Assessment of Potential Live Kidney Donors and Computed Tomographic Renal Angiograms at Christchurch Hospital
Aims. To examine the outcome of potential live kidney donors (PLKD) assessment program at Christchurch Hospital and, also, to review findings of Computed Tomographic (CT) renal angiograms that led to exclusion in the surgical assessment. Methods. Clinical data was obtained from the database of kidne...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2016/4924320 |
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| _version_ | 1850104438272819200 |
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| author | Thamer Alsulaiman Stephen Mark Sarah Armstrong David McGregor |
| author_facet | Thamer Alsulaiman Stephen Mark Sarah Armstrong David McGregor |
| author_sort | Thamer Alsulaiman |
| collection | DOAJ |
| description | Aims. To examine the outcome of potential live kidney donors (PLKD) assessment program at Christchurch Hospital and, also, to review findings of Computed Tomographic (CT) renal angiograms that led to exclusion in the surgical assessment. Methods. Clinical data was obtained from the database of kidney transplants, Proton. Radiological investigations were reviewed using the hospital database, Éclair. The transplant coordinator was interviewed to clarify information about PLKD who did not proceed to surgery, and a consultant radiologist was interviewed to explain unfavorable findings on CT renal angiograms. Results. 162 PLKD were identified during the period January 04–June 08. Of those, 65 (40%) proceeded to have nephrectomy, 15 were accepted and planned to proceed to surgery, 13 were awaiting further assessment, and 69 (42.5%) did not proceed to nephrectomy. Of the 162 PLKD, 142 (88%) were directed donors. The proportion of altruistic PLKD who opted out was significantly higher than that of directed PLKD (45% versus 7%, P=0.00004). Conclusions. This audit demonstrated a positive experience of live kidney donation at Christchurch Hospital. CT renal angiogram can potentially detect incidental or controversial pathologies in the kidney and the surrounding structures. Altruistic donation remains controversial with higher rates of opting out. |
| format | Article |
| id | doaj-art-471e8685ef2f419cbaab7d63207434d7 |
| institution | DOAJ |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-471e8685ef2f419cbaab7d63207434d72025-08-20T02:39:19ZengWileyAdvances in Urology1687-63691687-63772016-01-01201610.1155/2016/49243204924320Assessment of Potential Live Kidney Donors and Computed Tomographic Renal Angiograms at Christchurch HospitalThamer Alsulaiman0Stephen Mark1Sarah Armstrong2David McGregor3Christchurch Hospital, Private Bag 4710, Christchurch 8140, New ZealandChristchurch Hospital, Private Bag 4710, Christchurch 8140, New ZealandChristchurch Hospital, Private Bag 4710, Christchurch 8140, New ZealandChristchurch Hospital, Private Bag 4710, Christchurch 8140, New ZealandAims. To examine the outcome of potential live kidney donors (PLKD) assessment program at Christchurch Hospital and, also, to review findings of Computed Tomographic (CT) renal angiograms that led to exclusion in the surgical assessment. Methods. Clinical data was obtained from the database of kidney transplants, Proton. Radiological investigations were reviewed using the hospital database, Éclair. The transplant coordinator was interviewed to clarify information about PLKD who did not proceed to surgery, and a consultant radiologist was interviewed to explain unfavorable findings on CT renal angiograms. Results. 162 PLKD were identified during the period January 04–June 08. Of those, 65 (40%) proceeded to have nephrectomy, 15 were accepted and planned to proceed to surgery, 13 were awaiting further assessment, and 69 (42.5%) did not proceed to nephrectomy. Of the 162 PLKD, 142 (88%) were directed donors. The proportion of altruistic PLKD who opted out was significantly higher than that of directed PLKD (45% versus 7%, P=0.00004). Conclusions. This audit demonstrated a positive experience of live kidney donation at Christchurch Hospital. CT renal angiogram can potentially detect incidental or controversial pathologies in the kidney and the surrounding structures. Altruistic donation remains controversial with higher rates of opting out.http://dx.doi.org/10.1155/2016/4924320 |
| spellingShingle | Thamer Alsulaiman Stephen Mark Sarah Armstrong David McGregor Assessment of Potential Live Kidney Donors and Computed Tomographic Renal Angiograms at Christchurch Hospital Advances in Urology |
| title | Assessment of Potential Live Kidney Donors and Computed Tomographic Renal Angiograms at Christchurch Hospital |
| title_full | Assessment of Potential Live Kidney Donors and Computed Tomographic Renal Angiograms at Christchurch Hospital |
| title_fullStr | Assessment of Potential Live Kidney Donors and Computed Tomographic Renal Angiograms at Christchurch Hospital |
| title_full_unstemmed | Assessment of Potential Live Kidney Donors and Computed Tomographic Renal Angiograms at Christchurch Hospital |
| title_short | Assessment of Potential Live Kidney Donors and Computed Tomographic Renal Angiograms at Christchurch Hospital |
| title_sort | assessment of potential live kidney donors and computed tomographic renal angiograms at christchurch hospital |
| url | http://dx.doi.org/10.1155/2016/4924320 |
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