Follow-up of Kidney Donors Who Developed Uremia and Went on the Waiting List for a Transplant: Should They Have Allocation Priority?

• Published in: Transplantation proceedings Vol. 40; no. 4; pp. 1012 - 1013
• Main Authors: Pereira, R.B, Scheeren, J, Castro, D, Machado, G, Jost, G, Mello, R.J.K, Capeletti, T, Zanette, T, Fonseca, V.F, Keitel, E, Santos, A.F, Bianchini, J.J, Garcia, C.D, Garcia, V.D
• Format: Journal Article Conference Proceeding
• Language: English
• Published: New York, NY Elsevier Inc 01.05.2008; Elsevier Science
• Subjects: Biological and medical sciences; Follow-Up Studies; Fundamental and applied biological sciences. Psychology; Fundamental immunology; Humans; Kidney Transplantation - statistics & numerical data; Living Donors; Medical sciences; Nephrectomy - adverse effects; Nephrology. Urinary tract diseases; Nephropathies. Renovascular diseases. Renal failure; Patient Selection; Renal failure; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tissue and Organ Procurement - statistics & numerical data; Tissue, organ and graft immunology; Uremia - epidemiology; Uremia - etiology; Uremia - surgery; Kidney disease; Suboptimal donor; Human; Graft(material); Urinary system disease; Priority; Transplantation; Homotransplantation; Attribution; Kidney; Medicine; Treatment; Urinary system; Allocation; Surveillance; Follow up study; Surgery; Renal failure; Graft; Waiting list; Organ
• ISSN: 0041-1345; 1873-2623
• 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.