Logo Annals of Transplantation Logo Annals of Transplantation Logo Annals of Transplantation

21 May 2009

A comprehensive program of care for living kidney donors – experience and plans in one centre

A Kwiatkowski, P Domagała, M Bieniasz, R Kieszek, J Gozdowska, M Wszoła, A Jakubowska-Winecka, J Trzebicki, L Adadyński, D Wasiak, Ł Ostrowski, P Pruszczyk, D Kęcik, M Gołębiowski, M Durlik, L Pączek, A Chmura

Ann Transplant 2009; 14(1): 49-50 :: ID: 880380

Abstract

Background: Being a donor carries a risk associated with surgery and further
life with one kidney, thus renal transplantation from a living donor may only be performed if the donor's risk is low and probability of a successful transplant high. The aim of this study is to present our own experience in introducing a pioneering complex program of a living donor care in Poland.
Material/Methods: Between 1996 and 2007 our transplantation team performed ninety-one living donor nephrectomies. Beginning in 2005 we introduced a system of control assessments of the donors (group A). Medical examinations were carried out at 1, 3, 6 and 12 months following surgery and every 12 months thereafter. Beginning at the end of 2007, medical assessments of donors nephrectomised prior to 2005 were commenced (group B). Majority of group A donors responded to invitations for control assessments. A one-day hospitalization included medical history, physical examination, abdominal US, chest X-ray, peripheral blood count, C-reactive protein, urine microscopy and culture and functional tests of the remaining kidney. Most group B donors had not been followed up before the commencement of the program. The fi rst program visit, a 2-3 day hospital stay consisted of various tests and consultations, including blood and urine tests, abdominal US, chest X-ray, ABPM(ambulatory blood pressure monitoring),renal isotope scan, ECG, ophthalmological and nephrology consultation.
Results: Donors in both groups had significantly raised serum creatinine and creatinine clearance decreased by 25-35 ml/kg/1.73 m2. Both groups of donors were subjected to quality of life and pro-health behavioural assessment by standard questionnaires, in cooperation with a clinical psychology specialist.
Conclusions: Living kidney donors should be subjected to obligatory longterm follow-up. A comprehensive system of care for living kidney donors with regular multidisciplinary health check-ups and, if necessary, appropriate treatment provides the donors with a feeling of safety and is aimed at decreasing the number of long-term complications of becoming a donor.

Keywords: Kidney Transplantation, Living Donors

Add Comment 0 Comments

In Press

08 Mar 2024 : Original article  

Association of Coronary Calcium Score on Cardiac PET During Pre-Kidney Transplant Assessment with Persisten...

Ann Transplant In Press; DOI: 10.12659/AOT.943532  

14 Mar 2024 : Original article  

Impact of Blood Products Transfusion on Patients in the Immediate Post-Lung Transplant Period: A Cohort Study

Ann Transplant In Press; DOI: 10.12659/AOT.943652  

14 Mar 2024 : Case report  

Treatment of Cavernous Transformation of Portal Vein Caused by Hepatic Cystic Echinococcosis Using Ex Vivo ...

Ann Transplant In Press; DOI: 10.12659/AOT.942358  

15 Mar 2024 : Review article  

Approaches and Challenges in the Current Management of Cytomegalovirus in Transplant Recipients: Highlighti...

Ann Transplant In Press; DOI: 10.12659/AOT.941185  

Most Viewed Current Articles

05 Apr 2022 : Original article  

Impact of Statins on Hepatocellular Carcinoma Recurrence After Living-Donor Liver Transplantation

DOI :10.12659/AOT.935604

Ann Transplant 2022; 27:e935604

12 Jan 2022 : Original article  

Risk Factors for Developing BK Virus-Associated Nephropathy: A Single-Center Retrospective Cohort Study of ...

DOI :10.12659/AOT.934738

Ann Transplant 2022; 27:e934738

22 Nov 2022 : Original article  

Long-Term Effects of Everolimus-Facilitated Tacrolimus Reduction in Living-Donor Liver Transplant Recipient...

DOI :10.12659/AOT.937988

Ann Transplant 2022; 27:e937988

15 Mar 2022 : Case report  

Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Urem...

DOI :10.12659/AOT.935860

Ann Transplant 2022; 27:e935860

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Annals of Transplantation eISSN: 2329-0358
Annals of Transplantation eISSN: 2329-0358