Experience with marginal living related kidney donors: are they becoming routine or are there still any doubts?
OBJECTIVE
To analyze donor and recipient outcome of grafts from marginal kidney donors (ie, elderly or suffering from some anomaly).


METHODS
We had 81 marginal donors from July 1996 to July 2004; 46 were older than 60 years, and 39 had renal or nonrenal anomaly. The donors and recipients were evaluated for morbidity, graft and recipient survival, and the number of rejection episodes.


RESULTS
The mean (+/- standard deviation) age of elderly donors was 62.2 +/- 3.1 years. Follow-up ranged from 6 months to 50 months (mean 21.15 +/- 0.9 months). Actuarial 1-year and 3-year graft survival rates were 95% and 81%, respectively. Twenty-six percent of recipients maintained serum creatinine levels less than 1.4 mg/dL. The mean age of hypertensive donors was 46.2 years, and blood pressure was controlled with one drug. Serum creatinine levels in the recipients were less than 1.4 mg/dL in 10 and less than 2.5 mg/dL in the rest. Eleven percent of hypertensive donors required an increase in their antihypertensive medication. All donors showed a 15% to 20% increase in their glomerular filtration rate. Donors underwent simultaneous surgery when indicated.


CONCLUSIONS
Criteria to reject donors need to be reviewed periodically. The elderly and donors with other anomalies are consistently showing acceptable results. Hypertensive donors require assessment with awake ambulatory blood pressure monitoring.
Srivastava
Anand
A
Department of Urology, Army Hospital (Research & Referral), Delhi, India. annand_srivastava@yahoo.com
Sinha
Tapan
T
Varma
P P
PP
Karan
S C
SC
Sandhu
A S
AS
Sethi
G S
GS
Khanna
R
R
Talwar
R
R
Narang
V
V
D000367:Age Factors; D000368:Aged; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007674:Kidney Diseases; D016030:Kidney Transplantation; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D012307:Risk Factors