Survey of The Suitability and Acceptance of The Marginal live Kidney Donors:

Dear Colleague,

We would like to invite you to participate in a short survey about the suitability and acceptance of living kidney donors in certain challenging conditions. Most of these conditions are in the grey zone, where there are no clear guidelines or consensus toward them.The purpose of this survey is to form a consensus about the evaluation of marginal live kidney donor.
Participation is voluntary.
 
This survey is for nephrologists and transplant surgeons. Please do NOT complete the survey If you are NOT a practicing (nephrologist or transplant surgeon) or if you are still in training.
 
Please choose the best option for the given scenarios. 
 
Thanks in advance.

On behalf of the research group

Ziad Arabi, MD


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This is not an AST/ ASTS survey but an external study which is approved by the institutional review board at King Abdulaziz Medical City in Riyadh, KSA. “ERA-EDTA’s endorsement is for the promotion of education in general, therefore the specific content of the survey is the responsibility of the organizer”. ASTS’ role is also limited to facilitating the distribution of the survey. For inquiries, please feel free to contact Dr. Ziad Arabi: arabizi@ngha.med.sa. Your answers are anonymous, and the data, if reported in a publication, will be shown in aggregate form only. Your participation serves as your consent.
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* 1. The donor is obese (BMI 30-35) with normal (fasting blood sugar and hemoglobin A1C) and no family history of diabetes):

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* 2. The donor is obese and has a strong family history of diabetes (but normal fasting blood sugar and hemoglobin A1C):

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* 3. The donor is morbidly obese (BMI 36-40) with normal fasting blood sugar, hemoglobin A1C and Negative family history of diabetes

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* 4. The donor is obese and has impaired fasting blood sugar:

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* 5. A young donor with normal weight and normal fasting blood sugar but mildly elevated Hgb A1C (e.g. Hgb A1C = 5.7- 6)

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* 6. A young donor with normal weight and normal Hgb A1C but impaired fasting blood sugar:

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* 7. A middle age (e.g. 55 years old) donor with diabetes for one year and controlled with monotherapy and diet.

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* 8. The donor is post-gastric sleeve due to morbidly obesity (BMI 36-40) and his diabetes has resolved with weight loss:

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* 9. Just turned 18 -years-old woman wants to donate her older sibling:

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* 10. Just turned 18- years- old man who wants to donate his older sibling:

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* 11. 18- years- old man wants to donate to his 75-year-old father.

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* 12. Donor > 65 years- old- man to 18-years old recipient and expected prolonged waiting time for deceased donor:

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* 13. The donor is multiparous women with mild and controlled hypertension (only on one blood pressure medication). She is NOT planning to have more children.

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* 14. The donor is primiparous women with mild and controlled hypertension (only one blood pressure medication). She is considering having children later.

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* 15. A 20 years old man with high blood pressure readings at the office and a non- dipping pattern at night on his 24 hrs. ambulatory blood pressure monitoring which is otherwise normal.

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* 16. The donor is 35 yrs. old man non-smoker with isolated microscopic hematuria (4 RBC on repeated UA and trace hematuria on dipstick) and negative imaging.

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* 17. The donor is an active smoker (2 PPD):

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* 18. If the donor admits the use of illegal drugs intermittently (last use 2 months ago)

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* 19. A donor with sickle cell trait

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* 20. A 40- years- old donor with a stable 5cm simple cyst of the left kidney:

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* 21. Donor with 2 mm stone in the lower pole of the left kidney seen on CT scan otherwise asymptomatic:

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* 22. A 30-years-old man with a history of a single episode of left renal colic 5 years ago. His current CT scan and urine collection are negative:

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* 23. A donor with normal ultrasound but nuclear renogram showed a discrepancy of renal functions (split GFR of 30% in the right and 70% in the left):

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* 24. If the recipient has a low level donor- specific antibody against this donor (MFI <1000):

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* 25. If the donor with incompatible blood group (ABO)

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* 26. If an 18- years- old wants to donate to his brother (40 years old) and with a family history on two uncles with unknown etiology of ESRD at 40 years. Donor evaluation is normal otherwise.

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* 27. An 18-years-old wants to donate to his mother 40 years and with a family history on two uncles with ESRD at 40 years. Donor evaluation is negative otherwise. He understands the risks of donation, but he insists to donate to his mother since he is the only available donor.

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* 28. I am:

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* 29. How many years have you been in practice:

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* 30. Do you assess donors for pre- transplant workup?

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* 31. Do you assess recipients for pre- transplant workup?

0 of 32 answered
 

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