WARNING: It’s imperative to remember that during the years of this analysis (2008-2012), more than 1/3 of living kidney donors were reported “lost” to follow-up. Many living donors with post-donation problems have reported that their transplant center denied their symptoms were related to the donation, and refused to treat them. It’s not a stretch to assume these same centers never reported those symptoms to OPTN as they were required to do. It’s best to assume the numbers below are *under*estimates of the true incidence of donation surgical complications.
“Overall, 16.8% of donors experienced a perioperative complication, most commonly gastrointestinal (4.4%), bleeding (3.0%), respiratory (2.5%), surgical/anesthesia-related injuries (2.4%), and “other” complications (6.6%)”
African Americans had increased risk of any complication.
Other significant correlates of Clavien grade IV or higher events included obesity, predonation hematologic and psychiatric conditions, and robotic nephrectomy
Annual center volume >50 was associated with lower risk.
Ak?nc?, S. (2016). Re: Perioperative Complications after Living Kidney Donation: A National Study Journal of Urological Surgery, 3 (3), 103-103 DOI: 10.4274/jus.2016.03.023