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Living Kidney Donation: Pre- and Postdonation Evaluation and Management

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Kidney and Pancreas Transplantation

Part of the book series: Current Clinical Urology ((CCU))

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Abstract

As the number of potential transplant recipient candidates increase with a relatively fixed number of organ donors, waitlists for kidney donation continue to grow. The disparity has forced physicians to reconsider prospective living-organ candidates who are advanced in age with some degree of illness burden as a viable option for donation. The 2004 Amsterdam Forum was established to create standardized guidelines for donor evaluation. The primary goal of the evaluation of the prospective living donor is to risk stratify disease burden to ensure the safety of the donor. This article underscores some of the more contentious aspects of living donor evaluation such as metabolic derangements, donor age, and donor kidney function among others. Outcomes of the allograft and recipient are reviewed in the context of these medical conditions. The evaluation of the prospective living donor requires that he/she has agreed to proceed with donation after obtaining informed consent, which can only be acquired by understanding all the short- and long-term risks associated with kidney donation. This chapter will discuss the immediate surgical complications and long-term implications of donor nephrectomy.

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Authors and Affiliations

  1. Department of Nephrology and Hypertension, Glickman Urological and Kidney Institute, Cleveland Clinic, 9500 Eluclid Avenue, Cleveland, OH, 44195, USA

    Emilio D. Poggio

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  1. Jonathan Taliercio
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  2. Emilio D. Poggio
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Correspondence to Emilio D. Poggio .

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Editors and Affiliations

  1. Glickman Urological & Kidney Institute, Children's Hospital of Cleveland Clinic, Euclid Ave. 9500, Cleveland, 44195, Ohio, USA

    T. R. Srinivas

  2. Glickman Urological & Kidney Institute, Cleveland Clinic, 9500 Euclid Avenue 9500, Cleveland, 44195, Ohio, USA

    Daniel A. Shoskes

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Taliercio, J., Poggio, E.D. (2011). Living Kidney Donation: Pre- and Postdonation Evaluation and Management. In: Srinivas, T., Shoskes, D. (eds) Kidney and Pancreas Transplantation. Current Clinical Urology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60761-642-9_19

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  • DOI: https://doi.org/10.1007/978-1-60761-642-9_19

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