Thank you professor. I think the main issue in donor’s complications could be due to missed follow up and non-compliance. Many donors neglect follow-up for years, while many recipients I have, received their kidneys before 40 years and tell now doing well, but the difference that they are very compliant.
Akram Abdullah
2 years ago
Thank you for the informative lecture.
AMAL Anan
2 years ago
Thanks for great lecture
Mohamed Ghanem
2 years ago
Many thanks prof Bedir
mai shawky
2 years ago
Excellent overview of post donation complications
Esraa Mohammed
2 years ago
Thank you
Dalia Ali
2 years ago
Thanks for nice lecture
Amna Khalifa
2 years ago
Interesting lecture. It is very rare to see kidney donor approching ESKD. This is my observation. But they do get hypertension and proteinuria most frequently. Ace inhibitors and A2 blickers have been given. Do you thing SGLT2 will have arole in reducing BP and proteinura in these patients
Amit Sharma
2 years ago
Thank you Professor for the excellent overview of post-donation outcomes in donors. It is high time a proper registry is maintained in transplant units for analyzing donor outcomes on long-term basis.
Hoon Loi Chong
2 years ago
Thanks for the interesting lecture.
Rihab Elidrisi
2 years ago
thanks for the lovely lectures
Zahid Nabi
2 years ago
Thanks for a lovely lecture
Radwa Ellisy
2 years ago
thank you for the informative lecture.
I want to ask if the immunological state of the recipient or the difficulty for him to find a suitable donor could affect my decision to accept a suboptimal living donor? i.e obese donor or impaired glucose tolerance..ect
Mahmoud Wadi
2 years ago
Thank you very much Prof. Bedeir for the important informative lecture.
Tahani Ashmaig
2 years ago
Very informative lecture.. Thanks
Nashwa salah Mahmoud Ahmed
2 years ago
thank you for the lecture
Mohamad Habli
2 years ago
Thank you for the lecture
Mohamed Mohamed
2 years ago
Thanks a lot dear Professor for this elegant talk.
dina omar
2 years ago
Thanks dear prof. for informative lecture
Doaa Elwasly
2 years ago
Thanks for this to the point lecture
Giulio Podda
2 years ago
Excellent talk. Great lecture
Mahmoud Hamada
2 years ago
Thanks a lot for great lecture.
Mohammed Sobair
2 years ago
Thank prof. Ali for comprehensive lecture .
You summarize all risk studies briefly.
The risk though small for the donors but its a reality.
How we can provides this Quantitative Risk estimation for donors?
i need to ask a question, what is the role of transplant nephrologist , with incidental finding like stone or tumor during screening the dionors in developing countries, does he consider the primary physician of him, and how can he manage him if he is leaving far away from the center of transplant.is there is a refferal policy, this dilema faces us alot.
Thank you for your reply I noticed you are using the mobile. This would not help. Please use your laptop or desktop.
To answer your question: There should be communication with all doctors involved in his care. We rely mainly on official letters copied to all physicians involved in the care of a particular patient.
Huda Saadeddin
2 years ago
Thank you for this simple informative lecture
Ahmed Omran
2 years ago
Thanks for nice and inforative talk
AMAL Anan
2 years ago
Thanks for highly impressive lecture
Muntasir Mohammed
2 years ago
thanks for the nice lecture..
Asmaa Khudhur
2 years ago
Thank you very much for this very informative lecture
Naglaa Abdalla
2 years ago
Thank you for this interesting lecture, but still I would be worried for a donor who is hypertensive or diabetic or old age
You are right in your concern. We have to be very careful in considering them. We are just addressing the options.
Abdul Rahim Khan
2 years ago
Excellent talk Professor. Very much informative. Is there study on graft outcomes in receipients who had received graft from living donors above age 60 years.
Filipe prohaska Batista
2 years ago
I am very grateful for the wealth of information and scientific articles during and at the end of the presentation.
Mohamed Saad
2 years ago
Great talk professor.
Anna Gupta
2 years ago
Thank you Professor for the nice talk.
Priyadarshi Ranjan
2 years ago
Interesting data being discussed, however most of the questions still remain unanswered regarding making an absolute decision whether to donate or not for a living donor. The two recent 2014 studies from the American and the Norwegian group have raised some serious concerns which still remain to be proved by long term data. In my clinical practice I am yet to see a donor returning with ESKD in a follow up of close to 20years, however our experience is still limited as a fair number of donors get lost to follow up.
would be interesting to know the experience of other peers and colleagues in the group regarding the same.
Thank you, Ranjan I would like to remind you that a kidney donor is a CKD patient after donation. The crucial point is who reaches ESRD. This is what we are trying to prevent.
Dear Colleagues Please see Dr Ranjan question above.
It is very difficult to see one of the donor returning as ESRD. I have seen a couple of cases who donated 10 and 15years back in another institute. Both of them were not following after donation except for the first 6months. The good thing is that still if you ask them weather they would hope if they did not donate, they say no, we are still happy that we helped our relatives.
in our unit we follow the donor regularly at least once per year after the first year, and whenever we see the recipient and feel that his donor is not coming regularly we ask him to remind him and bring him next visit,
We’ve seen a single case of living donor who ended up to dialysis , she was the mother of the recipient .After around 10 years of donation she developed ESKD.There was no regular follow which is crucial by all means .Post donation follow up clinics need to be available by many institutions
Unfortunately, I saw 2 donors complicated with ESRD around 20y post donation related to DM and HTN, and now both donor and recipient on dialysis
very sad story but it unfortunately happen
Hussein Bagha baghahussein@yahoo.com
2 years ago
Thank you Prof for an excellent overview.
I agree that its very important to counsel the potential donors that the risk of developing ESKD is higher. It is very important as well to give them the actual numbers as well as the absolute risk is low so that they don’t shy away from donation.
