title: Characteristics of potential living kidney donors and recipients: donor disqualification reasons--experience of a Polish center.
abstract: BACKGROUND
  Kidney transplantation is efficacious as a renal replacement, particularly pre-emptive living donation. In Poland, the rate of transplantation of living donor kidneys is only 3%. The aim of the study was to identify the most common reasons to disqualify a potential living kidney donor.
  
  
  METHODS
  We evaluated 124 kidney donor candidates for 111 potential recipients at 1 medical center for genders and ages of donor and recipient; thus relation, donor disqualification reasons, number of potential donors for a particular recipient, prior transplantations, and kidney vasculature.
  
  
  RESULTS
  The 111 recipients of ages 2-62 years had, 1, 2, or 3 potential donors were tested in 101, 1, and 7, cases respectively. We had 18.9% recipients referred for pre-emptive transplantation; 59.5% were on haemodialysis and 21.6% on peritoneal dialysis. In all, 89% recipients sought first kidney transplantations. Kidneys were procured from 49/124 (39.5%) of the initially evaluated donors. The full examination was completed by 92 potential donors with 68/124 donors disqualified early. Single and multiple renal arteries were detected in 56 and 36 potential donors, respectively. Donor disqualification was due to medical contraindications (39.7%), earlier transplantation from a deceased donor (25%), immunologic constraints (23.5%), donor consent withdrawn (6%) or psychological and social reasons (4.4%).
  
  
  CONCLUSIONS
  A considerable number of donor candidates are disqualified for medical reasons.
authors.affiliation: Department of Transplantation Medicine and Nephrology, Medical University of Warsaw, Warsaw, Poland. jola-md@go2.pl
authors.forename: J
authors.initials: J
authors.lastname: Gozdowska
authors.forename: K
authors.initials: K
authors.lastname: Jankowski
authors.forename: M
authors.initials: M
authors.lastname: Bieniasz
authors.forename: M
authors.initials: M
authors.lastname: Wszoła
authors.forename: P
authors.initials: P
authors.lastname: Domagała
authors.forename: R
authors.initials: R
authors.lastname: Kieszek
authors.forename: D
authors.initials: D
authors.lastname: Lewandowska
authors.forename: A
authors.initials: A
authors.lastname: Urbanowicz
authors.forename: J
authors.initials: J
authors.lastname: Szmidt
authors.forename: R
authors.initials: R
authors.lastname: Grenda
authors.forename: A
authors.initials: A
authors.lastname: Kwiatkowski
authors.forename: A
authors.initials: A
authors.lastname: Chmura
authors.forename: M
authors.initials: M
authors.lastname: Durlik
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D016030:Kidney Transplantation; D019520:Living Donors; D008297:Male; D008875:Middle Aged; D011044:Poland; D009927:Tissue and Organ Procurement; D055815:Young Adult