title: Characteristics and outcome of living kidney donors after donation: A report from Cote d'Ivoire.
abstract: Kidney transplantation from living kidney donors (LKDs) because of its good results represents a good option for the treatment of patients with the end-stage renal disease. Kidney donation is a relatively safe procedure according to several studies. We conducted this cross-sectional study in order to describe the demographic, clinical, and renal outcome of LKD in Côte d'Ivoire. From March to November 2014, LKD residing in Côte d'Ivoire at the time of investigation and having donated the kidney more than one year ago were considered for the study. They were evaluated through a questionnaire. Of the 29 LKD listed in Côte d'Ivoire, only 14 responded to the questionnaire. The mean age at donation was 43.29 ± 9.12 years (27-59) and 10 of the LKD were women. Eight were related to the recipients, and the remaining were spouses. Laparoscopic nephrectomy was performed in nine LKD. The left kidney was harvested in ten cases. The main motivation for donation in all donors was the desire to save a life. At the time of the survey, the average duration after the donation was 4.57 ± 2.56 years (1-8). Only five donors had a regular nephrological follow-up. Hypertension was observed in one donor, seven had significant proteinuria, and six had glomerular filtration rate <60 mL/min but >30 mL/min. Significantly higher proteinuria was noted in donors under 45 years as compared to those over 45 years (0.43 ± 0.17 g/24 h vs. 0.22 ± 0.03 g/24 h, P = 0.01). Our study suggests that renal disease in LKD in Côte d'Ivoire is low after a mean follow-up period of four years. A donor registry is essential to ensure better follow-up of donors in order to detect potential adverse effects of kidney donation in the medium as well as in the long-term.
authors.affiliation: Service of Nephrology, Dialysis and Hypertension, Yopougon Teaching Hospital, Abidjan, Côte d'Ivoire, Côte d'Ivoire.
authors.forename: Delphine Amélie
authors.initials: DA
authors.lastname: Lagou
authors.affiliation: Service of Nephrology, Dialysis and Hypertension, Yopougon Teaching Hospital, Abidjan, Côte d'Ivoire, Côte d'Ivoire.
authors.forename: Kan Clément
authors.initials: KC
authors.lastname: Ackoundou-N'guessan
authors.affiliation: Service of Nephrology, Dialysis and Hypertension, Yopougon Teaching Hospital, Abidjan, Côte d'Ivoire, Côte d'Ivoire.
authors.forename: Tchakam Léopold
authors.initials: TL
authors.lastname: Njapom
authors.affiliation: Laboratory of National Blood Transfusion Center, Abidjan, Côte d'Ivoire, Côte d'Ivoire.
authors.forename: Yassongui Mamadou
authors.initials: YM
authors.lastname: Sekongo
authors.affiliation: Service of Nephrology, Dialysis and Hypertension, Yopougon Teaching Hospital, Abidjan, Côte d'Ivoire, Côte d'Ivoire.
authors.forename: Cyr Monley
authors.initials: CM
authors.lastname: Guei
authors.affiliation: Service of Nephrology, Dialysis and Hypertension, Yopougon Teaching Hospital, Abidjan, Côte d'Ivoire, Côte d'Ivoire.
authors.forename: Mélanie Weu
authors.initials: MW
authors.lastname: Tia
authors.affiliation: Service of Nephrology, Dialysis and Hypertension, Yopougon Teaching Hospital, Abidjan, Côte d'Ivoire, Côte d'Ivoire.
authors.forename: Daze Apollinaire
authors.initials: DA
authors.lastname: Gnionsahe
mesh_terms: D000328:Adult; D000368:Aged; D007560:Cote d'Ivoire / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D016030:Kidney Transplantation / Q000706:statistics & numerical data*; D019520:Living Donors / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D011507:Proteinuria; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D016896:Treatment Outcome