Recipients' perceptions of their transplanted kidneys.

Abstract:

BACKGROUND:The literature indicates few studies on kidney patients' perception of the donor kidney. In light of this fact, we decided to explore this issue with adult patients. METHODS:We carried out a phenomenological study with 40 adult kidney patients. RESULTS:In this study, three main themes became apparent: the savior, gratitude, and feelings of intense responsibility for the kidney. The patients' perception of the kidney as a savior was evident in statements where patients spoke of being "reborn" and of the kidney as "a distinct being." Their sense of gratitude was evident in their description of the kidney as "a gift of life," in their comments on their improved, "quality of life" and sense of leading a "normal life." Feelings of intense responsibility for the kidney were also present: "always on my mind," "precious being," "uncertainty," and "contract." This study's unique finding was recipients' desire to enter a contract with the transplanted kidney in order to prevent the risk of rejection. CONCLUSIONS:This study indicates that in addition to the physiological care of kidney patients' during the pre- and postoperative phases, there is also an important psychological component. This demonstrates that the success of a kidney transplant does not only depend on the physical care given to the patient but also on the emotional support provided by those around them. Accordingly, healthcare providers should support the patients' emotional needs in a number of ways as suggested in the discussion.

journal_name

Transplantation

journal_title

Transplantation

authors

Buldukoglu K,Kulakac O,Kececioglu N,Alkan S,Yilmaz M,Yucetin L

doi

10.1097/01.tp.0000168149.95310.6e

subject

Has Abstract

pub_date

2005-08-27 00:00:00

pages

471-6

issue

4

eissn

0041-1337

issn

1534-6080

pii

00007890-200508270-00009

journal_volume

80

pub_type

杂志文章
  • Immunobiology of xenogeneic cornea grafts in mouse eyes. II. Immunogenicity of xenogeneic cornea tissue grafts implanted in anterior chamber of mouse eyes.

    abstract:BACKGROUND:Xenogeneic corneal fragments (guinea pig) are highly resistant to immune rejection in the anterior chamber of mouse eyes. Because guinea pigs and mice are discordant (i.e., mouse serum normally contains guinea pig reactive xenoantibodies), we wished to determine the extent to which xenogeneic corneal fragmen...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-200002270-00025

    authors: Tanaka K,Streilein JW

    更新日期:2000-02-27 00:00:00

  • Hydrogen-rich University of Wisconsin solution attenuates renal cold ischemia-reperfusion injury.

    abstract:BACKGROUND:Renal ischemia-reperfusion (I/R) injury is unavoidable in kidney transplantation and frequently influences both short- and long-term allograft survival rates. One of the major events in I/R injury is the generation of cytotoxic oxygen radicals. Recently, hydrogen gas has been reported to display antioxidant ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318255f8be

    authors: Abe T,Li XK,Yazawa K,Hatayama N,Xie L,Sato B,Kakuta Y,Tsutahara K,Okumi M,Tsuda H,Kaimori JY,Isaka Y,Natori M,Takahara S,Nonomura N

    更新日期:2012-07-15 00:00:00

  • Magnetic resonance of the hepatic veins with angular reconstruction: application in living-related liver transplantation.

    abstract:BACKGROUND:Preoperative mapping of the hepatic venous system of the partial liver graft is indispensable to the success of living-related liver transplantation. We assessed the accuracy of magnetic resonance (MR) venography with angular reconstruction in depicting the tributaries of the middle hepatic vein and left hep...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199907270-00019

    authors: Cheng YF,Chen CL,Huang TL,Chen TY,Lee TY,Chen YS,Wang CC,de Villa V,Goto S,Chiang YC,Eng HL,Jawan B,Cheung HK

    更新日期:1999-07-27 00:00:00

  • Engrafted human T and B lymphocytes form mixed follicles in lymphoid organs of human/mouse and human/rat radiation chimera.

