Risk of kidney stones with surgical intervention in living kidney donors
Thomas SM, Lam NN, Welk BK, Nguan C, Huang A, Nash DM, Prasad GV, Knoll GA, Koval JJ, Lentine KL, Kim SJ, Lok CE, Garg AX; Donor Nephrectomy Outcomes Research (DONOR) Network. American J Transplant. 2013; 13(11):2935-44. Epub 2013 Sep 18.
A kidney stone in a person with a solitary kidney requires urgent attention, which may result in surgical and/or hospital attention. The authors conducted a matched retrospective cohort study to determine if living kidney donors compared to healthy nondonors have a higher risk of: (i) kidney stones with surgical intervention, and (ii) hospital encounters for kidney stones. The authors reviewed all predonation charts for living kidney donations from 1992 to 2009 at five major transplant centers in Ontario, Canada, and linked this information to healthcare databases. They selected nondonors from the healthiest segment of the general population and matched 10 nondonors to every donor. Of the 2019 donors and 20 190 nondonors, none had evidence of kidney stones prior to cohort entry. Median follow-up time was 8.4 years (maximum 19.7 years; loss to follow-up <7%). There was no difference in the rate of kidney stones with surgical intervention in donors compared to nondonors (8.3 vs. 9.7 events/10 000 person-years; rate ratio 0.85; 95% confidence interval [CI] 0.47–1.53). Similarly there was no difference in the rate of hospital encounters for kidney stones (12.1 vs. 16.1 events/10 000 person-years; rate ratio 0.75; 95% CI 0.45–1.24). These interim results are reassuring for the safety of living kidney donation.
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Kidney and urinary tract disorders