Quantifying Risk Tolerance Among Potential Living Kidney Donors With the Donor-Specific Risk Questionnaire

• DOI: 10.1053/j.ajkd.2020.11.028
• Publication Date: 2021-01-26T06:50:47Z
• Authors: Carrie Thiessen; Jacqueline Gannon; Sienna Li; Laura Skrip; Danielle Dobosz; Geilang Gan; Yanhong Deng; Kristie Kennedy; Daniel Gray; Adam Mussell; Peter P. Reese; Elisa J. Gordon; Sanjay Kulkarni
• Keywords: Closeness

<h3>Rationale & Objective</h3> Enhanced informed consent tools improve patient engagement. A novel visual aid measured potential donors' risk tolerance to postdonation kidney failure and assessed if the closeness of relationship intended recipient altered willingness accept risk. <h3>Study Design</h3> Cross-sectional analysis donor evaluations at time enrollment into a longitudinal mixed-methods study between November 2014 February 2016. <h3>Setting Participants</h3> Three US transplant centers. English-speaking adults presenting for in-person living evaluation. <h3>Exposure</h3> Closeness recipient. <h3>Outcome</h3> Willingness failure. <h3>Analytical Approach</h3> The Donor-Specific Risk Questionnaire, dot matrix diagram, was used measure Multivariable logistic regression associations acceptance data from social science instruments, which perceived with Qualitative were analyzed thematically per grounded theory. <h3>Results</h3> 307 participants (response rate: 86%) completed testing. 96% indicated 0.9% or greater. Those who older (OR, 0.98 [95% CI, 0.96-0.99]), women 0.54 0.31-0.93]), Black 0.25 0.08-0.76]) less likely be in medium versus low group. independently associated greater (for every 1-point score, odds ratios being high groups 1.21 1.03-1.41] 2.42 1.53-3.82] compared group). With exception parental relationships, biological linkages not accepting higher <h3>Limitations</h3> First demonstration that one estimate provided all participants. estimates customized different demographic groups. <h3>Conclusions</h3> Relationship Visual aids can provide teams individualized perspectives on thresholds potentially facilitate patient-centered care donors.