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Related Experiment Video

Updated: Feb 10, 2026

Robot-Assisted Kidney Transplantation

Robot-Assisted Kidney Transplantation

Published on: July 19, 2021

Should obesity affect suitability for kidney donation?

Mala Sachdeva¹

¹Division of Nephrology, Division of Kidney Diseases and Hypertension, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Department of Medicine, Great Neck, New York.

Seminars in Dialysis

|May 29, 2018

Summary

Guidelines for accepting obese living kidney donors are lacking, with variable criteria among centers. Careful pre-donation risk assessment and post-donation follow-up are crucial for this higher-risk group.

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Area of Science:

Nephrology
Transplant Surgery
Public Health

Background:

Obesity prevalence is increasing in the United States, mirroring a rise in obese living kidney donors.
Current guidelines for evaluating obese living kidney donors are not universally established, leading to variability in acceptance criteria across transplant centers.
The suitability of obese recipients for kidney transplantation is debated, yet donor criteria remain less defined.

Purpose of the Study:

To highlight the lack of standardized guidelines for evaluating obese living kidney donors.
To emphasize the importance of risk assessment and informed consent for obese kidney donors.
To advocate for enhanced post-donation follow-up protocols for obese living kidney donors.

Main Methods:

Review of current practices and literature regarding obese living kidney donors.
Analysis of the implications of rising obesity rates on kidney donation.
Discussion of risk stratification and management strategies for obese donors.

Main Results:

No consensus exists on universal criteria for accepting obese living kidney donors.
Transplant center protocols for obese donors vary significantly.
Obesity presents unique challenges and risks for living kidney donors.

Conclusions:

Standardized guidelines are needed for the evaluation and management of obese living kidney donors.
Comprehensive pre-donation risk assessment and informed consent are essential.
Close post-donation monitoring is critical to mitigate potential short- and long-term complications in this population.