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Updated: Jun 21, 2026

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TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients
Published on: April 13, 2021
[Follow-up of the kidney donor]
Luciana Bonfante1, A Gemelli, A D'Angelo
1Clinica Nefrologica, Dipartimento di Scienze Mediche e Chirurgiche, Università degli Studi, Padova. luciana.bonfante@unipd.it
Summary
Living donor kidney transplants offer the best outcomes. However, long-term donor health risks, like chronic kidney disease and cardiovascular issues, require further study with extended follow-up.
Area of Science:
- Nephrology
- Transplant Surgery
- Public Health
Context:
- Living donor kidney transplantation is the optimal renal replacement therapy.
- While increasing in Italy, long-term donor safety data remains limited.
- Existing research often lacks sufficient follow-up duration and subject numbers.
Purpose:
- To investigate the long-term health risks for living kidney donors.
- To define the incidence and nature of chronic kidney disease (CKD) post-donation.
- To assess potential differences in nephropathy and cardiovascular risk compared to individuals with two kidneys.
Summary:
- Long-term complications for living kidney donors, including chronic kidney disease (CKD) and microalbuminuria, are not well-defined.
- The pathophysiology of GFR decline and proteinuria in donors may differ from patients with bilateral kidneys.
- Prolonged, detailed follow-up is essential for monitoring and managing potential donor complications.
Impact:
- Highlights the need for comprehensive, long-term monitoring of living kidney donors.
- Informs future research on donor health outcomes and risk stratification.
- Aids in optimizing post-donation care protocols to ensure donor well-being and mitigate long-term risks.
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