Zusammenfassung
Die Lebendnierenspende ist seit Mitte der 90er-Jahre ein wesentlicher Bestanteil nahezu aller Nierentransplantationsprogramme in Deutschland. Die positiven Erfahrungen und Verläufe führen dazu, dass die Indikationen weiter gefasst wurden. Aktuell bestehende Guidelines besitzen Schwächen bezüglich des Spendealters in Bezug auf die Kontraindikationen. In Zukunft müssen hier sicherlich die Ergebnisse der langfristigen Spendernachsorge besser evaluiert und berücksichtigt werden, um auch altersentsprechende evidenzbasierte Guidelines zu etablieren.
Abstract
Living kidney donation has been an essential part of nearly all transplantation programs in Germany since 1995. Good postoperative results lead to an extension of indications for donors. Currently established guidelines have some weak points because donor age and contraindications for donation are not very well balanced. In the future it will be important to evaluate and consider the long-term outcome of the donors better in order to establish age-related evidence-based guidelines for kidney donors.
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Renders, L., Hasenau, A. & Heemann, U. Nierenlebendspende. Nephrologe 8, 208–216 (2013). https://doi.org/10.1007/s11560-012-0722-z
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DOI: https://doi.org/10.1007/s11560-012-0722-z