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Living Donor Misinformation Living Donor Research Living Donor Risks Living Kidney Donor

How Not to Define Safety, Transplant Industry

The focus of this Egyptian transplant center study was the 8 living kidney donors who experienced kidney failure, as opposed to their overall 2000 LKDs. In the discussion section, however, the authors talked about *all* the donors, saying that 22% developed hypertension.

Let’s remember, hypertension is second to diabetes in causing kidney failure.

 

Then there’s this statement: “The authors found that the incidence of diabetes mellitus, hypertension, and cardiovascular morbidity among live-kidney donors were lower than those of age- and sex-matched Egyptian general population, and they confirmed the safety of live-kidney donation”.

Living kidney donors are supposed to be HEALTHIER than the general population. They *should* have lower rates of all of those things. The question is not how LKDs’ risk compares to the general population (which includes folks with high risk, who would never be approved to donate), but how it compares to their two-kidneyed risk. In other words, did donating a kidney increased that individual’s risk of those health issues? Overall, does donation increase that population’s* risk?

If the answer is yes, then living kidney donation is not ‘safe’.

 

*Population = living kidney donors.
Wafa EW, Refaie AF, Abbas TM, Fouda MA, Sheashaa HA, Mostafa A, Abo El Ghar MI, & Ghoneim MA (2011). End-stage renal disease among living-kidney donors: single-center experience. Experimental and clinical transplantation : official journal of the Middle East Society for Organ Transplantation, 9 (1), 14-9 PMID: 21605018

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