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KIDNEY DONORS DONT REGRET: Follow-up of 370 Donors in Stockholm Since 19641

Fehrman-Ekholm, Ingela2 4; Brink, Bo2; Ericsson, Christina2; Elinder, Carl-Gustaf2; Dunér, Fredrik2; Lundgren, Göran3

Clinical Transplantation

Background. The aim of the study was to present the views of our kidney donors since 1964, at the time of donation, as well as later on—and to assess their current subjective health.

Methods. A total of 451 living-donor nephrectomies were performed on Swedish residents in Stockholm from April 1964 until the end of 1995. A questionnaire with 11 questions about the donation and a standardized health form (SF-36) were sent to all donors alive in 1997 (n=403).

Results. The mean age (±SD) of the donors was 61±14 years at follow-up and the time-since-donation was 12.5±7.7 years. The response rate was very good (92%). Current health, as assessed by form SF-36, was satisfactory. Donors scored somewhat better than those reported in a random sample of the Swedish population. The decision to donate had been easy: 86% made the decision themselves, without being pushed. Twenty-three percent thought that the nephrectomy had been troublesome. A higher percentage of young donors had felt that the postoperative period was difficult. Most donors (56%) stated that it had taken more than 2 months before they returned to a “normal” life, and 5% felt that they never completely recovered. Less than 1% of the donors regretted the donation. The commonest current medical prescription was antihypertensives (15%). The actual mean serum creatinine was 103±22 (range 48–219) μmol/L.

Conclusions. The results indicate that the degree of health is at least as high as in the general population. The decision to donate was easy for most of the donors, but surgery and the recovery period were troublesome and lasted longer than expected. Kidney function was acceptable.

Departments of Renal Medicine and Transplantation Surgery, Karolinska Institute and Huddinge University Hospital, S-141 86 Huddinge, Sweden

2Department of Renal Medicine.

3Department of Transplantation Surgery.

Received 26 February 1999.

Accepted 17 September 1999.

4Address correspondence to: Ingela Fehrman-Ekholm, MD, Department of Renal Medicine, K56, Huddinge Hospital, 141 86 Huddinge, Sweden.

1Financial support for this project was obtained from Karolinska Institute and the Association of Kidney Diseased in Sweden.

© 2000 Lippincott Williams & Wilkins, Inc.