title: Long-term risk of hypertension and chronic kidney disease in living kidney donors.
abstract: OBJECTIVE
  The aim of this study was to assess the long-term risks of chronic kidney disease and arterial hypertension in living kidney donors.
  
  
  METHODS
  Donors who were followed for more than 1 year after nephrectomy were included. We assessed each donor's blood pressure, urine protein, and estimated glomerular filtration rate (eGFR).
  
  
  RESULTS
  The follow-up rate was 11% (154 out of 1,356 donors), only 19% of whom were followed by nephrologists. Blood pressure had increased from 113/75 to 116/77 mm Hg (P < .01), urinary protein excretion after donation did not increase, and renal function was well preserved after donor nephrectomy. However, 33 patients (21.4%) showed a decreased eGFR of <60 mL/min/1.73 m(2), and 3 donors developed end-stage renal disease that required renal replacement therapy.
  
  
  CONCLUSIONS
  The follow-up rate of living donors after donation was low, and we observed an increased risk of developing chronic kidney disease after donation.
authors.affiliation: Department of Internal Medicine, Chung-Ang University, Seoul, Korea.
authors.forename: S H
authors.initials: SH
authors.lastname: Kim
authors.forename: H S
authors.initials: HS
authors.lastname: Hwang
authors.forename: H E
authors.initials: HE
authors.lastname: Yoon
authors.forename: Y K
authors.initials: YK
authors.lastname: Kim
authors.forename: B S
authors.initials: BS
authors.lastname: Choi
authors.forename: I S
authors.initials: IS
authors.lastname: Moon
authors.forename: J C
authors.initials: JC
authors.lastname: Kim
authors.forename: T K
authors.initials: TK
authors.lastname: Hwang
authors.forename: Y S
authors.initials: YS
authors.lastname: Kim
authors.forename: C W
authors.initials: CW
authors.lastname: Yang
mesh_terms: D001794:Blood Pressure; D005919:Glomerular Filtration Rate; D006801:Humans; D006973:Hypertension / Q000453:epidemiology* / Q000503:physiopathology; D007676:Kidney Failure, Chronic / Q000453:epidemiology* / Q000503:physiopathology; D019520:Living Donors; D011507:Proteinuria / Q000503:physiopathology; D012307:Risk Factors