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Nephrol Dial Transplant (2001) 16: 2048-2052
© 2001 European Renal Association-European Dialysis and Transplant Association

Evaluation, selection, and follow-up of live kidney donors: a review of current practice in French renal transplant centres

Martine Gabolde1,, Christian Hervé1 and Anne-Marie Moulin2

1 Laboratoire d'Éthique médicale et de Santé publique, Faculté de Médecine Necker, Université Paris V and 2 CNRS, Institut de Recherche pour le Développement (IRD), Paris, France

Background. A resurgence of interest in the concept of live-donor renal transplantation has prompted a closer look at methods of live donor evaluation, selection, and follow-up. The aim of this study was to describe these methods in all 46 French renal transplant centres.

Methods. Questionnaires were sent to all chief renal physicians.

Results. The survey was completed by 78% of centres, which accounted for 95% of all live-donor renal transplants carried out in France in 1995 and 1996. There was a substantial variation in all three steps of live-donor management. For example, we observed variations in the screening for specific short- or long-term risk factors (especially cardiovascular or thrombotic risk factors and diabetes). In addition the exclusion criteria differed, especially the cut-off age for donation, which ranged from 45 to 75 years. The composition of teams evaluating and selecting potential donors and the role of the potential donors in the decision-making process varied greatly among centres. Finally, we observed less variation in the methods of donor follow-up.

Conclusions. The current survey revealed a marked disparity in the management of live donors in France. It raises the question of whether these practices should be codified into a set of guidelines for live-donor transplantation.

Keywords: clinical guidelines; evaluation; kidney transplantation; live donor; selection; survey

Correspondence and offprint requests to: Martine Gabolde, Service de Pédiatrie générale, CHU de Bicêtre, 78 rue du Général Leclerc, F-94275 Le Kremlin Bicêtre Cedex, France. Email: martine.gabolde{at}bet.ap\|[hyphen]\|hop\|[hyphen]\|paris.fr


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Home page
 J. Am. Soc. Nephrol.Home page
C. L. Davis and F. L. Delmonico
Living-Donor Kidney Transplantation: A Review of the Current Practices for the Live Donor
J. Am. Soc. Nephrol., July 1, 2005; 16(7): 2098 - 2110.
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