Donating a kidney does not have an effect on a person's life expectancy. In fact, research has shown that those who donate a kidney tend to outlive the average population. Twenty years after the donation, 85 percent of kidney donors were still alive, while the expected survival rate was 66 percent. Overall, between 0.532 and 0.884 years of life were lost due to the donation of a kidney.
This was equivalent to 1.20% to 2.34% of the remaining life years (or 0.76 to 1.51% of the remaining HVAC). The risk was higher in males and blacks. The study showed that between 1 and 5% of current average age living kidney donors could develop end-stage renal disease (ESRD) as a result of nephrectomy. The additional risk of ESRD resulted in a loss of only 0.126 to 0.344 years of life remaining.It was predicted that most of the loss of life would be associated with chronic kidney disease (CKD), not with ESRD.
Most of the events occurred 25 or more years after the donation. The reduction in the increased risk of death associated with CKD had a modest overall effect on the percentage of loss in the remaining years of life (between 0.72 and 1.9%) and AVACs (between 0.58 and 1.33%). Smoking and obesity reduced life expectancy and increased overall risks of chronic kidney disease in those who did not donate.However, the percentage of loss of the remaining life years due to the donation was not much different in those with or without these risk factors. Kidney donation surgery has a low mortality rate, with only 0.03% of donors dying within 30 days after surgery.Living donation does not change life expectancy and does not seem to increase the risk of kidney failure.
In general, most people with only one normal kidney have few or no problems; however, you should always talk to your transplant team about the risks involved in donating.Some studies report that living donors may have a greater chance of developing high blood pressure. It is recommended that potential donors consult with their doctor about the risks of donating live food.Women who had both pregnancies before and after donation were more likely to have adverse maternal outcomes (gestational diabetes, hypertension, proteinuria, and preeclampsia), but had no adverse fetal outcomes in their pregnancies after donation. Each donor's motivations can vary greatly, and each donor has a unique experience as they go through the process of donating their kidney, from the initial decision to be evaluated as a potential donor to years after the donation occurs.The field of live kidney donation is not immune to the global obesity epidemic in the developed world. We assumed that many of the future risks that may affect life expectancy and ESRD, such as cancer, obesity, smoking, etc., were not influenced by the act of donating a kidney.Better survival among donors is likely due to the fact that only healthy people are accepted for live kidney donation.
However, they are at risk of developing these conditions, whether they donate or not, and this will affect patient survival and loss of kidney function in both donors and non-donors.Spouses are an important source of living donor kidney grafts because, despite poor HLA compatibility, the graft's survival rate is similar to that of parents' and donor kidneys. Knowing the long-term risks associated with kidney donation is important for potential donors and their providers.While the results of this single-center study suggest that people with identified early stages of glucose deterioration may have no long-term consequences from donating, the current standard is to discourage anyone with a known history of glucose alteration, overt type 2 DM, or people with a strong family history of diabetic kidney disease from donating.Since the mid-to late 1990s, advances in surgical techniques have drastically improved the cosmetic outcome following live kidney donation.There have been some cases where living donors needed a kidney later on, not necessarily because of the donation itself. As the prevalence of ESRD continues to increase so much in the U. S., as well as internationally, live kidney donation will continue to be a favorable treatment option.Objective: This study estimated the possible loss of life and cumulative lifetime risk of end-stage renal disease (ESRD) due to live kidney donation.Reassuringly, 83% of donors would have donated again if possible, and 90.9% wanted to encourage live kidney donation.It's possible to get pregnant after donation, but it's generally not recommended for at least six months after donation surgery.
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