A short article was recently written on Washington Post by a medical student who donated a kidney at age 18 to his brother’s stepfather and now regrets it. Worth a reading (link here).
He questioned the informed consent and the poor quality data we have for long-term outcomes after donation, including the fact that we don’t have a donor registry that captures all donors in the USA.
Age of donation is an important factor to consider when assessing the potential long-term risk of kidney donation. Younger kidney donors have a greater chance of suffering a second-hit leading to kidney injury through their lifespan, in particular with life expectancies surpassing 80 years in many countries. Therefore, it is generally recommended to be more stringent in the selection of younger donors. But how should we as a Society respond to this? How individual centers approach younger donors below 30yo? Would love to hear our community thoughts on this.
Figure from Kidney Transplant iBook (adapted from Mjoen et al. Kidney Int 2014)