRefGoogle Scholar
Furth, G. M. & Smith, R. (2000). Apotemnophilia: Information, Questions, Answers, and Recommendations about Self-demand Amputation. 1st Books: Bloomington, IN.Google Scholar
Garvey, C., Jacobs, C. L., Roman, D. D. & Matas, A. J. (2006). 36 nondirected donors (NDDs) at a single institution. American Journal of Transplantation 6 (Suppl. 2), 794.Google Scholar
Gilbert, J. C., Brigham, L., Batty, D. S. Jr., & Veatch, R. (2005). The nondirected living donor program: a model for cooperative donation, recovery and allocation of living donor kidneys. American Journal of Transplantation 5, 167–174.Google Scholar
Henderson, A. J., Landolt, M. A., McDonald, M. F., Barrable, W. M., Soos, J. G., Gourlay, W., Allison, C. J. & Landsberg, D. N. (2003). The living anonymous kidney donor: lunatic or saint? American Journal of Transplantation 3, 203–213.Google Scholar
Hilhorst, M. T. (2005). Directed altruistic living organ donation: partial but not unfair. Ethical Theory and Moral Practice 8, 197–215.Google Scholar
Horn, F. (2004). A life for a limb: body integrity identity disorder. Social Work Today 3, 16–19.Google Scholar
Hoyer, J. (2003). A nondirected kidney donation and its consequences: personal experiences of a transplant surgeon. Transplantation 76, 1264–1265.Google Scholar
Jacobs, C. L., Roman, D., Garvey, C., Kahn, J. & Matas, A. J. (2004). Twenty-two nondirected kidney donors: an update on a single center's experience. American Journal of Transplantation 4, 1110–1116.Google Scholar
Jendrisak, M. D., Hong, B., Shenoy, S., Lowell, J., Desai, N., Chapman, W., Vijayan, A., Wetzel, R. D., Smith, M., Wagner, J., Brennan, S., Brockmeier, D. & Kappel, D. (2006). Altruistic living donors: evaluation for nondirected kidney or liver donation. American Journal of Transplantation 6, 115–120.Google Scholar
Kasiske, B., Ravenscraft, M., Ramos, E. L., Gaston, R. S., Bia, M. J. & Danovitch, G. M. (1996). The evaluation of living renal transplant donors: clinical practice guidelines. Journal of the American Society of Nephrology 7, 2288–2313.Google Scholar
Landolt, M. A., Henderson, A. J., Gourlay, W., McDonald, M. F., Soos, J. G., Barrable, W. M. & Landsberg, D. N. (2003). They talk the talk: surveying attitudes and judging behavior about living anonymous kidney donation. Transplantation 76, 1437–1444.Google Scholar
Leo, R. J., Smith, B. A. & Mori, D. L. (2003). The evaluation of renal transplant candidates: clinical practice guidelines. Patient Care and Education Committee of the American Society of Transplant Physicians. Journal of the American Society of Nephrology 6, 437–444.Google Scholar
Lumsdaine, J. A., Wray, A., Power, M. J., Jamieson, N. V., Akyol, M., Andrew Bradley, J., Forsythe, J. L. & Wigmore, S. (2005). Higher quality of life in living donor kidney transplantation: prospective cohort study. Transplant International 18, 975–980.CrossRefGoogle ScholarPubMed
Mark, P. J., Baker, K., Aguayo, C. & Sorensen, J. B. (2006). Experience with an organ procurement organization-based non-directed living kidney donation programme. Clinical Transplantation 20, 427–437.Google Scholar
Morrissey, P. E., Dube, C., Gohh, R., Yango, A., Gautam, A. & Monaco, A. P. (2005). Good Samaritan kidney donation. Transplantation 80, 1369–1373.CrossRefGoogle ScholarPubMed
Olbrisch, M. E., Benedict, S. M., Haller, D. L. & Levenson, G. L. (2001). Psychosocial assessment of living organ donors: clinical and ethical considerations. Progress in Transplantion 11, 40–49.Google Scholar
Omnell Persson, M. O. P., Broström, L., Persson, N. H. & Hermerén, G. (2007). Living donors – how far can we proceed? Abstract presented at the conference ‘Organ Transplantation: Ethical, Legal, and Psychological Aspects’, Rotterdam, 2007. Pabst Science Publishers: Lengerich.Google Scholar
Passchier, J., Hunfeld, J., Jelicic, M. & Verhage, F. (1993). Suggestibility and headache reports in schoolchildren: a problem in epidemiology. Headache 33, 73–75.CrossRefGoogle ScholarPubMed
Renine Foundation (2006). Registratie Nierfunktievervanging Nederland (www.renine.nl). Accessed June 2006.Google Scholar
Roman, D. D., Jacobs, C. L., Garvey, C. & Matas, A. J. (2006). Psychological characteristics of anonymous (nondirected) kidney donors. American Journal of Transplantation 6 (Suppl. 2), 802.Google Scholar
Sadler, H. H., Davison, L., Carroll, C. & Kountz, S. L. (1971). The living, genetically unrelated, kidney donor. Seminars in Psychiatry 3, 86–101.Google Scholar
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R. & Dunbar, G. C. (1998). The Mini-International Neuropsychiatric Interview (MINI): the development and validation of a structured diagnostic psychiatric interview for DSM-IV and ICD-10. Journal of Clinical Psychiatry 59 (Suppl. 20), 22–57.Google Scholar
Terasaki, P. I., Cecka, J. M., Gjertson, D. W. & Takemoto, S. (1995). High survival rates of kidney transplants from spousal and living unrelated donors. New England Medical Journal 333, 333–336.CrossRefGoogle ScholarPubMed
Terasaki, P. I., Cecka, J. M., Gjertson, D. W. & Cho, Y. W. (1997). Spousal and other living renal donor transplants. Clinical Transplantation 11, 269–284.Google Scholar
Truog, R. D. (2005). The ethics of organ donation by living donors. New England Medical Journal 353, 444–446.Google Scholar
Vandereycken, W., Hoogduin, C. A. L. & Emmelkamp, P. M. G. (eds) (1994). Handbook of Psychopathology, part 1 (2nd edn). Bohn Stafleu Van Loghum: Houten/Zaventem.Google Scholar
Zuidema, W. C., Kranenburg, L., Tronchet, N., Hilhorst, M. T., Erdman, R., Ijzermans, J. N. M. & Weimar, W. (2007). Motivations of altruistic living kidney donors. Abstract presented at the conference ‘Organ Transplantation: Ethical, Legal, and Psychological Aspects’, Rotterdam, 2007. Pabst Science Publishers: Lengerich.Google Scholar