Top 10 Questions About Living Kidney Donation, CPMC San Francisco, CA, Sutter Health, how
Top 10 Questions About
Living Kidney Donation
Q. Why is a kidney transplant from a living donor better than one from a deceased donor?
A. Kidney donation from a living donor provides some major benefits for individuals with renal failure. Data shows that a living donor kidney not only functions better, but it lasts longer. Overall, benefits of a living donor transplant include:
Q. What does it take to be a kidney donor?
A. A living kidney donor is usually between ages 18 to 65 and in excellent health. Donors over age 65 are considered on a case by case basis. Individuals interested in being a living donor at Sutter Health CPMC in San Francisco can start the process by completing our online health history questionnaire Opens new window (this requires your weight and height, so please obtain those figures prior to completing the questionnaire). If you are an acceptable donor, we will contact you to schedule a 2-day donor evaluation in San Francisco.
Q. What might rule out someone as a kidney donor?
A. A history of heart disease, chronic lung or liver disease, kidney disease, hypertension, diabetes, cancer or untreated psychiatric disease is usually a contraindication to donating (i.e. the donor candidate is ruled out ). Smoking, obesity and other health issues are considered on an individual basis.
Q. What does kidney transplant surgery involve?
A. The surgical procedure to remove a kidney from the donor is called a donor nephrectomy and takes approximately 2-3 hours. Surgeons primarily use a minimally invasive technique, using 3 small incisions to insert instruments and a slightly larger incision (
8 cm in length) to remove the donor’s kidney. Typically donors spend 2-3 days in recovery before being discharged from the hospital.
Q. What risks are there to kidney donors?
A. Once a living donor candidate has been completely evaluated and cleared, the chance of the donation affecting his/her lifespan or lifestyle is extremely low. With any surgery and anesthesia, however, there are risks. Nationally, the risk of having a life-threatening problem with donating a kidney is 1 in 3,000. The risk of minor complications such as a minor wound infection is about 2-4%.
A. Because the kidney donor operation is a major surgical procedure, donors find they have less energy and need about 4-6 weeks to return to their full pre-surgical activity level. For donors who worked prior to surgery, disability coverage allows 6 weeks off for recovery; however, some donors return to work before this time.
Q. Who pays for a donor’s medical costs?
A. All expenses for the medical work-up and transplant surgery are covered by the recipient’s health insurance. In considering donation, candidates need to consider additional expenses such as:
Our financial coordinator and social workers can discuss your specific circumstances in more detail.
Q. What is the long-term outcome for kidney donors?
A. The New England Journal of Medicine and Journal of the American Medical Association published long-term studies in 2009 and 2010 analyzing outcomes of kidney donors. One study followed 80,000 live kidney donors dating back to 1994, while the other studied 3,698 individuals who donated a kidney between 1963 and 2007. Results showed:
After donating one kidney (removing 50 percent of the functioning kidney mass), the remaining normal kidney compensates and the overall kidney function (measured in GFR, or glomerular filtration rate) increases to approximately 70 percent of baseline at about two weeks and approximately 75 to 85 percent of baseline at long-term follow-up.
Q. Can a female donor have children after donating a kidney?
A. Women of childbearing age can have children after kidney donation because the donor surgery does not affect their reproductive organs. California Pacific’s kidney team can work with donors to plan a donation time that works best with family planning if needed.
Q. Does a donor need follow-up medical care after donation?
A. Two to three weeks following a donor’s discharge from the hospital, the donor is asked to return to CPMC for a medical exam. Six, 12 and 24 months following donation, donors are asked to complete lab work and a questionnaire. Our team also encourages donors to have regular appointments with a primary care provider.
About California Pacific Medical Center
California Pacific Medical Center, part of the Sutter Health Opens new window network, offers kidney, pancreas, liver and heart transplantation as part of our Barry S. Levin, MD Department of Transplant Opens new window .
California Pacific Medical Center
2340 Clay Street
San Francisco, CA 94115
Outreach locations Opens new window available throughout Northern California and in Reno.
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Obesity: Kidney Donation Why Most People Can – t Donate A Kidney, Time, how
Why You Probably Can’t Donate a Kidney Even If You Want To
When it comes to kidney donation, deciding you want to go through with it is actually the easy part. Most Americans couldn t donate a kidney even if they wanted to, finds a new study presented at the American Society of Nephrology s Kidney Week conference in Philadelphia.
Dr. Anthony Bleyer, professor of internal medicine at Wake Forest Baptist Medical Center, and his son Anthony Bleyer, Jr., an economics major at Wake Forest University, looked at data from a representative sample of 7,000 U.S. adults from the National Health and Nutrition Examination Survey survey. They discovered that a full 55% of the U.S. population would be ineligible to donate a kidney because of medical conditions most of them preventable. Based on the criteria the Bleyers used, 15% of adults would be excluded due to obesity, 19% to hypertension, 12% to excessive alcohol use and 12% to diabetes.
That s not necessarily because a medical condition has rendered the organs damaged. Our number one thing is we want to preserve the health of the donor, says Dr. Bleyer. The donors have to be in really pristine condition.
The more you weigh, the more strain you ll put on your remaining kidney, and obese people also have a higher risk of complications after surgery and wounds that heal more slowly, he says.
