ANALYSIS OF DONOR SELECTION PROCEDURE IN 139 LIVING-RELATED KIDNEY DONORS AND FOLLOW-UP RESULTS FOR DONORS AND RECIPIENTS

In 1981 an active programme was started in our centre for living-relat ed kidney donation (LRD). The structure of this LRD programme is descr ibed in this paper. Retrospectively the results of this LRD programme were studied. Between 1981 and 1988 139 potential living donors were e valuated. Of all potential donors 47 (34%) actually donated a kidney, including 24 HLA non-identical combinations.Follow-up was obtained unt il 1990. An acceptable incidence of morbidity and mortality for donors and recipients was observed. A high number of potential donors was ex cluded during the selection procedure (66%). They were often refused f or medical reasons (29%), with a high incidence of renal dysfunction ( 16%). No long-term adverse effects of nephrectomy regarding decreased renal function, hypertension, or proteinuria were seen. Of all actual donors 23% experienced minor complications after donation. Living-rela ted kidney transplants showed better graft function than cadaveric gra fts.