http://krnd.ideascale.com/a/dtd/Outcomes-in-former-living-kidney-donors/29872-5460Dr. Didier Mandelbrot, transplant surgeon at Beth Israel Deaconness Hospital in Boston, MA, blogs:
"Young, healthy, caucasians who donate kidneys have been shown to have excellent long term medical outcomes. However, there is no long term data on outcomes after donation by those who are African-American, hypertensive and/or overweight. There is a pressing medical need to better define risks of kidney donation for these and other groups at higher risk, to protect the safety of future living donors. The general nephrology community is increasingly being asked to evaluate donors, and make decisions on which risks are acceptable. In addition, general nephrologists are increasingly seeing former donors with estimated GFRs that place them in "CKD stage 3 or 4." Some of these patients may just require reassurance, while others may require further evaluation and managment. Further awareness of living donor issues would be helpful for nephrologists, and further research on former living donors is needed to help guide living donor evaluations."