Evaluation and selection of potential live kidney donors

Renal transplantation is an optimal therapy for patients with end stage kidney disease. A thorough evaluation of potential donors is necessary to provide the best functional outcome for recipients and ensure no or minimal morbidity for donors. Between 1992 and 2001, 1661 ABO compatible potential liv...

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Bibliographic Details
Published in:	The Journal of urology Vol. 171; no. 4; p. 1424
Main Authors:	Wafa, Ehab W, Donia, Ahmed F, Ali-El-Dein, Bedeir, El-Agroudy, Amgad E, Rifaie, Ayman, Moustafa, Amani, Ghoneim, Mohamed A
Format:	Journal Article
Language:	English
Published:	United States 01-04-2004
Subjects:	Adult Aged Female Humans Kidney Transplantation Male Middle Aged Patient Selection Tissue Donors
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Summary:	Renal transplantation is an optimal therapy for patients with end stage kidney disease. A thorough evaluation of potential donors is necessary to provide the best functional outcome for recipients and ensure no or minimal morbidity for donors. Between 1992 and 2001, 1661 ABO compatible potential living donors were evaluated clinically as well as by laboratory and imaging studies. Of 1661 potential donors 814 (49%) were excluded. The reasons for elimination were general medical reasons in 34.4% of cases, nephrological disorders in 25.6%, urological diseases in 11.7% and immunological causes in 16.2%. Exclusion on an ethical basis accounted for 12.2% of cases. Although kidneys from living donors provide the best functional outcome, 50% of potential candidates must be excluded.
ISSN:	0022-5347
DOI:	10.1097/01.ju.0000116431.65651.58