2014 年 49 巻 6 号 p. 410-416
Guidelines for clinical practice of kidney transplant donors and recipients are pivotal to perform quality-controlled kidney transplantation. The guidelines for both renal transplant donors and recipients have recently been developed during a recent 3-year-period in Japan. A joint study by the Japanese Society for Transplantation and the Japanese Renal Transplant Society led to these important results. Guidelines for the care of live renal transplant donors were partially determined by reference to the Amsterdam Forum as an international authority on such standards. A society member who consents to be a donor should be competent, willing to donate, free of coercion, medically and psychosocially suitable, and fully informed of the risks and benefits as a live donor. Details of the criteria are modified to reflect the current situation in Japan. The standard list of criteria and the marginal list of criteria are prescribed as the result of studying past records. The precise criteria of donor age, renal function, hypertension, body mass index (BMI), and diabetes of Japanese guidelines are different from the Amsterdam Forum criteria. Kidney Disease: Improving Global Outcomes (KDIGO) published guidelines for the care of renal transplant recipients. The Japanese Society for Clinical Renal Transplantation also presented guidelines in some selected fields. The development of guidelines regarding renal transplants is expected to result in high-quality clinical transplantation.
