Causas de contraindicación psicosocial de donante vivo de riñón en un centro trasplantador.

Background: The psychosocial assessment of potential living kidney donors requires a rigorous process to validate that the candidate is making the best decision. There is extensive literature on medical contraindication reasons, while information on psychosocial contraindication reasons is limited. Purpose: Our study describes the psychosocial reasons that contraindicate living kidney donors in a transplant center in Colombia. Methodology: A retrospective cross-sectional descriptive study of potential living kidney donors between 2008 and 2019 at Colombiana de Trasplantes who underwent mental health evaluations. Variables include sociodemographic characteristics and contraindication reasons from legal, ethical, and psychological aspects. Results: A total of 1488 potential donors were evaluated, with 53.9 % being women and a median age of 38 years (29-48). Out of these, 166 (11.1 %) were contraindicated. There were differences between approved and contraindicated donors in terms of age, gender, marital status, donor-recipient relationship, and dependency (p < 0.05). The majority of patients were contraindicated for ethical reasons (56.6 %), ethical and psychological reasons (21.1 %), while 11.5 % were due to legal and ethical reasons. Conclusions: This study represents an initial approach to the topic of living kidney donors in our country. We recommend prioritizing collaborative scientific production and establishing a baseline for psychosocial evaluation in the organ donation process in Colombia. [ABSTRACT FROM AUTHOR]