Follow-up of kidney donors who developed uremia and went on the waiting list for a transplant: should they have allocation priority?
BACKGROUND
The increasing use of living kidney donors requires knowledge about long-term effects, especially number and causes of donors with chronic renal failure (CRF), and discussion about a regular follow-up program for donors, policies giving priority to kidney donors on the waiting list for a kidney, and a national record of donors.


METHODS
We performed a Retrospective analysis of 470 records of our kidney donors from the kidney transplantation unit between 1977 and 1997.


RESULTS
Five out of the 470 donors developed CRF (1.1%), with a calculated incidence of 610 per million people a year.


CONCLUSIONS
The data showed that the risk of a donor developing CRF may be higher than in the in general population. These results showed the necessity of creating an effective follow-up program for donors and a national record.
Irmandade da Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, Brazil.
R B
RB
Pereira
J
J
Scheeren
D
D
Castro
G
G
Machado
G
G
Jost
R J K
RJ
Mello
T
T
Capeletti
T
T
Zanette
V F
VF
Fonseca
E
E
Keitel
A F
AF
Santos
J J
JJ
Bianchini
C D
CD
Garcia
V D
VD
Garcia
D005500:Follow-Up Studies; D006801:Humans; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D019520:Living Donors; D009392:Nephrectomy / Q000009:adverse effects*; D018579:Patient Selection; D009927:Tissue and Organ Procurement / Q000706:statistics & numerical data*; D014511:Uremia / Q000453:epidemiology* / Q000209:etiology / Q000601:surgery