What Is Living Kidney Donation?

Approximately 125,000 people are diagnosed with end stage renal disease each year, but less than 15,000 deceased-donor kidney transplants (DDKT) are performed in this same time period. Live-donor kidney transplantation is another option that can decrease wait time and provide a significant survival benefit over DDKT and dialysis. But, limited knowledge about live donation or discomfort discussing the subject, can make it difficult to find a donor (Source: UAB)

Two main types of donors:

  • Direct donation (related or unrelated)

  • Non-directed donation (someone out of the blue)

Kidney Failure: Most people have two kidneys, but you can live a normal, healthy life with one. Kidneys are key components of the body that:

  • Filter waste and excess water

  • Keep bone and tissue healthy

  • Regulate blood pressure

  • Over  60,0000 Americans suffer from end-stage renal failure.

Benefits of A Living Donor

  • Eliminates the need to wait for a deceased donor kidney to become  available

  • Live donor kidneys last longer

  • Live donor kidneys almost always function immediately

  • Preemptive transplant can all ow the patient to avoid dialysis

  • Shortens wait time for others

  • Surgery is scheduled, giving donor and recipient time to plan

  • Organ Procurement and Transportation Network (OPTN) policy ensures additional prioritization points for prior living donors should they require a kidney transplant in the future.

 

Am I A Match?

The Donation Process

  • Step 1: Completion of telephone survey or online donor screeining form

  • Step 2: 24-hr urine collection and blood pressure monitor, collection of medical records (routine labs, pap smear, mammogram if female >40, colonoscopy if >50)

  • Step 3: Contacted  by transplant center to schedule in-person appointment, 3D computed tomography (CT) scan, electrocardiogram (ECG), chest X-ray

  • Step 4: Transplant team clears candidate for donation

  • Step 5: Surgery

Who Can Donate?

  • At least 19 years old

  • Medically and psychologically healthy (Pre-donation evaluations will include:

  • Blood typing

  • General medical history and physical examination

  • Psychological evaluation and social history

  • Blood and urine tests for kidney and liver function

  • Chest X-ray and electrocardiogram (ECG)

  • Tests for metabolic diseases, including diabetes

  • Screening tests for cancer and infections

  • Computed tomography (CT) scan to evaluate anatomy

Financial Considerations for Living Donation

Covered Not Covered
Evaluation visits Lost Wages
Diagnostic blood work Travel Expenses
Diagnostic tests Treatment for unrelated conditions
Donation Surgery Some follow-up expenses
Postsurgical Care