[Selection of the living donor].
Although the check-up and criteria of selection of the living donor are still not standardized, recommendations have been issued after a consensus conference in 2004. Besides absolute contraindications related to donor or recipient renal or extrarenal condition, the main selection criteria are the absence of hypertension and cardiovascular disease, GFR >80ml/min, proteinuria<0.30g per day and absence of hematuria of renal origin, presence of overt diabetes, a body mass index >35kg/m(2). Caution is recommended in donors with risk factors of diabetes, a body mass index >30, having a history of renal stones of metabolic origin and tending to recur. With some exceptions, a past history of cancer is not a systematic contraindication to donation, providing the cancer is treatable, in remission and not susceptible to be transferred to the recipient. These criteria still need to be refined.
Hourmant
Maryvonne
M
Service de néphrologie et d'immunologie clinique, CHU de Nantes, 44093 Nantes cedex, France. maryvonne.hourmant@chu-nantes.fr
D046148:Donor Selection; D006801:Humans; D016030:Kidney Transplantation; D019520:Living Donors; D009392:Nephrectomy