Follow-up of kidney donors who developed uremia and went on the waiting list for a transplant: should they have allocation priority?

Transplant Proc. 2008 May;40(4):1012-3. doi: 10.1016/j.transproceed.2008.03.057.

Abstract

Background: The increasing use of living kidney donors requires knowledge about long-term effects, especially number and causes of donors with chronic renal failure (CRF), and discussion about a regular follow-up program for donors, policies giving priority to kidney donors on the waiting list for a kidney, and a national record of donors.

Methods: We performed a Retrospective analysis of 470 records of our kidney donors from the kidney transplantation unit between 1977 and 1997.

Results: Five out of the 470 donors developed CRF (1.1%), with a calculated incidence of 610 per million people a year.

Conclusion: The data showed that the risk of a donor developing CRF may be higher than in the in general population. These results showed the necessity of creating an effective follow-up program for donors and a national record.

MeSH terms

  • Follow-Up Studies
  • Humans
  • Kidney Transplantation / statistics & numerical data*
  • Living Donors*
  • Nephrectomy / adverse effects*
  • Patient Selection
  • Tissue and Organ Procurement / statistics & numerical data*
  • Uremia / epidemiology*
  • Uremia / etiology
  • Uremia / surgery