Comparison of Liver Function, Emotional Status, and Quality of Life of Living Liver Donors in Taiwan

Transplant Proc. 2016 May;48(4):1007-11. doi: 10.1016/j.transproceed.2015.11.022.

Abstract

Background: Living donor liver transplantation may put the donor at risk of physical and psychological impacts. Recovery of physical and psychological function as well as quality of life (QOL) in living liver donors warrants investigation.

Objectives: This study aims to examine the recovery of liver function, emotional status, and QOL in living liver donors through a comparison with the general population and reference values.

Methods: This descriptive, comparative study included 97 living liver donors who underwent surgery from 2008 to 2012 and were divided into 4 groups according to their postoperative period (1 year [n = 31], 2 years [n = 31], 3 years [n = 21], and 4 years above [n = 14]). Data were collected retrospectively in a medical center in northern Taiwan.

Results: The mean aspartate aminotransferase level was 20.2-32.1 U/L, the mean alanine aminotransferase level was 14.7-33.5 U/L, and the mean total bilirubin level was 10.8-15.5 μmol/L among the 4 groups. Among donors of the 4 groups, 23.8%-51.6% and 0%-29% were defined as having a mild level of anxiety and depression, respectively. Donors in the 1- and 2-year groups had poorer QOL in the physical function, role physical, vitality, and mental health domains than did the general population of Taiwan (P < .05).

Conclusions: Liver function was at normal levels in all 4 groups. The emotional and psychological function of living liver donors should be monitored and health-related QOL should be promoted during the first and second year after liver donation.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Anxiety / psychology
  • Depression / psychology
  • Emotions*
  • Female
  • Humans
  • Liver / physiology*
  • Liver Transplantation / psychology*
  • Living Donors / psychology*
  • Male
  • Mental Health
  • Quality of Life*
  • Recovery of Function / physiology
  • Retrospective Studies
  • Taiwan
  • Time Factors