Practice Patterns for the Acceptance of Medically Complex Living Kidney Donors with Hematuria, Sickle Cell Trait, Smoking, Illegal Drug Use, or Urological Issues: A Multinational Survey

Background To review the practice patterns for the acceptance of medically complex living kidney donors (MCLKD) among the transplant providers of the international transplant community. Methods We distributed a survey globally, through major international transplantation societies, among...

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Autores principales:	Ziad Arabi, Abdullah Hamad, Muhammad Bukhari, Abdulrahman Altheaby, Saleh Kaysi
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	drug use extended criteria hematuria kidney stone living kidney donor multi-national survey renal cyst sickle cell trait smoking survey Medicine R
Acceso en línea:	https://doaj.org/article/9992d7a304204fc69a8add9db2cc2ca3
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spelling	oai:doaj.org-article:9992d7a304204fc69a8add9db2cc2ca32021-12-02T18:43:09ZPractice Patterns for the Acceptance of Medically Complex Living Kidney Donors with Hematuria, Sickle Cell Trait, Smoking, Illegal Drug Use, or Urological Issues: A Multinational Survey2231-07702249-446410.1055/s-0041-1736542https://doaj.org/article/9992d7a304204fc69a8add9db2cc2ca32021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736542https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Background To review the practice patterns for the acceptance of medically complex living kidney donors (MCLKD) among the transplant providers of the international transplant community. Methods We distributed a survey globally, through major international transplantation societies, among nephrologists and transplant surgeons (TS). The survey contained questions regarding potential donors with microscopic hematuria, sickle cell trait, renal cysts, kidney stones, smoking, or illegal drug use. Results There were 239 respondents from 29 countries, including nephrologists (42%) and TS (58%). Although most respondents would investigate microscopic hematuria, one-third of them indicated they would decline these potential donors without investigation. Interestingly, most respondents accepted heavy smokers, intermittent illegal drug users (with advice to quit), and those with incidentally identified kidney stones, remote history of renal colic or simple renal cysts. We found multiple areas of consensus in practice with some interesting differences between nephrologists and TS. Conclusions This survey highlights the practice patterns of the acceptance of MCLKDs among the international community. In the absence of clear guidelines, this survey provides additional information to counsel kidney donors with microscopic hematuria, sickle cell trait, renal cysts, kidney stones, heavy smoking, or illegal drug use.Ziad ArabiAbdullah HamadMuhammad BukhariAbdulrahman AltheabySaleh KaysiThieme Medical and Scientific Publishers Pvt. Ltd.articledrug useextended criteriahematuriakidney stoneliving kidney donormulti-national surveyrenal cystsickle cell traitsmokingsurveyMedicineRENAvicenna Journal of Medicine (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	drug use extended criteria hematuria kidney stone living kidney donor multi-national survey renal cyst sickle cell trait smoking survey Medicine R
spellingShingle	drug use extended criteria hematuria kidney stone living kidney donor multi-national survey renal cyst sickle cell trait smoking survey Medicine R Ziad Arabi Abdullah Hamad Muhammad Bukhari Abdulrahman Altheaby Saleh Kaysi Practice Patterns for the Acceptance of Medically Complex Living Kidney Donors with Hematuria, Sickle Cell Trait, Smoking, Illegal Drug Use, or Urological Issues: A Multinational Survey
description	Background To review the practice patterns for the acceptance of medically complex living kidney donors (MCLKD) among the transplant providers of the international transplant community. Methods We distributed a survey globally, through major international transplantation societies, among nephrologists and transplant surgeons (TS). The survey contained questions regarding potential donors with microscopic hematuria, sickle cell trait, renal cysts, kidney stones, smoking, or illegal drug use. Results There were 239 respondents from 29 countries, including nephrologists (42%) and TS (58%). Although most respondents would investigate microscopic hematuria, one-third of them indicated they would decline these potential donors without investigation. Interestingly, most respondents accepted heavy smokers, intermittent illegal drug users (with advice to quit), and those with incidentally identified kidney stones, remote history of renal colic or simple renal cysts. We found multiple areas of consensus in practice with some interesting differences between nephrologists and TS. Conclusions This survey highlights the practice patterns of the acceptance of MCLKDs among the international community. In the absence of clear guidelines, this survey provides additional information to counsel kidney donors with microscopic hematuria, sickle cell trait, renal cysts, kidney stones, heavy smoking, or illegal drug use.
format	article
author	Ziad Arabi Abdullah Hamad Muhammad Bukhari Abdulrahman Altheaby Saleh Kaysi
author_facet	Ziad Arabi Abdullah Hamad Muhammad Bukhari Abdulrahman Altheaby Saleh Kaysi
author_sort	Ziad Arabi
title	Practice Patterns for the Acceptance of Medically Complex Living Kidney Donors with Hematuria, Sickle Cell Trait, Smoking, Illegal Drug Use, or Urological Issues: A Multinational Survey
title_short	Practice Patterns for the Acceptance of Medically Complex Living Kidney Donors with Hematuria, Sickle Cell Trait, Smoking, Illegal Drug Use, or Urological Issues: A Multinational Survey
title_full	Practice Patterns for the Acceptance of Medically Complex Living Kidney Donors with Hematuria, Sickle Cell Trait, Smoking, Illegal Drug Use, or Urological Issues: A Multinational Survey
title_fullStr	Practice Patterns for the Acceptance of Medically Complex Living Kidney Donors with Hematuria, Sickle Cell Trait, Smoking, Illegal Drug Use, or Urological Issues: A Multinational Survey
title_full_unstemmed	Practice Patterns for the Acceptance of Medically Complex Living Kidney Donors with Hematuria, Sickle Cell Trait, Smoking, Illegal Drug Use, or Urological Issues: A Multinational Survey
title_sort	practice patterns for the acceptance of medically complex living kidney donors with hematuria, sickle cell trait, smoking, illegal drug use, or urological issues: a multinational survey
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/9992d7a304204fc69a8add9db2cc2ca3
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Practice Patterns for the Acceptance of Medically Complex Living Kidney Donors with Hematuria, Sickle Cell Trait, Smoking, Illegal Drug Use, or Urological Issues: A Multinational Survey

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