Becoming a live kidney donor: a doctor's perspective
- By: B S Fernando
Renal transplantation offers the best outcome for most patients with end stage renal failure, and this is reflected in national strategy and the 2006 Human Tissue Act. As the number of deceased donors has progressively fallen, the emphasis on living donors—who tend to be relatives or partners—has increased. Most transplant units have established clinical pathways for live related organ donation, which focus on ensuring that the donor completely understands the risks and benefits for informed consent, and confirming the donor's suitability as well as the recipient's health. Implementing these pathways has put pressure on existing infrastructure.
Annabel's generous offer to donate a kidney was a wonderful altruistic gift for both Raymond and society because it frees up a kidney from a deceased donor for someone else. However, donation carries an attendant risk of death (<0.01%), postoperative thromboembolic disease, wound pain, hypertension, and proteinuria. The recipient also risks loss of the