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Evaluation, selection, and follow-up of live kidney donors: a review of current practice in French renal transplant centres Gabolde M; Herve C; Moulin AMNephrol Dial Transplant 2001[Oct]; 16 (10): 2048-52BACKGROUND: A resurgence of interest in the concept of live-donor renal transplantation has prompted a closer look at methods of live donor evaluation, selection, and follow-up. The aim of this study was to describe these methods in all 46 French renal transplant centres. METHODS: Questionnaires were sent to all chief renal physicians. RESULTS: The survey was completed by 78% of centres, which accounted for 95% of all live-donor renal transplants carried out in France in 1995 and 1996. There was a substantial variation in all three steps of live-donor management. For example, we observed variations in the screening for specific short- or long-term risk factors (especially cardiovascular or thrombotic risk factors and diabetes). In addition the exclusion criteria differed, especially the cut-off age for donation, which ranged from 45 to 75 years. The composition of teams evaluating and selecting potential donors and the role of the potential donors in the decision-making process varied greatly among centres. Finally, we observed less variation in the methods of donor follow-up. CONCLUSIONS: The current survey revealed a marked disparity in the management of live donors in France. It raises the question of whether these practices should be codified into a set of guidelines for live-donor transplantation.|*Kidney Transplantation[MESH]|*Living Donors[MESH]|*Tissue and Organ Procurement[MESH]|Adult[MESH]|Aged[MESH]|Data Collection[MESH]|Follow-Up Studies[MESH]|France[MESH]|Humans[MESH]|Middle Aged[MESH]|Patient Selection[MESH]|Surveys and Questionnaires[MESH] |