Dr. Tufayel Chowdhury
2 years ago
Thank you sir for the informative lecture
Hamdy Hegazy
2 years ago
Thanks for this presentation, very practical, to the point, clear take home messages
Eusha Ansary
2 years ago
Excellent evidence based talk, thanks a lot .
Abhijit Patil
2 years ago
Thanks you Professor for that very informative talk.
This emphasise the need for long term follow-up of kidney donors also.
Accordingly, we have started Kidney donor OPD at our Institute for long term follow-up of kidney donors.
Many thanks Prof
excellent prof.
Thank you professor. I think the main issue in donor’s complications could be due to missed follow up and non-compliance. Many donors neglect follow-up for years, while many recipients I have, received their kidneys before 40 years and tell now doing well, but the difference that they are very compliant.
Thank you for the informative lecture.
Thanks for great lecture
Many thanks prof Bedir
Excellent overview of post donation complications
Thank you
Thanks for nice lecture
Interesting lecture. It is very rare to see kidney donor approching ESKD. This is my observation. But they do get hypertension and proteinuria most frequently. Ace inhibitors and A2 blickers have been given. Do you thing SGLT2 will have arole in reducing BP and proteinura in these patients
Thank you Professor for the excellent overview of post-donation outcomes in donors. It is high time a proper registry is maintained in transplant units for analyzing donor outcomes on long-term basis.
Thanks for the interesting lecture.
thanks for the lovely lectures
Thanks for a lovely lecture
thank you for the informative lecture.
I want to ask if the immunological state of the recipient or the difficulty for him to find a suitable donor could affect my decision to accept a suboptimal living donor? i.e obese donor or impaired glucose tolerance..ect
Thank you very much Prof. Bedeir for the important informative lecture.
Very informative lecture.. Thanks
thank you for the lecture
Thank you for the lecture
Thanks a lot dear Professor for this elegant talk.
Thanks dear prof. for informative lecture
Thanks for this to the point lecture
Excellent talk. Great lecture
Thanks a lot for great lecture.
Thank prof. Ali for comprehensive lecture .
You summarize all risk studies briefly.
The risk though small for the donors but its a reality.
How we can provides this Quantitative Risk estimation for donors?
Thank you for your reply
There are many risk calculators for living donors based on many parameters. Search for one reliable one and share it with us
http://www.transplantmodels.com/esrdrisk/
https://reference.medscape.com/calculator/622/esrd-risk-tool-for-kidney-donor-candidates
Thank you, Mahmoud
Thank you for your reply
I noticed you are using the mobile. This would not help. Please use your laptop or desktop.
To answer your question:
There should be communication with all doctors involved in his care. We rely mainly on official letters copied to all physicians involved in the care of a particular patient.
Thank you for this simple informative lecture
Thanks for nice and inforative talk
Thanks for highly impressive lecture
thanks for the nice lecture..
Thank you very much for this very informative lecture
Thank you for this interesting lecture, but still I would be worried for a donor who is hypertensive or diabetic or old age
You are right in your concern. We have to be very careful in considering them. We are just addressing the options.
Excellent talk Professor. Very much informative. Is there study on graft outcomes in receipients who had received graft from living donors above age 60 years.
I am very grateful for the wealth of information and scientific articles during and at the end of the presentation.
Great talk professor.
Thank you Professor for the nice talk.
Interesting data being discussed, however most of the questions still remain unanswered regarding making an absolute decision whether to donate or not for a living donor. The two recent 2014 studies from the American and the Norwegian group have raised some serious concerns which still remain to be proved by long term data. In my clinical practice I am yet to see a donor returning with ESKD in a follow up of close to 20years, however our experience is still limited as a fair number of donors get lost to follow up.
would be interesting to know the experience of other peers and colleagues in the group regarding the same.
Thank you, Ranjan
I would like to remind you that a kidney donor is a CKD patient after donation. The crucial point is who reaches ESRD. This is what we are trying to prevent.
Dear Colleagues
Please see Dr Ranjan question above.
It is very difficult to see one of the donor returning as ESRD. I have seen a couple of cases who donated 10 and 15years back in another institute. Both of them were not following after donation except for the first 6months. The good thing is that still if you ask them weather they would hope if they did not donate, they say no, we are still happy that we helped our relatives.
in our unit we follow the donor regularly at least once per year after the first year, and whenever we see the recipient and feel that his donor is not coming regularly we ask him to remind him and bring him next visit,
We’ve seen a single case of living donor who ended up to dialysis , she was the mother of the recipient .After around 10 years of donation she developed ESKD.There was no regular follow which is crucial by all means .Post donation follow up clinics need to be available by many institutions
Unfortunately, I saw 2 donors complicated with ESRD around 20y post donation related to DM and HTN, and now both donor and recipient on dialysis
very sad story but it unfortunately happen
Thank you Prof for an excellent overview.
I agree that its very important to counsel the potential donors that the risk of developing ESKD is higher. It is very important as well to give them the actual numbers as well as the absolute risk is low so that they don’t shy away from donation.
Thank you sir for the informative lecture
Thanks for this presentation, very practical, to the point, clear take home messages
Excellent evidence based talk, thanks a lot .
Thanks you Professor for that very informative talk.
This emphasise the need for long term follow-up of kidney donors also.
Accordingly, we have started Kidney donor OPD at our Institute for long term follow-up of kidney donors.
Thank you, Abhijit
Thank you for the excellent talk
Thanks prof, that was informative lecture
Thank you for the nice presentation
Thank you professor for nice and crisp presentation.
Thank you very much Prof. Bedeir for the important informative lecture
Thank you Professor for your informative lecture
thank you professor
thanks you, prof beddir for this lecture