Sunday, September 29, 2013

Researchers look at health consequences of living kidney donation

Researchers behold at health consequences of living kidney present

The short-term risks associated by kidney donation are relatively modest, boundary because many donors have additional therapeutic conditions, it is important to evaluate their ongoing hale condition. That's the conclusion of a study appearing in each upcoming issue of the Clinical Journal of the American Society of Nephrology (CJASN).

In other thing than a third of kidney transplantations performed in the United States, the transplanted organs get to from live donors. Research suggests that there are minimal health consequences for donors, -end only a few comprehensive studies possess looked at this issue.

To evaluate trends in the illnesses and complications versed by donors, Jesse Schold, PhD (Cleveland Clinic) and his colleagues predetermined the health of more than 69,000 donors from 1998 to 2010, representing 89% of US donors from that time.

Among the major findings:

Complications declined over time, from 10.1% in 1998 to 7.6% in 2010.

Hospital extent-of-stay following donation declined in addition time, from an average of 3.7 days in 1998 to 2.5 days in 2010.

Rates of complications and duration-of-stay for donors were worthy of comparison with other relatively low risk ventral surgeries such as appendectomies.

Depression, hypothyroidism, hypertension, and plumpness increased over time.

"We were practical to characterize certain patient characteristics and outcomes that are not useful from standard transplant registries," said Dr. Schold. "The facts provide important information about the incidence and shock of pre-existing comorbidities among manner of life donors that are not broadly known."

The authors notable that while their data confirm that abrupt-term risks associated with donation are relatively modest, the long-term impact of complications and additional medical conditions may be important to evaluate in the advent years.

In an accompanying editorial, Krista Lentine, MD, PhD (Saint Louis University School of Medicine) and Dorry Segev, MD (Johns Hopkins University) stated that "this study provides valuable accusation that, when framed in the context of its limitations, can be used to advance the counseling and informed assent of living donors; centers can besides use this information to guide their be in possession of quality assessment and process improvement benchmarking against donor outcomes." They noted that more studies are needed, however. "Ultimately, through improving understanding of the short- and throughout-term health outcomes among representative, disagreeing samples of living donors, the transpose community can meaningfully improve the processes of harmony, selection, and care that are indispensable priorities," they wrote.

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