    abstract:BACKGROUND:We recently described a new approach that enables the generation of human/mouse chimera by adoptive transfer of human peripheral blood mononuclear cells into lethally irradiated normal strains of mice or rats, radioprotected with bone marrow from donors with severe combined immune deficiency. In such human/m...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199704270-00018

    authors: Burakova T,Marcus H,Canaan A,Dekel B,Shezen E,David M,Lubin I,Segal H,Yair R

    更新日期:1997-04-27 00:00:00

  • Effect of HLA matching on organ distribution among whites and African-Americans.

    abstract::A total of 159 patients received renal cadaveric grafts under 2 different allocation systems. System 1, a local variance (i.e., a point system different from that of United Network for Organ Sharing [UNOS]), and system 2, the current UNOS point system, differed in the relative emphasis on waiting time and HLA match. T...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Zachary AA,Braun WE,Hayes JM,McElroy JB,Novick AC,Schulak JA,Sharp WV

    更新日期:1994-04-15 00:00:00

  • CCR5, RANTES and CX3CR1 polymorphisms: possible genetic links with acute heart rejection.

    abstract:BACKGROUND:The inflammation response is modulated by the elaborated chemokine-chemokine receptor system, which also plays an important role in the development of acute rejection (AR). In this study, we hypothesized that functional genetic variants of some of these modulatory proteins might influence the outcome of AR. ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000178378.53616.ca

    authors: Simeoni E,Vassalli G,Seydoux C,Ramsay D,Noll G,von Segesser LK,Fleury S

    更新日期:2005-11-15 00:00:00

  • Respiratory complications: a major concern after right hepatectomy in living liver donors.

    abstract:BACKGROUND:One of the main concerns after living donor liver transplantation is the risk of morbidity and/or mortality that it imposes on the donors. Respiratory postoperative complications in living liver donors have already been reported but their frequency seems to be underestimated. We designed a prospective study ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000191624.70135.35

    authors: Dondero F,Taillé C,Mal H,Sommacale D,Sauvanet A,Farges O,Francoz C,Durand F,Delefosse D,Denninger MH,Vilgrain V,Marrash-Chahla R,Fournier M,Belghiti J

    更新日期:2006-01-27 00:00:00

  • mTOR Inhibition Role in Cellular Mechanisms.

    abstract::The mammalian target of rapamycin inhibitors (mTOR-I), drugs widely used in transplant medicine and oncology, exert their function by inhibiting a serine/threonine kinase with a pivotal role in cellular metabolism and in a wide range of eukaryotic biological/cellular functions and signaling networks. Additionally, as ...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000001806

    authors: Zaza G,Granata S,Caletti C,Signorini L,Stallone G,Lupo A

    更新日期:2018-02-01 00:00:00

  • A dual mechanism of immunosuppression by FK-506. Differential suppression of IL-4 and IL-10 levels in T helper 2 cells.

    abstract::FK-506 is known to suppress the transcription of several genes encoding cytokines (e.g., IL-2, IFN-gamma) thought to play an important role in the allograft response. This general inhibition of cytokine gene transcription and protein production was previously thought to be the main mechanism by which FK-506 suppressed...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199310000-00038

    authors: Wang SC,Morel PA,Wang Q,Jordan ML,Simmons RL,Tweardy DJ

    更新日期:1993-10-01 00:00:00

  • Venous thromboembolic complications after kidney and kidney-pancreas transplantation: a multivariate analysis.

    abstract:BACKGROUND:We reviewed the incidence of and risk factors for venous thromboembolic complications in our population of kidney (KTx) and simultaneous kidney-pancreas transplant (SPK) recipients. METHODS:Information was collected retrospectively from a database on 1833 KTx and 276 SPK recipients who underwent transplant ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199801270-00015

    authors: Humar A,Johnson EM,Gillingham KJ,Sutherland DE,Payne WD,Dunn DL,Wrenshall LE,Najarian JS,Gruessner RW,Matas AJ

    更新日期:1998-01-27 00:00:00

  • The global role of kidney transplantation.

    abstract::World Kidney Day on March 8, 2012, provides a chance to reflect on the success of kidney transplantation as a therapy for end-stage kidney disease that surpasses dialysis treatments both for the quality and quantity of life that it provides and for its cost-effectiveness. Anything that is both cheaper and better, but ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e318245f186

    authors: Garcia GG,Harden P,Chapman J,World Kidney Day Steering Committee 2012.

