{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T23:05:53Z","timestamp":1792019153080,"version":"4.4.0"},"reference-count":44,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2022,1,28]],"date-time":"2022-01-28T00:00:00Z","timestamp":1643328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Stichting Kwaliteitsgelden Medisch Specialisten (SKMS)","award":["NVVH 32854335"],"award-info":[{"award-number":["NVVH 32854335"]}]},{"DOI":"10.13039\/501100002997","name":"Dutch Kidney Foundation","doi-asserted-by":"publisher","award":["A1D6P01"],"award-info":[{"award-number":["A1D6P01"]}],"id":[{"id":"10.13039\/501100002997","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Informed consent for living kidney donation is paramount, as donors are healthy individuals undergoing surgery for the benefit of others. The informed consent process for living kidney donors is heterogenous, and the question concerns how well they are actually informed. Knowledge assessments, before and after donor education, can form the basis for a standardized informed consent procedure for live kidney donation. Methods: In this prospective, a multicenter national cohort study conducted in all eight kidney transplant centers in The Netherlands, we assessed the current status of the informed consent practice for live donor nephrectomy. All of the potential living kidney donors in the participating centers were invited to participate. They completed a pop quiz during their first outpatient appointment (Cohort A). Living kidney donors completed the same pop quiz upon admission for donor nephrectomy (Cohort B). Results: In total, 656 pop quizzes were completed (417 in Cohort A, and 239 in Cohort B). The average donor knowledge score was 7.0\/25.0 (\u00b13.9, range 0\u201318) in Cohort A, and 10.5\/25.0 (\u00b12.8, range 0\u201317.5) in Cohort B. Cohort B scored significantly higher on overall knowledge, preparedness, and the individual item scores (p &lt; 0.0001), except for the long-term complications (p = 0.91). Conclusions: Donor knowledge generally improves during the live donor workup, but it is still quite disappointing. Long-term complications, especially, deserve more attention during living kidney donor education.<\/jats:p>","DOI":"10.3390\/jcm11030698","type":"journal-article","created":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T05:26:17Z","timestamp":1643433977000},"page":"698","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Living Kidney Donor Knowledge of Provided Information and Informed Consent: The PRINCE Study"],"prefix":"10.3390","volume":"11","author":[{"given":"Emerentia Q. W.","family":"Spoon","sequence":"first","affiliation":[{"name":"Erasmus MC University Medical Centre, Department of Surgery, 3015 GD Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Kortram","sequence":"additional","affiliation":[{"name":"Erasmus MC University Medical Centre, Department of Surgery, 3015 GD Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sohal Y.","family":"Ismail","sequence":"additional","affiliation":[{"name":"Erasmus MC University Medical Centre, Department of Psychiatry, 3015 GD Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daan","family":"Nieboer","sequence":"additional","affiliation":[{"name":"Erasmus MC University Medical Centre, Department of Public Health, 3015 GD Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank C. H.","family":"d\u2019Ancona","sequence":"additional","affiliation":[{"name":"Radboud University Medical Centre, Department of Urology, 6525 GA Nijmegen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3558-2277","authenticated-orcid":false,"given":"Maarten H. L.","family":"Christiaans","sequence":"additional","affiliation":[{"name":"Maastricht University Medical Centre, Department of Internal Medicine, 6229 HX Maastricht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth E.","family":"Dam","sequence":"additional","affiliation":[{"name":"Leiden University Medical Centre, Department of Nephrology, 2333 ZA Leiden, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hendrik Sijbrand","family":"Hofker","sequence":"additional","affiliation":[{"name":"University Medical Centre Groningen, Department of Surgery, 9713 GZ Groningen, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjan W. J.","family":"Hoksbergen","sequence":"additional","affiliation":[{"name":"VU Medical Centre, Department of Surgery, 1081 HV Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karlijn Ami","family":"van der Pant","sequence":"additional","affiliation":[{"name":"Amsterdam University Medical Centre, Renal Transplant Unit, Department of Internal Medicine, 1105 AZ Amsterdam, The Netherlands"},{"name":"Amsterdam University Medical Centre, Renal Transplant Unit, Department of Nephrology, 1105 AZ Amsterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raechel J.","family":"Toorop","sequence":"additional","affiliation":[{"name":"Utrecht University Medical Centre, Department of Surgery, 3584 CX Utrecht, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"van de Wetering","sequence":"additional","affiliation":[{"name":"Erasmus MC University Medical Centre, Department of Nephrology, 3015 GD Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan N. M.","family":"Ijzermans","sequence":"additional","affiliation":[{"name":"Erasmus MC University Medical Centre, Department of Surgery, 3015 GD Rotterdam, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank J. M. F.","family":"Dor","sequence":"additional","affiliation":[{"name":"Erasmus MC University Medical Centre, Department of Surgery, 3015 GD Rotterdam, The Netherlands"},{"name":"Department of Surgery and Cancer, Imperial College, London SW7 2AZ, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"on behalf of the Dutch Working Group Informed Consent for Live Donor Nephrectomy (\u201cPRINCE\u201d)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,1,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1177\/0194599815620558","article-title":"Shared Decision Making and Choice for Elective Surgical Care: A Systematic Review","volume":"154","author":"Boss","year":"2016","journal-title":"Otolaryngol. 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