{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:35:37Z","timestamp":1777588537480,"version":"3.51.4"},"reference-count":37,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2013,12,1]],"date-time":"2013-12-01T00:00:00Z","timestamp":1385856000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Endourology"],"published-print":{"date-parts":[[2013,12]]},"abstract":"<jats:sec>\n                    <jats:title>Background and Purpose:<\/jats:title>\n                    <jats:p>There is a paucity of prospective long-term data on living kidney donor (LKD) quality of life (QoL). The Living Organ Donor Network (LODN) database follows donors longitudinally and cross-references with United Network for Organ Sharing (UNOS) data to assess factors that affect donor QoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>The Short Form (SF)-36 was sent to donors at 6 months and yearly thereafter. Recipient outcomes were determined from the UNOS database. Of 2219 donors, 1030 returned \u22651 QoL survey in the first year. Seven-hundred and thirty-one donors returned at least two surveys with 51 associated with a nonfunctioning graft and 38 with recipient death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Initial QoL scores were not different between donors whose recipients were alive with graft function, and those whose recipients died (88.9\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      89.2,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.87). For donors whose recipient died, QoL in the year after recipient death averaged 6 points lower than the initial QoL (88.9\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      82.9,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.01). Thirty-one donors returned surveys an average of 4.1 years after their recipient's death. Final QoL score increased by 2.5 points, no longer significantly lower than the initial QoL (85.4\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      88.9,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.16). Thirty-eight donors returned surveys in the year after their recipient's graft failure and their QoL decreased by 5.6 points on average (86.9\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      81.2,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.07). Twenty-eight of these donors returned future surveys and final QoL was unchanged (81.2\n                      <jats:italic toggle=\"yes\">vs<\/jats:italic>\n                      81.2,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.99).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Donor QoL declines after recipient death but recovers with time. Graft failure resulted in decreased QoL without recovery. The LODN database identifies factors affecting LKD QoL and provides a model for a national registry.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/end.2013.0189","type":"journal-article","created":{"date-parts":[[2013,10,17]],"date-time":"2013-10-17T09:30:36Z","timestamp":1382002236000},"page":"1525-1529","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Recipient Graft Failure or Death Impact on Living Kidney Donor Quality of Life Based on the Living Organ Donor Network Database"],"prefix":"10.1177","volume":"27","author":[{"given":"Justin M.","family":"Watson","sequence":"first","affiliation":[{"name":"Eastern Virginia Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martha K.","family":"Behnke","sequence":"additional","affiliation":[{"name":"VCU Health System"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael D.","family":"Fabrizio","sequence":"additional","affiliation":[{"name":"Eastern Virginia Medical School"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas R.","family":"McCune","sequence":"additional","affiliation":[{"name":"Sentara Norfolk General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,12]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"OPTN\/SRTR 2011 Annual Data Report: Kidney. 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