    更新日期:2012-02-27 00:00:00

  • The development and specificity of antiidiotypic antibodies in renal transplant recipients receiving single-donor blood transfusions.

    abstract::Multiple pretransplant sera obtained from alloimmunized renal transplant recipients were tested for the presence of antiidiotypic-like antibodies (AB2) that inhibit donor-specific HLA antibodies in the microlymphocytotoxicity assay. Fourteen patients received repetitive single-donor blood transfusions (SDT). In this p...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198907000-00013

    authors: Phelan DL,Rodey GE,Anderson CB

    更新日期:1989-07-01 00:00:00

  • Cyclosporine nephrotoxicity in cardiac allograft patients--a seven-year follow-up.

    abstract::Renal function was observed retrospectively in a population of 228 adults who underwent a cardiac allograft at the University of Pittsburgh from June 1980 through June 1987, survived a minimum of one year, and received cyclosporine. Renal function was determined by serial measurement of serum creatinine concentration....

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199010000-00012

    authors: Greenberg A,Thompson ME,Griffith BJ,Hardesty RL,Kormos RL,el-Shahawy MA,Janosky JE,Puschett JB

    更新日期:1990-10-01 00:00:00

  • Pretransplant IgG subclasses of donor-specific human leukocyte antigen antibodies and development of antibody-mediated rejection.

    abstract:BACKGROUND:The subclass of IgG antibodies contributes to their capability to activate complement. It is currently unknown whether the pretransplant IgG subclass composition allows distinguishing harmful from presumably irrelevant donor-specific human leukocyte antigen (HLA) antibodies (HLA-DSA) detected by single-antig...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31821cdf0d

    authors: Hönger G,Hopfer H,Arnold ML,Spriewald BM,Schaub S,Amico P

    更新日期:2011-07-15 00:00:00

  • Fifty-percent partial liver transplantation in the rat.

    abstract::Reduced-size liver transplantation in the rat has been useful in the study of hepatic regeneration. We describe a modified technique for partial liver transplantation in the rat using a 50% reduced-size graft. Male Lewis rats (RT1(1)), weighing 250 to 280 g, were used as donors and recipients. The harvested donor live...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199607270-00023

    authors: Omura T,Ascher NL,Emond JC

    更新日期:1996-07-27 00:00:00

  • Are indoleamine-2,3-dioxygenase producing human dendritic cells a tool for suppression of allogeneic T-cell responses?

    abstract:BACKGROUND:Suppressive dendritic cells (DCs) are a promising tool for tolerance induction in transplantation. A human DCs subpopulation, which constitutively expresses indoleamine-2,3-dioxygenase (IDO), a molecule shown to prevent the rejection of fetus during pregnancy, has recently been described. This subset, charac...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000251646.09702.ec

    authors: Löb S,Ebner S,Wagner S,Weinreich J,Schäfer R,Königsrainer A

    更新日期:2007-02-27 00:00:00

  • Age-related differences in the effects of cyclosporine on lymphocyte intracellular free calcium.

    abstract::The effect of cyclosporine on lymphocyte intracellular free calcium [( Ca2+]i) is controversial, and potential age-related differences in lymphocyte CsA sensitivity have not been studied. We measured the mitogen-induced change in [Ca2+]i in peripheral blood lymphocytes (PBLs) following intravenous CsA infusion (5 mg/k...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199108000-00031

    authors: Tsao PW,Diaz RJ,Radde IC,Wong PY,Martell MF,Augustine JM,Wilson GJ,Coles JG

