Practice Patterns in the Acceptance of Medically Complex Living Kidney Donors with Obesity, Hypertension, Family History of Kidney Disease, or Donor-Recipient Age Discrepancy

Background To assess the practice patterns of the acceptance of medically complex living kidney donors (MCLKDs). Methods We distributed a survey to nephrologists and transplant surgeons (TS) across the world through major international transplant societies. The survey contained questions...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Ziad Arabi, Muhammad Bukhari, Abdullah Hamad, Abdulrahman Altheaby, Saleh Kaysi
Formato:	article
Lenguaje:	EN
Publicado:	Thieme Medical and Scientific Publishers Pvt. Ltd. 2021
Materias:	age diabetes extended criteria family history of kidney disease gender hypertension living kidney donor metabolic syndrome obesity pregnancy survey Medicine R
Acceso en línea:	https://doaj.org/article/a6211ce3b3b24920a456a890fb70906b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:a6211ce3b3b24920a456a890fb70906b
record_format	dspace
spelling	oai:doaj.org-article:a6211ce3b3b24920a456a890fb70906b2021-12-02T19:45:13ZPractice Patterns in the Acceptance of Medically Complex Living Kidney Donors with Obesity, Hypertension, Family History of Kidney Disease, or Donor-Recipient Age Discrepancy2231-07702249-446410.1055/s-0041-1736541https://doaj.org/article/a6211ce3b3b24920a456a890fb70906b2021-11-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736541https://doaj.org/toc/2231-0770https://doaj.org/toc/2249-4464Background To assess the practice patterns of the acceptance of medically complex living kidney donors (MCLKDs). Methods We distributed a survey to nephrologists and transplant surgeons (TS) across the world through major international transplant societies. The survey contained questions regarding obesity, abnormal blood glucose profile, mild hypertension, donor-recipient age discrepancy, or family history of kidney disease of unknown etiology. Results In total, 239 respondents from 29 countries (42% were nephrologists and 58% were TS). Most respondents would allow donations from obese donors, especially if they intended to lose weight but would be cautious if these donors had abnormal blood glucose or family history of diabetes mellitus. In hypertensive donors, future pregnancy plans mattered in decisions regarding the acceptance of female donors. Most respondents would allow young donors but would be more cautious if they had a future risk of hypertension or a family history of kidney disease of unknown etiology. They would also allow donations from an older person if prolonged waiting time was anticipated. We found multiple areas of consensus of practice among the diverse members of international transplant societies, with some interesting variations among 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 these conditions.Ziad ArabiMuhammad BukhariAbdullah HamadAbdulrahman AltheabySaleh KaysiThieme Medical and Scientific Publishers Pvt. Ltd.articleagediabetesextended criteriafamily history of kidney diseasegenderhypertensionliving kidney donormetabolic syndromeobesitypregnancysurveyMedicineRENAvicenna Journal of Medicine (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	age diabetes extended criteria family history of kidney disease gender hypertension living kidney donor metabolic syndrome obesity pregnancy survey Medicine R
spellingShingle	age diabetes extended criteria family history of kidney disease gender hypertension living kidney donor metabolic syndrome obesity pregnancy survey Medicine R Ziad Arabi Muhammad Bukhari Abdullah Hamad Abdulrahman Altheaby Saleh Kaysi Practice Patterns in the Acceptance of Medically Complex Living Kidney Donors with Obesity, Hypertension, Family History of Kidney Disease, or Donor-Recipient Age Discrepancy
description	Background To assess the practice patterns of the acceptance of medically complex living kidney donors (MCLKDs). Methods We distributed a survey to nephrologists and transplant surgeons (TS) across the world through major international transplant societies. The survey contained questions regarding obesity, abnormal blood glucose profile, mild hypertension, donor-recipient age discrepancy, or family history of kidney disease of unknown etiology. Results In total, 239 respondents from 29 countries (42% were nephrologists and 58% were TS). Most respondents would allow donations from obese donors, especially if they intended to lose weight but would be cautious if these donors had abnormal blood glucose or family history of diabetes mellitus. In hypertensive donors, future pregnancy plans mattered in decisions regarding the acceptance of female donors. Most respondents would allow young donors but would be more cautious if they had a future risk of hypertension or a family history of kidney disease of unknown etiology. They would also allow donations from an older person if prolonged waiting time was anticipated. We found multiple areas of consensus of practice among the diverse members of international transplant societies, with some interesting variations among 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 these conditions.
format	article
author	Ziad Arabi Muhammad Bukhari Abdullah Hamad Abdulrahman Altheaby Saleh Kaysi
author_facet	Ziad Arabi Muhammad Bukhari Abdullah Hamad Abdulrahman Altheaby Saleh Kaysi
author_sort	Ziad Arabi
title	Practice Patterns in the Acceptance of Medically Complex Living Kidney Donors with Obesity, Hypertension, Family History of Kidney Disease, or Donor-Recipient Age Discrepancy
title_short	Practice Patterns in the Acceptance of Medically Complex Living Kidney Donors with Obesity, Hypertension, Family History of Kidney Disease, or Donor-Recipient Age Discrepancy
title_full	Practice Patterns in the Acceptance of Medically Complex Living Kidney Donors with Obesity, Hypertension, Family History of Kidney Disease, or Donor-Recipient Age Discrepancy
title_fullStr	Practice Patterns in the Acceptance of Medically Complex Living Kidney Donors with Obesity, Hypertension, Family History of Kidney Disease, or Donor-Recipient Age Discrepancy
title_full_unstemmed	Practice Patterns in the Acceptance of Medically Complex Living Kidney Donors with Obesity, Hypertension, Family History of Kidney Disease, or Donor-Recipient Age Discrepancy
title_sort	practice patterns in the acceptance of medically complex living kidney donors with obesity, hypertension, family history of kidney disease, or donor-recipient age discrepancy
publisher	Thieme Medical and Scientific Publishers Pvt. Ltd.
publishDate	2021
url	https://doaj.org/article/a6211ce3b3b24920a456a890fb70906b
work_keys_str_mv	AT ziadarabi practicepatternsintheacceptanceofmedicallycomplexlivingkidneydonorswithobesityhypertensionfamilyhistoryofkidneydiseaseordonorrecipientagediscrepancy AT muhammadbukhari practicepatternsintheacceptanceofmedicallycomplexlivingkidneydonorswithobesityhypertensionfamilyhistoryofkidneydiseaseordonorrecipientagediscrepancy AT abdullahhamad practicepatternsintheacceptanceofmedicallycomplexlivingkidneydonorswithobesityhypertensionfamilyhistoryofkidneydiseaseordonorrecipientagediscrepancy AT abdulrahmanaltheaby practicepatternsintheacceptanceofmedicallycomplexlivingkidneydonorswithobesityhypertensionfamilyhistoryofkidneydiseaseordonorrecipientagediscrepancy AT salehkaysi practicepatternsintheacceptanceofmedicallycomplexlivingkidneydonorswithobesityhypertensionfamilyhistoryofkidneydiseaseordonorrecipientagediscrepancy
_version_	1718376044201771008

Practice Patterns in the Acceptance of Medically Complex Living Kidney Donors with Obesity, Hypertension, Family History of Kidney Disease, or Donor-Recipient Age Discrepancy

Ejemplares similares