The need for a living donor wellness program.

Curr Opin Organ Transplant

Division of Nephrology, Department of Medicine, Keck Medicine of USC, Los Angeles, California, USA.

Published: August 2020

AI Article Synopsis

  • Living donation is crucial for addressing the organ shortage but is underutilized, with obesity and social factors hindering its expansion.
  • The rise in obesity and metabolic syndrome disqualifies many potential donors due to health risks like hypertension and diabetes, while socioeconomic and racial disparities further restrict access to living donation.
  • To increase living donation rates, there's a need for more emphasis on improving the health and support of living donors.

Article Abstract

Purpose Of Review: Living donation has a tremendous impact in bridging the gap between the shortage of organs and the growing list of transplant candidates but remains underutilized as a percentage of total transplants performed. This review focuses on obesity and social determinants of health as potential barriers to the expansion of living kidney donation.

Recent Findings: The growing rate of obesity and associated metabolic syndrome make many potential donors unacceptable as donor candidates because of the future risk for developing chronic health conditions, such as hypertension and diabetes. There is also increasing evidence demonstrating socioeconomic differences and racial disparities potentially limit access to living donation in certain populations. These potentially modifiable factors are not exclusive of each other and together serve as significant contributing factors to lower rates of living donation.

Summary: Living donors make sacrifices to provide the gift of life to transplant recipients, despite the potential risks to their own health. Studies describing risk factors to living donation call attention to the overall need for more action to prioritize and promote the health and well being of living donors.

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Source
http://dx.doi.org/10.1097/MOT.0000000000000779DOI Listing

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