Levidiotis Vicki
Department of Renal Medicine, Royal Prince Alfred Hospital and University of Sydney, New South Wales.
Aust Fam Physician. 2009 May;38(5):316-20.
Live kidney donation has increased steadily over the past decade, both in Australia and internationally. In some centres more than 50% of patients receiving a kidney transplant do so from a living related or unrelated donor. Live nondirected or altruistic donation has become more popular, as have paired exchange programs. General practitioners may be involved in pre-donation counselling and the assessment and follow up of otherwise healthy kidney donors.
This overview outlines the clinical pathway and considerations required pre- and post-live kidney donation and highlights some of the uncertainties of donor nephrectomy.
Live donation requires comprehensive physical, psychological and immunological assessment of the donor-recipient pair. Assessment requires an integrated approach that incorporates the skills of a number of clinicians and allied health practitioners. General practitioners have a crucial role in the counselling, assessment and follow up of live kidney donors.
在过去十年中，澳大利亚及国际上活体肾捐赠都在稳步增加。在一些中心，超过50%接受肾移植的患者是由亲属活体供体或非亲属活体供体提供肾脏。活体非定向或利他性捐赠以及配对交换项目都变得越来越普遍。全科医生可能会参与捐赠前咨询以及对原本健康的肾供体的评估和随访。
本综述概述了活体肾捐赠前后所需的临床路径和注意事项，并强调了供肾切除术的一些不确定性。
活体捐赠需要对供体 - 受体对进行全面的身体、心理和免疫学评估。评估需要一种综合方法，整合多名临床医生和相关健康从业者的技能。全科医生在活体肾供体的咨询、评估和随访中起着关键作用。
