2025, Number 4
<< Back Next >>
Rev Mex Traspl 2025; 14 (4)
Creatinine behavior in kidney donors, one-year follow-up
Bautista-Olayo R, Espinoza-Pérez R, Cedillo-Galindo H, Cancino-López JD, Morinelli-Astorquizaga MA, Caltzoncin-Aguilera L, Guerrero-Rosales AO, Flores-Gama F, Bravo-León J, Hernández-Rivera JCH
Language: Spanish
References: 17
Page: 153-158
PDF size: 330.05 Kb.
ABSTRACT
Introduction: kidney donation involves immediate and long-term risks, mainly in kidney function. Factors related to function are widely described; the sex of the donor does not seem to influence this, but this is poorly described. The objective of this study was to determine the behavior of creatinine in men and women with a one-year follow-up.
Material and methods: a review of kidney donor records from 2016 to 2021 was conducted to collect their creatinine values before donation, as well as one, three, six and 12 months after the surgical event. Creatinine levels are compared in men and women; median and interquartile range (IQR) (quartiles 25-75) are obtained. SPSS 27 software was used.
Results: 492 records of living kidney donors were analyzed: 258 (52.44%) women and 234 (47.56%) men. The median age was 39 years (IQR 29-47). The median creatinine level was 0.76 mg/dL (IQR 0.64-0.90 mg/dL) before donation, 1.13 mg/dL (IQR 0.96-1.32) at three months, 1.09 mg/dL (IQR 0.94-1.30) at six months, 1.10 mg/dL (0.94-1.27) at nine months, and 1.12 mg/dL (IQR 0.95-1.29) at 12 months. At 1 year, creatinine increased by 38.88% (0.72-1.00 mg/dL) in women and 46.66% (0.90-1.32 mg/dL) in men.
Conclusions: a clear trend of creatinine elevation after surgery can be observed, which never returns to baseline; this elevation is observed from the first month and remains constant for up to 12 months.
REFERENCES
Gobierno de México. Estado actual de Receptores, Donación y Trasplantes en México ANUAL 2024. 2025. Disponible en: https://www.gob.mx/cms/uploads/attachment/file/967152/ESTADISTICAS_ANUAL_2024.pdf
Luján P, Chiurchiu C, Capra R, de Arteaga J, de la Fuente J, Douthat W. Post-kidney donation glomerular filtration rate measurement and estimation. Nefrología (Engl Ed). 2021; 41 (2): 191-199. doi: 10.1016/j.nefroe.2020.07.002.
Lam NN, Garg AX. Acceptability of older adults as living kidney donors. Curr Opin Nephrol Hypertens. 2016; 25 (3): 245-256. doi: 10.1097/MNH.0000000000000215.
Tapson JS, Marshall SM, Tisdall SR, Wilkinson R, Ward MK, Kerr DN. Renal function and blood pressure after donor nephrectomy. Proc Eur Dial Transplant Assoc Eur Ren Assoc. 1985; 21: 580-587.
Steckler RE, Riehle RA Jr, Vaughan ED Jr. Hyperfiltration-induced renal injury in normal man: myth or reality. J Urol. 1990; 144 (6): 1323-1327. doi: 10.1016/s0022-5347(17)39730-6.
Massie AB, Muzaale AD, Luo X, Chow EKH, Locke JE, Nguyen AQ et al. Quantifying postdonation risk of ESRD in living kidney donors. J Am Soc Nephrol. 2017; 28: 2749-2755. doi: 10.1681/ASN.2016101084.
Muzaale AD, Massie AB, Wang MC, Montgomery RA, McBride MA, Wainright JL et al. Risk of end-stage renal disease following live kidney donation. JAMA. 2014; 311: 579-586. doi: 10.1001/jama.2013.285141.
Fehrman-Ekholm I, Kvarnstrom N, Softeland JM, Lennerling A, Rizell M, Odén A et al. Post-nephrectomy development of renal function in living kidney donors: a cross-sectional retrospective study. Nephrol Dial Transplant. 2011; 26 (7): 2377-2381. doi: 10.1093/ndt/gfr161.
Chatzikyrkou C, Scurt FG, Clajus C, Roumeliotis S, Mertens PR, Haller H et al. Predictors of outcomes of living kidney donation: impact of sex, age and preexistent hypertension. Transplant Proc. 2019; 51 (2): 396-404. doi: 10.1016/j.transproceed.2019.01.015.
Frutos M, Crespo M, De la Oliva M, Alonso A, Alonso J, Fernández C et al. Recomendaciones para el trasplante renal de donante vivo. Nefrología. 2022; 42 (S2): 1-128.
Jo EA, Lee J, Moon S, Kim JS, Han A, Ha J et al. The role of artificial intelligence measured preoperative kidney volume in predicting kidney function loss in elderly kidney donors: a multicenter cohort study. Int J Surg. 2024;110(11):7169-7176. doi: 10.1097/JS9.0000000000002030.
Lee YP, Kim SJ, Lee J, Lee JG, Huh KH, Joo DJ et al. Long-term compensation of renal function after donor nephrectomy. Korean J Transplant. 2020; 34 (2): 84-91. doi: 10.4285/kjt.2020.34.2.84.
Sahay M, Narayen G, Anuradha. Risk of live kidney donation Indian perspective. J Assoc Physicians India. 2007; 55: 267-270.
Davis CL, Cooper M. The state of U.S. living kidney donors. Clin J Am Soc Nephrol. 2010; 5 (10): 1873-1880. doi: 10.2215/CJN.01510210.
Ramcharan T, Matas AJ. Long-term (20-37 years) follow-up of living kidney donors. Am J Transplant 2002; 2 (10): 959-964.
Matas AJ, Bartlett ST, Leichtman AB, Delmonico FL. Morbidity and mortality after living kidney donation, 1999–2001: Survey of United States transplant centers. Am J Transplant. 2003; 3 (7): 830-834.
United Network for Organ Sharing: Organ Procurement and Transplant Network data as of December 31, 2009. Available at: www.unos.org