Multicenter investigation of the reliability and validity of the live donor assessment tool as an enhancement to the psychosocial evaluation of living donors

Yoon won Amy Kook, Akhil Shenoy, Julia Hunt, Farrah Desrosiers, Janna S. Gordon-Elliott, Sheila Jowsey-Gregoire, Joyce A. Trompeta, Margo Vandrovec, Sandra Weinberg, Weijia Fan, Dianne LaPointe Rudow

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

The live donor assessment tool (LDAT) is the first psychosocial assessment tool developed to standardize live donor psychosocial evaluations. A multicenter study was conducted to explore reliability and validity of the LDAT and determine its ability to enhance the psychosocial evaluation beyond its center of origin. Four transplant programs participated, each with their own team of evaluators and unique demographics. Liver and kidney living donors (LDs) undergoing both standard psychosocial evaluation and LDAT from June 2015 to September 2016 were studied. LDAT interrater reliability, associations between LDAT scores and psychosocial evaluation outcome, and psychosocial outcomes postdonation were tested. 386 LD evaluations were compared and had a mean LDAT score of 67.34 ± 7.57. In 140 LDs with two LDATs by different observers, the interrater scores correlated (r = 0.63). LDAT scores at each center and overall stratified to the conventional grouping of psychosocial risk level. LDAT scores of 131 subjects who proceeded with donation were expectedly lower in LDs requiring postdonation counseling (t = −2.78, P =.01). The LDAT had good reliability between raters and predicted outcome of the psychosocial evaluation across centers. It can be used to standardize language among clinicians to communicate psychosocial risk of LD candidates and assist teams when anticipating postdonation psychosocial needs.

Original languageEnglish
Pages (from-to)1119-1128
Number of pages10
JournalAmerican Journal of Transplantation
Volume19
Issue number4
DOIs
StatePublished - Apr 2019

Keywords

  • clinical research/practice
  • donors and donation: donor evaluation
  • donors and donation: living
  • health services and outcomes research
  • kidney transplantation/nephrology
  • liver transplantation/hepatology
  • patient safety
  • risk assessment/risk stratification
  • social sciences
  • transplant social worker

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