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Review

Mental Health and Well-Being of Solid Organ Transplant Donors. The Forgotten Sacrifices

by
Xin-Hui Pan
1,†,
Jonathan Zhi Kai Toh
1,†,
Cheng Han Ng
1,*,
Phoebe Wen Lin Tay
1,
Neng Wei Wong
2,
Alfred Wei Chieh Kow
1,3,4,
Anantharaman Vathsala
1,5,
Eunice Xiang-Xuan Tan
1,4,
Mark Dhinesh Muthiah
1,4 and
Wen Hui Lim
1,*
1
National University Centre for Organ Transplantation, National University Health System, Singapore 119074, Singapore
2
Department of General Surgery, National University Health System, Singapore 119074, Singapore
3
Division of Hepatobiliary & Pancreatic Surgery, Department of Surgery, National University Hospital, Singapore 119074, Singapore
4
Division of Gastroenterology and Hepatology, Department of Medicine, National University Hospital, Singapore 119074, Singapore
5
Division of Nephrology, University Medicine Cluster, National University Hospital, Singapore 119074, Singapore
*
Authors to whom correspondence should be addressed.
†
Equal contribution.
Transplantology 2021, 2(3), 274-287; https://doi.org/10.3390/transplantology2030026
Submission received: 23 May 2021 / Revised: 9 June 2021 / Accepted: 9 July 2021 / Published: 19 July 2021
(This article belongs to the Special Issue Mental Health and Transplantation: Challenges and Solutions)
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Abstract

In light of a global organ shortage, living donor transplantation has become increasingly relevant as an alternative to deceased donor transplantation. While current research has revolved around the medical aspects of transplantation, there remains a paucity of literature regarding the quality of life (QOL) of living donors. Hence, this review aims to provide a comprehensive outline of the current landscape of living liver and kidney transplantation, with a focus on the mental health and wellbeing of donors. As highlighted in previous studies, organ donation has a significant impact on both physical and mental aspects of donor wellbeing, with marked deteriorations occurring in the short term. Furthermore, other qualitative aspects such as financial burden contribute greatly to donor distress, reflecting a need for improved donor care. To address these pertinent issues, recommendations for a successful transplant program are detailed in this review, which encompasses psychological and social aspects of donor care throughout the donation process. Further research can be done on the impact of recipient deaths on donor QOL and appropriate interventions. Overall, given the selfless sacrifices of living donors, the care of their mental wellbeing is essential. Therefore, greater emphasis should be placed on the provision of adequate psychosocial support for them.
Keywords: living donors; mental health; quality of life; liver transplantation; kidney transplantation; patient care; program development; aftercare; psychosocial intervention; counseling living donors; mental health; quality of life; liver transplantation; kidney transplantation; patient care; program development; aftercare; psychosocial intervention; counseling

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MDPI and ACS Style

Pan, X.-H.; Toh, J.Z.K.; Ng, C.H.; Tay, P.W.L.; Wong, N.W.; Kow, A.W.C.; Vathsala, A.; Tan, E.X.-X.; Muthiah, M.D.; Lim, W.H. Mental Health and Well-Being of Solid Organ Transplant Donors. The Forgotten Sacrifices. Transplantology 2021, 2, 274-287. https://doi.org/10.3390/transplantology2030026

AMA Style

Pan X-H, Toh JZK, Ng CH, Tay PWL, Wong NW, Kow AWC, Vathsala A, Tan EX-X, Muthiah MD, Lim WH. Mental Health and Well-Being of Solid Organ Transplant Donors. The Forgotten Sacrifices. Transplantology. 2021; 2(3):274-287. https://doi.org/10.3390/transplantology2030026

Chicago/Turabian Style

Pan, Xin-Hui, Jonathan Zhi Kai Toh, Cheng Han Ng, Phoebe Wen Lin Tay, Neng Wei Wong, Alfred Wei Chieh Kow, Anantharaman Vathsala, Eunice Xiang-Xuan Tan, Mark Dhinesh Muthiah, and Wen Hui Lim. 2021. "Mental Health and Well-Being of Solid Organ Transplant Donors. The Forgotten Sacrifices" Transplantology 2, no. 3: 274-287. https://doi.org/10.3390/transplantology2030026

APA Style

Pan, X.-H., Toh, J. Z. K., Ng, C. H., Tay, P. W. L., Wong, N. W., Kow, A. W. C., Vathsala, A., Tan, E. X.-X., Muthiah, M. D., & Lim, W. H. (2021). Mental Health and Well-Being of Solid Organ Transplant Donors. The Forgotten Sacrifices. Transplantology, 2(3), 274-287. https://doi.org/10.3390/transplantology2030026

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