Living Donor Candidates

In order to ensure every donor is prepared, both physically and emotionally for their donation, patient education and evaluation will be coordinated for all living donor candidates while maintaining confidentiality with a separation of donor and recipient teams. Services also include long-term monitoring of health status after the donation surgery has occurred.

Generally speaking, living donors are in excellent health and undergo an extensive screening process. The final candidacy of each donor is determined after review of the evaluation by the End Stage Renal Disease Selection Committee.

To be considered an appropriate donor a person must be/have:

  • Highly motivated to donate free of coercion or monetary gain
  • Normal renal function
  • No active or recent cancer
  • Normal cardiovascular risk for anesthesia
  • Age 18 - 65

Potential reasons someone might not qualify for living kidney donation include:

  • Recent or significant history of psychosis, serious mood disorder or substance abuse
  • Lack of a support system
  • History of medical non-compliance
  • Lack of emotional and cognitive preparedness for organ donation
  • History of single kidney stone
  • Chronic neck or back pain
  • Chron’s Disease
  • Hepatitis B and C
  • Diabetes (Type II, Gestational Diabetes)
  • Body Mass Index greater than 30
  • Tuberculosis
  • Chronic Obstructive Pulmonary Disease
  • Current tobacco use (mandatory smoking cessation two weeks prior to surgery)
  • History of Seizures, Stroke or any other chronic neurological disorder that requires long term therapy
  • Peripheral Vascular Disease
  • Controlled Hypertension (requiring only a single medication)

Absolute reasons someone might not qualify for living kidney donation:

  • Multiple Kidney Stones
  • Diabetes (Type I)
  • Body Mass Index greater than 40
  • HIV Positive
  • Multiple Sclerosis
  • Parkinson’s Disease
  • Pulmonary Embolus/Deep Vein Thrombosis
  • Creatinine Clearance of less than 70
  • Non - Irreversible Cardiac Disease
  • Uncontrolled Hypertension (requiring more than one medication)
  • Lupus
  • Significant psychosocial instability or psychiatric disorders that may interfere with or prevent compliance

Transplant centers are required to submit data on the outcomes of living kidney donors for a minimum of two years following donation. Living donors have a normal life span and require no special diet or restrictions.

 

© 2013 KentuckyOne Health
200 Abraham Flexner Way•Louisville, KY•40202

Last Updated: 7/16/2014