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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

التفاصيل البيبلوغرافية
العنوان: 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
المؤلفون: Rabi R Datta, Georg Dieplinger, Michael Thomas, Martin Hellmich, Dirk L. Stippel, Roger Wahba, Martin Kann, Christine Kurschat, Frank Vitinius, Denise Buchner, Roman U. Müller, Bianca Walczuch, Hans A. Schlößer, Nadine Lürssen
المصدر: Transplantation Proceedings. 53:786-792
بيانات النشر: Elsevier BV, 2021.
سنة النشر: 2021
مصطلحات موضوعية: Adult, Male, medicine.medical_specialty, medicine.medical_treatment, Population, Kidney, Hospital Anxiety and Depression Scale, Nephrectomy, Time, Quality of life, Internal medicine, Outcome Assessment, Health Care, Living Donors, medicine, Hand-Assisted Laparoscopy, Humans, Postoperative Period, Retroperitoneal Space, education, Depression (differential diagnoses), HARP, Transplantation, education.field_of_study, business.industry, Middle Aged, Physical Functional Performance, Kidney Transplantation, Cross-Sectional Studies, Quality of Life, Tissue and Organ Harvesting, Anxiety, Female, Surgery, medicine.symptom, business, Psychosocial
الوصف: 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° 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.
تدمد: 0041-1345
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::c240b56e3c951968205b0df679bcc45c
https://doi.org/10.1016/j.transproceed.2020.08.026
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....c240b56e3c951968205b0df679bcc45c
قاعدة البيانات: OpenAIRE
الوصف
تدمد:00411345