Abstract
Live donor renal transplantation remains the mainstay of renal replacement therapy in most countries, including Sri Lanka. The Amsterdam consensus guidelines were considered the benchmark in evaluation of live donors and used in assessing donor suitability for over two decades. However, recent evidence has cast doubts regarding the overall safety of kidney donation warranting a closer look at donor evaluation. This review aims to look at current available evidence regarding common donor conditions and the overall need for extra vigilance in donor evaluation.
Highlights
With an ageing global population and a pandemic of diabetes, the incidence of End Stage Renal Failure (ESRF) has increased steadily across the world
Available evidence has demonstrated the benefits of Live Donor Renal Transplant (LDRT) over Deceased Donor Renal Transplants (DDRT), both regarding graft and patient survival
The routine use of CT scan to evaluate potential donors has led to increased detection of such asymptomatic nephrolithiasis
Summary
Evaluation of potential live donors for renal transplant: an evidence based approach and changing paradigms.
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