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Updated: Jul 8, 2026

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Published on: June 6, 2025
[Selection of the living donor]
1Service de néphrologie et d'immunologie clinique, CHU de Nantes, 44093 Nantes cedex, France. maryvonne.hourmant@chu-nantes.fr
Summary
Living donor selection criteria, though not fully standardized, include absence of hypertension, cardiovascular disease, and specific GFR, proteinuria, and hematuria levels. Further refinement of these guidelines is necessary for optimal donor selection.
Area of Science:
- Nephrology
- Transplantation Medicine
Context:
- Living donor selection criteria are evolving.
- Consensus recommendations were established in 2004.
- Standardization of donor evaluation is ongoing.
Purpose:
- To outline current living donor selection criteria.
- To identify key health parameters for potential kidney donors.
- To highlight areas needing further refinement in donor assessment.
Summary:
- Key criteria include absence of hypertension, cardiovascular disease, adequate Glomerular Filtration Rate (GFR) >80ml/min, limited proteinuria (<0.30g/day), and absence of renal hematuria.
- Caution is advised for donors with diabetes risk factors, BMI >30, or a history of recurrent kidney stones.
- Past cancer history is not an absolute contraindication if treatable, in remission, and non-transferable.
Impact:
- Aims to improve the safety and efficacy of living donor transplantation.
- Provides a framework for evaluating potential living kidney donors.
- Highlights the need for continued research to optimize donor selection protocols.
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