The Bleyer team also looked at how financial concerns might prevent donation. Because kidney donors don t receive compensation for lost work time in the U.S., 36% of healthy, medically eligible people make less than $35,000 per year, so they probably couldn t afford to donate, the study found.
Only 6% of patients who need a transplant get a living-donor kidney transplant, Dr. Bleyer says.
That might not be because people are getting more stingy about their organs but poorer and sicker instead.
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Mississippi Blood Services offers a variety of donation opportunities. Please be sure to ask our professional staff what is the best type of donation for you.
If you are unable to donate blood, you can still help Mississippi Blood Services save lives by making a monetary contribution. We are a non-profit 501(c)(3) organization that depends solely on volunteers in the community to help meet the needs of our hospitals. Please visit our contributions page to see other ways you can help save lives in your community.
In Mississippi, hundreds of pints of blood are needed every day. That means: friends, your spouse, your children, your children’s friends, coworkers, fellow church or synagogue members, fellow teammates, even YOU, are a probable recipient of the blood resources of Mississippi Blood Services. The fact is, with this kind of demand, every one of us knows someone, or will meet someone, who will need blood.
For example, a patient who has suffered injuries in an automobile accident, on average, requires 50 units of blood. A cardiovascular surgery may require anywhere from 2 to 25 units of blood. A cancer patient will often require up to 8 units per week. When you donate blood you are giving someone a second chance.
What are blood and blood components used for?
Red blood cells (RBCs) carry oxygen throughout the body. RBCs are often needed during surgery, during trauma emergencies and to help Sickle cell patients. Platelets facilitate blood clotting. Platelet products are often needed to help leukemia and cancer patients, as well as those undergoing major surgery. Plasma contains additional clotting factors and is the liquid that carries other blood components throughout the body. It is needed for burn patients or those with clotting disorders.
YOU ARE A POTENTIAL CANDIDATE TO DONATE BLOOD IF YOU…
• Are 16 years of age or older, weigh at least 110 pounds and are in good health.
YOU WON’T BE ABLE TO DONATE IF YOU…
• Have donated whole blood in the last 8 weeks
• Have had mononucleosis or major surgery in the last 6 months or minor surgery in the last 2 months
• Have been pregnant in the last 6 weeks
• Have had tattoos in the last 7 days or body piercing at a licensed facility in the last 6 months.
• Have had malaria in the past 3 years
• Have had heart disease or heart surgery
• Have had dental work in 3 days or teeth cleaned in 24 hours
• Are currently on antibiotics or currently experiencing allergic symptoms
• Have HIV/AIDS or are in a high-risk group for AIDS
• Have Hepatitis or test positive for Hepatitis after the age of 11
• Have Liver Disease or Lung Disease
• Have had Cancer in the last year
• Have abnormal bleeding tendencies including Hemophilia
• Have engaged in intravenous drug use
• Have leukemia, lymphomas or any blood diseases
• Have sickle cell anemia
Platelets are essential for blood clotting and often used by patients with bleeding disorders such as leukemia and aplastic anemia. Apheresis products or components are also used for cancer patients, patients with blood disorders, trauma and burn victims, organ transplant and heart surgeries.
To learn more click here.
It takes six people to make up one unit of platelets. That is why we suggest that if you have type A blood you give a platelet donation instead.
When you donate whole blood you can help save up to three lives! Red blood cells are often used to help surgery patients, trauma victims and premature babies.
You can donate whole blood every 56 days.
Because of the significant and ongoing need for red blood cells in our community,please consider a donation of red blood cells. By donating exclusively red blood cells, you can help fulfill the transfusion needs of two patients.
During a procedure called apheresis, whole blood is separated through a cell separator and red blood cells are collected. The remainder of the blood components are returned to the donor along with saline to replace the lost volume. Most donors are happy to know that a smaller needle is used and do not mind that the procedure takes approximately 15-20 minutes longer than a whole blood donation.
You can donate double red cells every 16 weeks or 112 days.
There are some special requirements when you donate double red cells:
Donors must be in good health, be at least 16 years old and have a minimum hematocrit of 40%.
Males must weigh 130 pounds and be at least 5’1”,
Females must weigh 150 pounds and beat least 5’5”, in height.
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You have O+ blood which is always in very high demand.
You have O- blood which is always in very high demand. Only 7% of the population in Canada has the same blood type but 100% of the population can use it!
You have A+ blood, 36% of all Canadians share your type.
You have A- blood; only 6% of all Canadians share your blood type.
You have B+ blood, 7.6% of all Canadians share your blood type.
You have B- blood and it’s one of the rarest blood types in Canada. It holds tremendous power – only 1.4% of all Canadians share your blood type.
You have AB+ blood, 2.5% of all Canadians share your blood type. Here’s something interesting, AB+ patients: You can receive red blood cells from donors with any blood type.
You have AB- blood, 0.5% of all Canadians share your blood type. And here’s an interesting fact: you can receive red blood cells from donors with any other Rh negative blood type.
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Canadian Blood Services acknowledges the funding of provincial, territorial and federal governments. The views expressed in this document are those of Canadian Blood Services and do not necessarily reflect those of governments.
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