Marginal kidney donor
Renal transplantation is the treatment of choice for a medically eligible patient with end stage renal disease. The number of renal transplants has increased rapidly over the last two decades. However, the demand for organs has increased even more. This disparity between the availability of organs a...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2007-01-01
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| Series: | Indian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2007;volume=23;issue=3;spage=286;epage=293;aulast=Gopalakrishnan |
| _version_ | 1811269588186300416 |
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| author | Ganesh Gopalakrishnan Siva Prasad Gourabathini |
| author_facet | Ganesh Gopalakrishnan Siva Prasad Gourabathini |
| author_sort | Ganesh Gopalakrishnan |
| collection | DOAJ |
| description | Renal transplantation is the treatment of choice for a medically eligible patient with end stage renal disease. The number of renal transplants has increased rapidly over the last two decades. However, the demand for organs has increased even more. This disparity between the availability of organs and waitlisted patients for transplants has forced many transplant centers across the world to use marginal kidneys and donors. We performed a Medline search to establish the current status of marginal kidney donors in the world. Transplant programs using marginal deceased renal grafts is well established. The focus is now on efforts to improve their results. Utilization of non-heart-beating donors is still in a plateau phase and comprises a minor percentage of deceased donations. The main concern is primary non-function of the renal graft apart from legal and ethical issues. Transplants with living donors outnumbered cadaveric transplants at many centers in the last decade. There has been an increased use of marginal living kidney donors with some acceptable medical risks. Our primary concern is the safety of the living donor. There is not enough scientific data available to quantify the risks involved for such donation. The definition of marginal living donor is still not clear and there are no uniform recommendations. The decision must be tailored to each donor who in turn should be actively involved at all levels of the decision-making process. In the current circumstances, our responsibility is very crucial in making decisions for either accepting or rejecting a marginal living donor. |
| first_indexed | 2024-04-12T21:44:46Z |
| format | Article |
| id | doaj.art-c91d2a0a3ef847fab8d2b04b9ce75df0 |
| institution | Directory Open Access Journal |
| issn | 0970-1591 1998-3824 |
| language | English |
| last_indexed | 2024-04-12T21:44:46Z |
| publishDate | 2007-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Urology |
| spelling | doaj.art-c91d2a0a3ef847fab8d2b04b9ce75df02022-12-22T03:15:40ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242007-01-0123328629310.4103/0970-1591.33726Marginal kidney donorGanesh GopalakrishnanSiva Prasad GourabathiniRenal transplantation is the treatment of choice for a medically eligible patient with end stage renal disease. The number of renal transplants has increased rapidly over the last two decades. However, the demand for organs has increased even more. This disparity between the availability of organs and waitlisted patients for transplants has forced many transplant centers across the world to use marginal kidneys and donors. We performed a Medline search to establish the current status of marginal kidney donors in the world. Transplant programs using marginal deceased renal grafts is well established. The focus is now on efforts to improve their results. Utilization of non-heart-beating donors is still in a plateau phase and comprises a minor percentage of deceased donations. The main concern is primary non-function of the renal graft apart from legal and ethical issues. Transplants with living donors outnumbered cadaveric transplants at many centers in the last decade. There has been an increased use of marginal living kidney donors with some acceptable medical risks. Our primary concern is the safety of the living donor. There is not enough scientific data available to quantify the risks involved for such donation. The definition of marginal living donor is still not clear and there are no uniform recommendations. The decision must be tailored to each donor who in turn should be actively involved at all levels of the decision-making process. In the current circumstances, our responsibility is very crucial in making decisions for either accepting or rejecting a marginal living donor.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2007;volume=23;issue=3;spage=286;epage=293;aulast=GopalakrishnanComplex living donordeceased marginal donormarginal kidney donornon-heart-beating donor |
| spellingShingle | Ganesh Gopalakrishnan Siva Prasad Gourabathini Marginal kidney donor Indian Journal of Urology Complex living donor deceased marginal donor marginal kidney donor non-heart-beating donor |
| title | Marginal kidney donor |
| title_full | Marginal kidney donor |
| title_fullStr | Marginal kidney donor |
| title_full_unstemmed | Marginal kidney donor |
| title_short | Marginal kidney donor |
| title_sort | marginal kidney donor |
| topic | Complex living donor deceased marginal donor marginal kidney donor non-heart-beating donor |
| url | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2007;volume=23;issue=3;spage=286;epage=293;aulast=Gopalakrishnan |
| work_keys_str_mv | AT ganeshgopalakrishnan marginalkidneydonor AT sivaprasadgourabathini marginalkidneydonor |