Spital A, Spital M, Spital R
Arch Intern Med. 1986 Oct;146(10):1993-6.
The results of cadaveric renal transplantation have markedly improved in recent years. Concurrently, a few long-term follow-up studies of living kidney donors found an increased incidence of proteinuria and hypertension. As a result, some have argued that living donors should no longer be the preferred source of kidneys. To see if transplant centers are moving away from the use of living donors, we sent a questionnaire to all US transplant centers. The results of our survey show that rather than becoming extinct, living donors are still the preferred source of kidneys at most US transplant centers. In fact, new ways are being sought to increase the supply of living kidney donors.
近年来，尸体肾移植的结果有了显著改善。与此同时，一些对活体肾供者的长期随访研究发现蛋白尿和高血压的发病率有所上升。因此，一些人认为活体供者不应再作为首选的肾脏来源。为了了解移植中心是否正在摒弃使用活体供者，我们向美国所有移植中心发放了一份调查问卷。我们的调查结果显示，在美国大多数移植中心，活体供者并没有逐渐被淘汰，仍是首选的肾脏来源。事实上，人们正在探索新的方法来增加活体肾供者的数量。
