{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T04:43:22Z","timestamp":1783053802390,"version":"3.54.6"},"reference-count":37,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2021,9,23]],"date-time":"2021-09-23T00:00:00Z","timestamp":1632355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2021,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Anonymous living donor liver transplantation (LDLT) is a strategy to address the shortage of available transplantable\nlivers; however, few studies have been conducted on this population. The objective of this study was to describe the motivations and medical, psychosocial, and financial outcomes of anonymous living liver donors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2010\u20132019, 116 anonymous living liver donors were evaluated, 59 (51.7%) of whom proceeded to surgery. A\nsubset of 21 anonymous donors were matched to biologically\/emotionally related donors according to age, gender, race, and\nduration since surgery. A medical chart review and post\u2010surgical interviews were performed to assess medical and financial outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The primary motivation for donors was an unselfish desire to help others (43, 72.9%). A total of 13 (22%) anonymous donors experienced complications. Of these, 7 (11.9%) were grade I Clavien\u2010Dindo classification, 5 (8.5%) grade II, 1 was grade III (1.7%); and no patients had grade IV\u2013V Clavien\u2010Dindo complications. Increased anxiety was reported by 3 (5.1%) donors, and one donor reported clinical levels of depression (1.7%). Within the matched controls, anonymous donors were not significantly different to biologically\/emotionally related donors with regard to surgical complications, psychosocial, or financial outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Allowing a greater number of anonymous donors may facilitate the reduction of the waitlist for liver transplant candidates.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ctr.14438","type":"journal-article","created":{"date-parts":[[2021,7,22]],"date-time":"2021-07-22T12:45:31Z","timestamp":1626957931000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Post\u2010operative outcomes in anonymous living liver donors: What motivates individuals to donate to strangers"],"prefix":"10.1111","volume":"35","author":[{"given":"Carly","family":"Flaig","sequence":"first","affiliation":[{"name":"Department of Surgery University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"},{"name":"Department of Psychology University of Pittsburgh  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhinav","family":"Humar","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Kirshner","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Swaytha","family":"Ganesh","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Tevar","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9520-963X","authenticated-orcid":false,"given":"Jennifer L.","family":"Steel","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"},{"name":"Department of Psychology University of Pittsburgh  Pittsburgh Pennsylvania USA"},{"name":"Department of Psychiatry University of Pittsburgh School of Medicine  Pittsburgh Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,23]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Removal Reasons by Year. Organ Procurement and Transplantation Network.https:\/\/optn.transplant.hrsa.gov\/data\/view\u2010data\u2010reports\/national\u2010data\/#Published 2019. Accessed: May 3 2019"},{"key":"e_1_2_8_3_1","unstructured":"Living Donation Facts and Resources. UNOS.https:\/\/unos.org\/transplant\/living\u2010donation\/Published 2019. Accessed: June 15 2019."},{"issue":"3","key":"e_1_2_8_4_1","first-page":"87","article-title":"Challenges of organ shortage for transplantation: solutions and opportunities","volume":"5","author":"Saidi RF","year":"2014","journal-title":"Int J Organ Transplant Med"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2008.02.092"},{"key":"e_1_2_8_6_1","unstructured":"Donors Recovered in the U.S. by Donor Type: Liver. Organ Procurement and Transplantation Network.https:\/\/optn.transplant.hrsa.gov\/data\/view\u2010data\u2010reports\/national\u2010data\/#Published 2021. 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