Efficacy of Follow-up Care System of Living Kidney Donors in Monitoring of Residual Kidney Function

The possibility of an increased risk of end-stage renal disease is a major concern associated with living kidney donation. Therefore, monitoring of residual kidney function becomes most essential. A data analysis of 156 living kidney donors (LKDs) was conducted. The efficacy of the long-term care sy...

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Bibliographic Details
Published in:Transplantation proceedings 2018-07, Vol.50 (6), p.1590-1596
Main Authors: Kwapisz, M., Kieszek, R., Jędrzejko, K., Bieniasz, M., Gozdowska, J., Kwiatkowski, A.
Format: Article
Language:English
Subjects:
Adult
Aftercare - methods
Aged
Creatinine - blood
Female
Glomerular Filtration Rate
Humans
Kidney - physiopathology
Kidney Failure, Chronic - etiology
Kidney Failure, Chronic - prevention & control
Kidney Transplantation
Living Donors
Male
Middle Aged
Nephrectomy - adverse effects
Nephrectomy - rehabilitation
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Postoperative Period
Tissue and Organ Harvesting - adverse effects
Tissue and Organ Harvesting - methods
Tissue and Organ Harvesting - rehabilitation
Treatment Outcome
Young Adult
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Summary:The possibility of an increased risk of end-stage renal disease is a major concern associated with living kidney donation. Therefore, monitoring of residual kidney function becomes most essential. A data analysis of 156 living kidney donors (LKDs) was conducted. The efficacy of the long-term care system with regard to monitoring residual kidney function was evaluated. The analyzed group consisted of 102 (65.4%) women. The mean follow-up period was 5.44 years. The rise in value of mean serum creatinine concentration after donation was observed, but it was within the range of normal during the observation period. Despite its initial decline after nephrectomy, mean glomerular filtration rate (GFR) remained >60 mL/min/1.73 m2. A MDRD (Modification of Diet in Renal Disease) GFR in the range of 45–60 mL/min/1.73 m2 was observed in 53 donors (33.97%). It was found to be 
ISSN:0041-1345
1873-2623
DOI:10.1016/j.transproceed.2018.02.115