KDOQI US Commentary on the 2017 KDIGO Clinical Practice Guideline on the Evaluation and Care of Living Kidney Donors

Didier A. Mandelbrot; Peter P. Reese; Neetika Garg; Christie P. Thomas; James R. Rodrigue; Carrie Schinstock; Mona Doshi; Matthew Cooper; John Friedewald; Abhijit S. Naik; Daniel R. Kaul; Michael G. Ison; Michael V. Rocco; Jennifer Verbesey; Michelle A. Hladunewich; Hassan N. Ibrahim; Emilio D. Poggio

doi:10.1053/j.ajkd.2019.10.005

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KDOQI US Commentary on the 2017 KDIGO Clinical Practice Guideline on the Evaluation and Care of Living Kidney Donors

Journal article

Open access

Peer reviewed

KDOQI US Commentary on the 2017 KDIGO Clinical Practice Guideline on the Evaluation and Care of Living Kidney Donors

Didier A. Mandelbrot, Peter P. Reese, Neetika Garg, Christie P. Thomas, James R. Rodrigue, Carrie Schinstock, Mona Doshi, Matthew Cooper, John Friedewald, Abhijit S. Naik, …

American journal of kidney diseases, Vol.75(3), pp.299-316

03/2020

DOI: 10.1053/j.ajkd.2019.10.005

PMID: 32007233

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Abstract

Living kidney donation is widely practiced throughout the world. During the past 2 decades, various groups have provided guidance about the evaluation and care of living donors. However, during this time, our knowledge in the field has advanced substantially and many agreed on the need for a comprehensive, unifying document. KDIGO (Kidney Disease: Improving Global Outcomes) addressed this issue at an international level with the publication of its clinical practice guideline on the evaluation and care of living kidney donors. The KDIGO work group extensively reviewed the available literature and wrote a series of guideline recommendations using various degrees of evidence when available. As has become recent practice, NKF-KDOQI (National Kidney Foundation–Kidney Disease Outcomes Quality Initiative) convened a work group to provide a commentary on the KDIGO guideline, with a focus on how these recommendations apply in the context of the United States. In the United States, the United Network for Organ Sharing (UNOS) guides and regulates the practice of living kidney donation. While the KDIGO guideline for the care of living kidney donors and UNOS policy are similar in most aspects of the care of living kidney donors, several important areas are not consistent or do not align with common practice by US transplantation programs in areas in which UNOS has not set specific policy. For the time being, and recognizing the value of the KDIGO guidelines, US transplantation programs should continue to follow UNOS policy.

albuminuria

best practices

clinical practice guideline

contraindication

diabetes

donor candidate

donor counseling

donor evaluation

donor follow-up

donor safety

donor selection

end-stage renal disease (ESRD)

ethics

genetic risk

glomerular filtration rate (GFR)

hypertension

informed consent

kidney donor

kidney failure

kidney function

Living kidney donation

long-term risk

nephrectomy

postdonation monitoring

pregnancy

psychosocial evaluation

Details

Title: Subtitle: KDOQI US Commentary on the 2017 KDIGO Clinical Practice Guideline on the Evaluation and Care of Living Kidney Donors
Creators: Didier A. Mandelbrot - University of Wisconsin School of Medicine and Public Health
Peter P. Reese - University of Pennsylvania
Neetika Garg - University of Wisconsin–Madison
Christie P. Thomas - University of Iowa
James R. Rodrigue - Beth Israel Deaconess Medical Center
Carrie Schinstock - Mayo Clinic
Mona Doshi - University of Michigan
Matthew Cooper - Georgetown University
John Friedewald - Northwestern University
Abhijit S. Naik - University of Michigan
Daniel R. Kaul - University of Michigan
Michael G. Ison - Northwestern University
Michael V. Rocco - Wake Forest University
Jennifer Verbesey - Children's National
Michelle A. Hladunewich - Sunnybrook Health Science Centre
Hassan N. Ibrahim - Methodist Hospital
Emilio D. Poggio - Cleveland Clinic
Resource Type: Journal article
Publication Details: American journal of kidney diseases, Vol.75(3), pp.299-316
DOI: 10.1053/j.ajkd.2019.10.005
PMID: 32007233
NLM abbreviation: Am J Kidney Dis
ISSN: 0272-6386
eISSN: 1523-6838
Publisher: Elsevier Inc
Grant note: DOI: 10.13039/100000062, name: National Institute of Diabetes and Digestive and Kidney Diseases, award: R01DK114877
Language: English
Date published: 03/2020
Academic Unit: Stead Family Department of Pediatrics; Obstetrics and Gynecology; Nephrology; Internal Medicine
Record Identifier: 9984360047802771

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