Pathologies in Living Kidney Donors Diagnosed in the Long-Term Care System

Kwapisz, Magdalena; Kieszek, R.; Jędrzejko, K.; Domagała, Piotr; Bieniasz, M.; Gozdowska, Jolanta; Zygier, D; Drozdowski, Jakub; Zatorski, Mateusz; Nowaczyk, M; Palczewski, Piotr; Pączek, Leszek; Durlik, M.; Chmura, A.; Kwiatkowski, A.

doi:10.1016/j.transproceed.2016.02.052

Cited by 3 publications

(1 citation statement)

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“…At present, there are no established guidelines outlining the ideal duration and intervals for donor follow-up [ 71 ]. Given that close monitoring following donation affords the opportunity for early intervention should concerns arise, measures to ensure life-long follow-up of all kidney donors should be advocated [ 72 – 75 ].…”

Section: Discussionmentioning

confidence: 99%

Living kidney donation in a developing country

et al. 2022

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Background Living kidney donation has been advocated as a means to ameliorate the chronic shortage of organs for transplantation. Significant rates of comorbidity and familial risk for kidney disease may limit this approach in the local context; there is currently limited data describing living donation in Africa. Methods We assessed reasons for non-donation and outcomes following donation in a cohort of 1208 ethnically diverse potential living donors evaluated over a 32-year period at a single transplant centre in South Africa. Results Medical contraindications were the commonest reason for donor exclusion. Black donors were more frequently excluded (52.1% vs. 39.3%; p<0.001), particularly for medical contraindications (44% vs. 35%; p<0.001); 298 donors proceeded to donor nephrectomy (24.7%). Although no donor required kidney replacement therapy, an estimated glomerular filtration rate below 60 ml/min/1.73 m2 was recorded in 27% of donors at a median follow-up of 3.7 years, new onset albuminuria >300 mg/day was observed in 4%, and 12.8% developed new-onset hypertension. Black ethnicity was not associated with an increased risk of adverse post-donation outcomes. Conclusion This study highlights the difficulties of pursuing live donation in a population with significant medical comorbidity, but provides reassurance of the safety of the procedure in carefully selected donors in the developing world.

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Section: Discussionmentioning

confidence: 99%