Review Article

Donors and Recipients of Living Kidney Donation: A Qualitative Metasummary of Their Experiences

Table 2

Synthesis of findings with frequency effect size of each finding (how often a particular finding appeared in the body of literature reviewed) and intensity effect size of each study (how much each study contributes, in terms of the number of findings it includes, to the overall body of literature reviewed).

FindingFrequency Effect Size of Findings (%) Yi, 2003 [29] Sanner, 2003 [30] Franklin et al., 2003 [31] Haljamäe, 2003 [32] Heck et al., 2004 [33] Walsh, 2004 [34] Andersen et al., 2005 [35] Sanner, 2005 [36] Waterman et al., 2006 [37] Crombie and Franklin, 2006 [38] Andersen et al., 2007 [39] Brown et al., 2008 [40] Gill and Lowes, 2008 [41] Brown et al., 2008 [42] Williams et al., 2009 [43]

Intensity Effect Size of Studies (%) 14.8 11.1 20.4 14.8 22.2 16.7 24.1 31.5 13.0 18.5 16.7 22.2 33.3 29.6 7.4

DonorsDecision-making process
Deliberation phase
  Awareness of suffering 53.3
  Altruistic and natural decision 46.7
  Spiritual—philosophical decision 20.0
  Carefully thought through decision 40.0
  Quick and straightforward decision 13.3
  Informative decision 26.7
  Familial issues 53.3
  No pressure 26.7
  Intimacy with recipient 6.7
  Threat—anxiety 26.7
 Time of decision 13.3
 Examinations: difficult stage 6.7
 Withdraw possibility 13.3
 Social support 20.0
Execution phase
  Voluntary type 6.7
  Compromising type 6.7
  Passive type 6.7
At time of donation
Surgical experience
  Just before surgery 20.0
  Pain, nausea, exhaustion, scar 46.7
  Psychological strain 40.0
Care experience
  Positive experience 26.7
  Negative experience 20.0
  Wish for better psychological care 6.7
After donation
 Medical followup 13.3
 Concerns regarding future health 13.3
 Living donation active promotion 6.7
 Advices for others 13.3
 Same decision again—no regrets 40.0
 Back to normal 20.0
Overall experience of donating a kidney
 Complexity 13.3
 Benefits for donors 53.3
 Donation: meaningful action 20.0
 Being donor: unfamiliar trajectory 6.7
 Conflicting donor roles 26.7
 When transplantation fails 26.7

RecipientsBefore donation
 Different ways of asking for a kidney 6.7
 Wait for donors to volunteer 13.3
 Accepting a kidney from a live donor 40.0
After donation
 Being grateful to the donor 13.3
 No regrets 6.7
 Regrets 6.7
 Benefits for recipients' health 6.7
 Psychological strain 6.7
 Negative experience 6.7

Relational IssuesDonor-recipient relationship
 Close, stable and possible improvement 40.0
 Conflicts and deterioration 13.3
 Familial aspects 13.3
 Need to move on with their lives 6.7
Gift reciprocity and obligation to repay
 No expectations from donors 20.0
 Recipients' obligation to be grateful 13.3
 Recipients' obligation regarding the graft 13.3
 Recipients' gift to the donor 13.3
 Recipients' gratitude 20.0
 Way to reduce recipients' debt 6.7

: presence of a given finding.