I’m sure some of you have seen the latest marketing PR blitz to come out of the transplant industry, which is that living kidney donors are NOT at higher risk of cardiovascular disease and death than non-donors.
I’m gonna be brief, mostly because I’m up to my neck in kitchen renovation planning and I just don’t have the resources to sift through this like I’m mining for gold.
1. This study was done in Canada, not the US. A country that has national healthcare. A country with longer life expectancy. A country with less income disparity. A country with a healthier lifestyle than the US.
2. There was no accounting for race or ethnicity.
And here’s the biggie:
3. The study IS NOT LONG TERM.
To quote (emphasis mine):
The risk of major cardiovascular events in donors is no higher in the first decade after kidney donation compared with a similarly healthy segment of the general population.
Long-term is defined as 20 years or more. This does not apply.
Just in case you need a reminder, the first LKD Ron Herrick, had a stroke in 2002, was on dialysis the last years of his life, and died following a cardiac procedure in 2010. His older siblings attended his funeral.
Garg, A., Meirambayeva, A., Huang, A., Kim, J., Prasad, G., Knoll, G., Boudville, N., Lok, C., McFarlane, P., Karpinski, M., Storsley, L., Klarenbach, S., Lam, N., Thomas, S., Dipchand, C., Reese, P., Doshi, M., Gibney, E., Taub, K., Young, A., & , . (2012). Cardiovascular disease in kidney donors: matched cohort study BMJ, 344 (mar01 2) DOI: 10.1136/bmj.e1203