lotus



previous page: 114 Life expectancy of liver transplant patients, and can they be weaned off meds?
  
page up: Organ Transplant FAQ
  
next page: 116 How many transplant survivors are there in the US?

115 Spouses as kidney donors




Description

This article is from the Organ Transplant FAQ, by mike_holloway@hotmail.com (Michael Holloway) with numerous contributions by others.

115 Spouses as kidney donors

Question:
Recently there has been more interest in spousal donors for kidney
transplants. What are the latest thoughts on this and what are the
statistics, if any, for such a donor transplant ?

Answer:
Fifteen years ago, (before the introduction of cyclosporine) the only
kidney transplants with good success rates were those from a very closely
matched blood relatives. Modern immunosuppression with cyclosporine and
Tacrolimus (FK506) has now improved overall results so much that tissue
matching for kidney transplants is much less important than it used to
be. Currently most transplant centers in the United States are willing to
consider donation by spouses if no volunteer donors that are blood
relations are available. Careful screening is followed to ensure that the
donor can safely donate a kidney. Experience with living donation has
shown that living donors are no more likely than the general population
to develop kidney failure.

The latest statistics were published in the New England Journal of
Medicine on August 10, 1995. Dr. Terasaki reported that in the United
States "three year survival rates were:

85 percent for kidneys from 368 spouses
81 percent for kidneys from 129 living unrelated donors who were not
married to the recipients
82 percent for kidneys from 3368 parents, and
70 percent for 43,341 cadaver kidneys."

He concluded that "the graft survival rate is similar to that of
parental-donor kidneys. This high rate of survival is attributed to the
fact that the kidneys were uniformly healthy."(N Engl J Med 1995;333;333-6).


Jeff Punch, MD (transplant surgeon), University of Michigan
--------------------------------------------------------------------------

 

Continue to:













TOP
previous page: 114 Life expectancy of liver transplant patients, and can they be weaned off meds?
  
page up: Organ Transplant FAQ
  
next page: 116 How many transplant survivors are there in the US?