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Nephrol Dial Transplant (2003) 18: 871-873
© 2003 European Renal Association-European Dialysis and Transplant Association

Editorial Comment

The risk of living kidney donation

Anders Hartmann1,, Per Fauchald1, Lars Westlie1, Inge B. Brekke2 and Hallvard Holdaas1

1 Medical Department and 2 Surgical Department, Rikshospitalet University Hospital, Oslo, Norway

Keywords: living kidney donation; morbidity; mortality

The first 10% of the full text of this article appears below.

Living kidney donation has become an established part of the transplant programmes in most centres worldwide. It has indeed been an important part of our transplant programme for >30 years, comprising some 40% of all kidney transplantations in Norway [1]. However, the risk of unilateral nephrectomy should not be neglected. Here we review data on mortality, morbidity and psychosocial outcome after live kidney donation, both short- and long-term. In the survey we will particularly focus our own experience with almost 1800 living kidney donors including some data from our recently established living donor registry (Norwegian National Hospitals Donor Registry, established 1997).

Perioperative risks

Serious complications occur with major surgery such as nephrectomy, and perioperative mortality has been reported in about 1 out of 3000 living donor nephrectomies [2]. The results have probably improved over time as for surgery in general. We . . . [Full Text of this Article]

Long-term mortality

Long-term morbidity

Quality of life and disability

Conclusions


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