http://www.atcmeetingabstracts.com/abstract/long-term-outcomes-of-young-18-years-kidney-donors-a-matched-cohort-analysis/

Long Term Outcomes of Young (< 18 Years) Kidney Donors: A Matched Cohort Analysis
D. MacDonald, S. Jackson, A. Matas, R. Spong, A. Kukla, H. Ibrahim

Introduction

Living donor kidney transplants are rarely performed using donors less than 18y of age. There is no data on how these patients fare relative to older kidney donors. Our hypothesis was that pediatric donors would not incur increased risks of hypertension, diabetes, or reduced GFR beyond what is typically seen in donors above the age of 18. Moreover, we also hypothesized that their life span and rate of diabetes are not different than adult donors.

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Conclusions

After a mean follow up of 31.6 ± 8.2 years, pediatric donors are not at higher risk for hypertension or diabetes and have a significantly lower risk of developing eGFR <60.

Perhaps a better conclusion is that about 1% of the donors at this center in the past 30+ years were 17 years old at the time of donation, and most of them were accepted as donors 30 years ago. Based on acceptance criteria for donors 30 years ago, and especially the heightened attention in evaluating minors, even just a year younger than majority, their long term outcomes might be expected to be similar to a matched cohort from that era. What about now?