{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T07:17:52Z","timestamp":1776410272769,"version":"3.51.2"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":221,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"name":"German Federal Ministry of Education and Research","award":["01EO0802"],"award-info":[{"award-number":["01EO0802"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Liver Transpl"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p>Living related liver transplantation (LRLT) is a valuable transplant option for children with end\u2010stage liver disease who face long waiting times on regular waiting lists. The subjection of a healthy adult to a potentially life\u2010threatening operation can raise issues of freedom of choice, fear, and family conflict for the potential donors. We examined attitudes, fears, and influencing factors in the decision\u2010making process for living liver donation for children in order to identify factors to improve support for living liver donors in the future. In a retrospective, questionnaire\u2010based survey of 93 adults evaluated for living liver donation between 1997 and 2010, 47 of whom actually proceeded to donation, we asked about attitudes, motivation, fears, influencing factors, and well\u2010being during the LRLT evaluation process and during the donation period. Answers were recorded on Likert scales and compared with Pearson's rho correlation and the Mann\u2010Whitney<jats:italic toggle=\"yes\">U<\/jats:italic>test as appropriate. Although there was a strong sense of a lack of alternatives among the donors, the majority of the donors felt free in their decision to donate. Donors who were asked to donate for a relative who was not their own child appeared at higher risk of lacking support and of feeling coerced. Family and social support and good and empathic information about the donation process were identified as key factors for donor well\u2010being. In conclusion, potential living liver donors need to have adequate, sufficient, and empathic information, and they need to be provided a supportive framework, including family support, in order to promote their well\u2010being. Care needs to be taken in identifying and counseling potential donors at risk of feeling coerced into donation.<jats:italic toggle=\"yes\">Liver Transpl 21:195\u2010203, 2015<\/jats:italic>. \u00a9 2015 AASLD.<\/jats:p>","DOI":"10.1002\/lt.24064","type":"journal-article","created":{"date-parts":[[2014,12,11]],"date-time":"2014-12-11T11:49:42Z","timestamp":1418298582000},"page":"195-203","source":"Crossref","is-referenced-by-count":9,"title":["Personal decision\u2010making processes for living related liver transplantation in children"],"prefix":"10.1097","volume":"21","author":[{"given":"Imeke","family":"Goldschmidt","sequence":"first","affiliation":[{"name":"Pediatric Gastroenterology and Hepatology, Children's Hospital, and,Hannover Medical School,Hannover,Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarina","family":"Migal","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology and Hepatology, Children's Hospital, and,Hannover Medical School,Hannover,Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norbert","family":"R\u00fcckert","sequence":"additional","affiliation":[{"name":"University of Applied Sciences and Art,Hannover,Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rolf","family":"van Dick","sequence":"additional","affiliation":[{"name":"Institute for Psychology,Goethe University,Frankfurt,Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eva Doreen","family":"Pfister","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology and Hepatology, Children's Hospital, and,Hannover Medical School,Hannover,Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Becker","sequence":"additional","affiliation":[{"name":"Department of Visceral, Thoracic and Pediatric Surgery and Transplantation,University Hospital Kiel,Kiel,Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Richter","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, and Transplantation Surgery,Hannover Medical School,Hannover,Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Lehner","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, and Transplantation Surgery,Hannover Medical School,Hannover,Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich","family":"Baumann","sequence":"additional","affiliation":[{"name":"Pediatric Gastroenterology and Hepatology, Children's Hospital, and,Hannover Medical 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