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Long-term Follow-up of Living Liver Donors: A Single-center Experience

Completed
Conditions
Liver Transplantation
Interventions
Other: health-related quality of life (HRQoL) (36-item short-form health survey, version 1 [SF-36]).
Registration Number
NCT04814290
Lead Sponsor
Mansoura University
Brief Summary

Data on the long-term consequences of living liver donation are scarce. This study examined clinical, laboratory, and radiological parameters and long-term health-related quality of life (HRQoL) in 237 living liver donors and 239 matched controls during 48 to 168 months of postdonation follow-up.

Detailed Description

Data on the long-term consequences of living liver donation are scarce. This study examined clinical, laboratory, and radiological parameters and long-term health-related quality of life (HRQoL) in 237 living liver donors and 239 matched controls during 48 to 168 months of postdonation follow-up.

We used the 36-item short-form health survey (short form-36 health survey, version 1 \[SF-36\]). The scores for the 4 following subscales were higher in nondonors than in donors: physical functioning (P = 0.009), role limitations due to physical health (P = 0.002), energy/fatigue (P \< 0.001), and bodily pain (P \< 0.001). The scores on the 8 subscales of the SF-36 were higher in donors with living recipients than in donors whose recipients died (P \< 0.001). Our results suggest that living donor right hepatectomy is safe and results in a postdonation HRQoL similar to that of nondonors in those donors whose recipients are healthy, while donors whose recipients die have a lower HRQoL that is significantly negatively correlated with the time since recipient death and improves over time.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
476
Inclusion Criteria
  • age 18-50 years
  • no comorbidities.
  • BMI less than 30 kg/m2.
  • compatible ABO group.
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Exclusion Criteria
  • Older than 50 years.
  • Associated comorbidities.
  • Obesity.
  • Noncompatible ABO group.
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
living liver donorshealth-related quality of life (HRQoL) (36-item short-form health survey, version 1 [SF-36]).cases already underwent hepatectomy for living-donor liver transplantation.
matched controlshealth-related quality of life (HRQoL) (36-item short-form health survey, version 1 [SF-36]).healthy persons who attended the preoperative clinic while preparing for donation but were rejected because of an ABO blood group mismatch.
Primary Outcome Measures
NameTimeMethod
health-related quality of life (HRQoL)4 to 16 years of follow up

health-related quality of life (HRQoL) (36-item short-form health survey, version 1 \[SF-36\]).

Secondary Outcome Measures
NameTimeMethod
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