2025 Volume 13 Issue 2 Pages 108-113
In Japan, kidney donations are accepted, to compensate for donor shortages, from marginal donors who are elderly, hypertensive, diabetic or have lower cut-off values than standard donors. The long-term wellbeing of living kidney donors is very important, but it is difficult to follow them. Previous reports on prognoses of living kidney donors more than 10 years after donation showed that the risk of deterioration in kidney function substantially increase. This is related to existing or newly developed CKD progression factors or other serious complications. Continuous aggressive monitoring of donor’s health and appropriate interventions when complication do occur are important. Due to the aging of donors and their geographical circumstances, it is often difficult for transplant facilities to provide long-term follow up for all donors. We would like to strive to create a system for the long-term support of donors in the community. Nephrologists are ideal for monitoring and care of donors.
