Psychosocial Assessment of Donors in Pediatric Living Donor Liver Transplantation

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Record number: 
2133
Adverse Occurrence type: 
MPHO Type: 
Estimated frequency: 
This is a systematic review of 26 quantitative and 2 qualitative studies. No specific frequency rates are reported for any of the psychosocial issues covered. However, the authors did report the percent of included studies that cited a potential psychosocial concern. The top 5 psychosocial concerns reported (the only concerns cited by at least 10% of included studies) were "family and social support" (25% of included studies), "need for information" (14%), "donation pressure" (11%), "motivation and decision-making" (11%), and "ambivalence" (11%). The remainder of concerns are reported in Table 3 of the manuscript.
Time to detection: 
No specific times provided although both preoperative and postoperative psychosocial concerns are identified.
Alerting signals, symptoms, evidence of occurrence: 
Data were collected via donor surveys and interviews and evidence of occurrence differed widely by included study.
Demonstration of imputability or root cause: 
Imputability is not reported although it can be inferred that most of the included psychosocial issues were due to donation because they were linked to the donation experience in the survey/interview.
Groups audience: 
Suggest new keywords: 
living liver donation, psychosocial issues
Reference attachment: 
Suggest references: 
Psychosocial Assessment of Donors in Pediatric Living Donor Liver Transplantation: A Systematic Review. Transplant Proc. Jan-Feb 2021;53(1):3-15
Expert comments for publication: 
This is a systematic review of 28 studies focused on patient reported experiences before and after living liver donation. The quality and content of the evidence across the studies is varied. Key concerns included social support, need for information, donation pressure, motivation and decision-making and ambivalence.