    更新日期:1991-08-01 00:00:00

  • Live donor liver transplantation for acute liver failure.

    abstract:BACKGROUND:Acute liver failure (ALF) carries a high mortality unless urgent orthotopic liver transplantation (OLT) is performed on time. Live donors are utilized to treat this irreversible condition first in pediatric cases and then in adults. Herein, we aimed to report our experience with live donors for ALF in a coun...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/01.tp.0000276987.55382.e2

    authors: Kilic M,Aydin U,Noyan A,Arikan C,Aydogdu S,Akyildiz M,Karasu Z,Zeytunlu M,Alper M,Batur Y

    更新日期:2007-08-27 00:00:00

  • Results of conversion from cyclosporine to azathioprine in cadaveric renal transplantation.

    abstract::Between December 1983 and August 1985, 110 cadaver transplants were performed at our institution. All were started on cyclosporine (CsA) and prednisone (P) for immunosuppressive therapy. Of the 110 patients, 46 were converted from CsA to azathioprine (AZA) for a variety of reasons (cost, toxicity, patient preference, ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198702000-00012

    authors: Gonwa TA,Nghiem DD,Schulak JA,Corry RJ

    更新日期:1987-02-01 00:00:00

  • Graft-versus-host disease induced by small bowel allografts. Clinical course and pathology.

    abstract::The histopathological changes and the course of graft-versus-host (GVH) disease were studied in the rat model of small-bowel transplantation using the Lewis----LBN-F1 strain combination. Allograft-induced GVH disease led to the recipients' death from enteritis, dermatitis and emaciation after 14.4 +/- 2.9 days (hetero...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198603000-00002

    authors: Schraut WH,Lee KK,Dawson PJ,Hurst RD

    更新日期:1986-03-01 00:00:00

  • Is the transjugular intrahepatic portocaval shunt procedure beneficial for liver transplant recipients?

    abstract::Recent reports document the efficacy of transjugular intrahepatic portocaval shunts (TIPS) for the prevention of portal hypertensive bleeding and have advocated its use as a bridge to liver transplantation. There are no reports, however, analyzing liver transplant results for patients with indwelling TIPS. We reviewed...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:

    authors: Freeman RB Jr,FitzMaurice SE,Greenfield AE,Halin N,Haug CE,Rohrer RJ

    更新日期:1994-08-15 00:00:00

  • New mixed lymphocyte microculture test harvested by a simple device developed for this purpose.

    abstract::The methodology of the conventional mixed lymphocyte culture test has been simplified and miniaturized by developing a micromethod employing Terasaki trays with a final culture volume of 20 mul containing between 10,000 and 20,000 responding and stimulating cells each/culture. This represents one-tenth the cell concen...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-197507000-00005

    authors: Péna-Martinez J,Festenstein H

    更新日期:1975-07-01 00:00:00

  • Uncontrolled Donation After Circulatory Death: A Unique Opportunity.

    abstract::Uncontrolled donation after circulatory death (uDCD) refers to donation from persons who die following an unexpected and unsuccessfully resuscitated cardiac arrest. Despite the large potential for uDCD, programs of this kind only exist in a reduced number of countries with a limited activity. Barriers to uDCD are of a...

    journal_title:Transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/TP.0000000000003139

    authors: Coll E,Miñambres E,Sánchez-Fructuoso A,Fondevila C,Campo-Cañaveral de la Cruz JL,Domínguez-Gil B

    更新日期:2020-08-01 00:00:00

  • Pretransplant immunologic risk assessment of kidney transplant recipients with donor-specific anti-human leukocyte antigen antibodies.

    abstract:BACKGROUND:Patients with pretransplantation strong donor-specific anti-human leukocyte antigen (HLA) antibodies (DSA) are at higher risk for rejection. We aimed to study the safety of kidney transplantation in patients with lower strength DSAs in a prospective cohort study. METHODS:Three hundred and seventy-three cons...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000191

    authors: Marfo K,Ajaimy M,Colovai A,Kayler L,Greenstein S,Lubetzky M,Gupta A,Kamal L,de Boccardo G,Masiakos P,Kinkhabwala M,Akalin E

