On page 7, the comment from AST/ASTS/NATCO is "...donors don't want to pursue follow up." Huh? I have to admit I don't have hard peer-reviewed evidence, but I have yet to run across anyone who was a living donor who didn't expect to participate in follow up. In fact, it's more likely for me to hear that the hospital didn't make an effort to follow up. So perhaps the correct statement should be "transplant centers don't want to pursue follow up."
Sometimes Michael even with dedicated effort, some donors do not come for follow up. Especially at the 2 year mark where they are feeling fine. Try to convince a 28 year old who is working and going to school to take time off for a follow up visit. They are busy people who feel well. We call, email and send registered letters to the donors, starting 2 months before the due date and 2 months after. People do have the right to decline follow up, and sadly many of them do.