Current trends and short-term outcomes of live donor nephrectomy: a population-based analysis of the nationwide inpatient sample.
BACKGROUND
Recent United Network for Organ Sharing (UNOS) data suggest that live kidney donation is stagnant. Current practices and trends in laparoscopic donor nephrectomy (LDN) among the transplant community remain largely unknown.


METHODS
From the Nationwide Inpatient Sample (NIS) from 1998 to 2006, patients undergoing LDN (n = 9,437) were identified.


RESULTS
Live kidney donation in the United States did not show an increase in the NIS. Of the live donor cases recorded, 58 (0.61%) were associated with a major short-term complication. The number of LDNs performed by transplant surgeons decreased over the study period from 76.5% in 1998 to 30.4% in 2006.


CONCLUSIONS
In the United Stares, LDNs are performed safely with a low short-term complication rate. Despite the use of laparoscopy and the increased need of donor organs, the rate of LDN in kidney transplantation has not increased proportionally.
Colombo
Beth
B
Department of Surgery, Surgical Outcomes Analysis & Research, University of Massachusetts Medical School, 55 Lake Avenue North, S6-432, Worcester, MA 01655, USA.
Singla
Anand
A
Li
YouFu
Y
Tseng
Jennifer F
JF
Saidi
Reza F
RF
Bozorgzadeh
Adel
A
Shah
Shimul A
SA
D000328:Adult; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D010535:Laparoscopy; D019520:Living Donors; D008297:Male; D009392:Nephrectomy / Q000706:statistics & numerical data / Q000639:trends*; D016896:Treatment Outcome; D014481:United States / Q000453:epidemiology
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