    更新日期:2014-11-27 00:00:00

  • Contrasted blood and intragraft toll-like receptor 4 mRNA profiles in operational tolerance versus chronic rejection in kidney transplant recipients.

    abstract:BACKGROUND:Deciphering the mechanisms of tolerance and chronic rejection (CR) remains a major goal in transplantation. Data in rodents suggest that Toll-like receptors (TLR), regulators of innate immune responses, play a role in determining graft outcome. However, few studies have focused on TLR expression in human kid...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0b013e31817b8dc5

    authors: Braudeau C,Ashton-Chess J,Giral M,Dugast E,Louis S,Pallier A,Braud C,Moreau A,Renaudin K,Soulillou JP,Brouard S

    更新日期:2008-07-15 00:00:00

  • Effects of bone marrow-derived natural suppressor activity on B cell responses to lipopolysaccharide.

    abstract::Natural suppressor (NS) activity is detected in tissues undergoing intense hematopoietic regeneration. This includes the spleens of mice recovering from total lymphoid irradiation or cyclophosphamide treatment, or after induction of chronic graft-versus-host disease against minor histocompatibility antigens. NS cells ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199309000-00038

    authors: Schreiber KL,Forman J

    更新日期:1993-09-01 00:00:00

  • Detection of allograft endothelial cells of recipient origin following ABO-compatible, nonidentical cardiac transplantation.

    abstract::Endothelial cells serve an important role in augmenting immune responses through enhanced expression of MHC class II antigens. Immune-mediated vascular injury associated with rejection requires reendothelialization to restore vascular integrity. The origin of the reparative endothelial cells can be determined when ABO...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199102000-00033

    authors: O'Connell JB,Renlund DG,Bristow MR,Hammond EH

    更新日期:1991-02-01 00:00:00

  • Role of polymorphic Fc receptor Fc gammaRIIa in cytokine release and adverse effects of murine IgG1 anti-CD3/T cell receptor antibody (WT31).

    abstract::Anti-CD3 monoclonal antibody (mAb) OKT3 is immunosuppressive, but causes severe adverse effects during the first administration ("first-dose reaction"). These adverse effects are presumably caused by cytokine release that results from T-cell activation. In vitro, T-cell activation by anti-CD3 mAb requires interaction ...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-199701150-00020

    authors: Tax WJ,Tamboer WP,Jacobs CW,Frenken LA,Koene RA

    更新日期:1997-01-15 00:00:00

  • Association Between Organ Procurement Organization Social Network Centrality and Kidney Discard and Transplant Outcomes.

    abstract:BACKGROUND:Given growth in kidney transplant waitlists and discard rates, donor kidney acceptance is an important problem. We used network analysis to examine whether organ procurement organization (OPO) network centrality affects discard and outcomes. METHODS:We identified 106,160 deceased donor kidneys recovered for...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/TP.0000000000000773

    authors: Butala NM,King MD,Reitsma W,Formica RN,Abt PL,Reese PP,Parikh CR

    更新日期:2015-12-01 00:00:00

  • Lack of secondary suppressor response in enhanced allografted rats with endogenous suppressor activity in spleen and diminished cytotoxic T cell response.

    abstract::In order to better understand the mechanisms of alloimmunization occurring in transplantation, we studied the immune response of an inbred rat strain (WF) to varied presentation of alloantigens (LEW). Hyperimmunized rats acutely reject transplanted allografts and demonstrate direct cytotoxic activity, as well as an ex...

    journal_title:Transplantation

    pub_type: 杂志文章

    doi:10.1097/00007890-198811000-00020

    authors: Weir MR,Salomon DR,Cohen DJ,Carpenter CB

    更新日期:1988-11-01 00:00:00