Long-Term Follow-up of Over 600 Living Related Kidney Donors: Single-Center Experience

Sayın, Burak; Akdur, Aydıncan; Karakaya, Emre; Soy, Ebru H. Ayvazoglu; Haberal, Mehmet

doi:10.6002/ect.mesot2021.o4

Cited by 3 publications

(2 citation statements)

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“…Donors often develop hypertension, diabetes, obesity, and CVD after donation. Older age, obesity, smoking, and hyperlipidemia are major risk factors for postoperative CVD [22]. We must consider the balance of the recipient's benefits and the donor's risks for LKT from elderly donors.…”

Section: Gfr Levels Of Lkt Donors In An Aging Societymentioning

confidence: 99%

“…Obesity was a major increasing problem among posttransplant donors, and 174 (28.6%) individuals (body mass index >25 kg/m 2 ) had mild-to-moderate obesity. The primary and independent risk factors for hypertension and atherosclerotic CVD in donors were older age, obesity, smoking, and hyperlipidemia [22]. Kang et al studied the postoperative prevalence of metabolic risk factors, including hypertension, hyperuricemia, hypercholesterolemia, and obesity, in 2,018 LKT donors and matched non-donors [25].…”

Section: Pre- and Post-kt Comorbidities Of Lkt Donorsmentioning

confidence: 99%

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Donor Evaluation of Living Kidney Transplantation in the Aging Society

Nishi,

Goto

2023

Nephron

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Background: Because of the lack of organ donation, living kidney transplantation (LKT) is increasing worldwide. Recently, the number of elderly donors has been increasing, and the patients with end-stage kidney diseases are older than those in the previous decades. Due to the advanced ages, their glomerular filtration rates (GFR) decrease, and the comorbidities such as hypertension, diabetic condition, and obesity are common. The clinicians now have to give their unwilling consent to the LKT from the donors with expanded criteria. Summary: For the secure selection of donors, proper GFR measuring is essential. Although directly measured GFR (mGFR) was recommended in the guidelines, estimated GFR (eGFR) is used at the initial evaluation of donor renal function clinically. Many equations calculating eGFR have been published so far. In the selection of eGFR equations, the smaller difference between mGFR and eGFR and the closer relationship to the prevalence rates of comorbidities are requisite points. Therefore, we compared the specificity of the various eGFR equations. The eGFR calculated from the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation showed approximate reliability with minimal difference between mGFR and eGFR and the closer relationships to the prevalence rates of comorbidities. Key Message: The CKD-EPI-eGFR presented optimal performance in the donor renal function evaluation. Therefore, eGFR from the CKD-EPI equation is highly recommended in evaluating renal function in LKT donors.

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Section: Gfr Levels Of Lkt Donors In An Aging Societymentioning

confidence: 99%

Section: Pre- and Post-kt Comorbidities Of Lkt Donorsmentioning

confidence: 99%