This book provides a guide to the principles and practice of living kidney donation. Concise and well-structured chapters discuss the ethics of living kidney donation, medical evaluation of kidney donors, donor nephrectomy surgery, and long-term outcomes of transplantation, along with broader medical issues related to cardiology, surgery, and anesthesia.

Living Kidney Donation: A Practical Guide aims to give readers the essential information required for undertaking living kidney donation and is relevant to nephrologists, transplant surgeons, and healthcare professionals working in renal transplantation.

Dr. Adnan Sharif graduated from the University of Edinburgh in 2002 and underwent his medical and nephrology training in Cardiff and Birmingham respectively, while achieving his research MD in the field of post-transplantation diabetes. He took up his Consultant Nephrologist post at the Queen Elizabeth Hospital Birmingham in 2011 with a special interest in renal transplantation but clinical responsibility in all aspects of nephrology. He retains an active research focus and is currently Chief Investigator on a number of prospective cohort and randomized clinical trials (e.g. CAVIAR, FITNESS, AGEING and EpCOT). He has recently been appointed to the Board of Trustees for Kidney Research UK. In addition to his clinical and research interests, he is the secretary of the non-Government Organization Doctors Against Forced Organ Harvesting (DAFOH) which campaigns against illegal and unethical organ procurement around the globe and was nominated for the 2016 Nobel Peace Prize. He also sitson the steering committee for Give A Kidney, a registered charity that promotes non-directed altruistic kidney donation. Finally, he is a member of the National BAME Transplantation Alliance that seeks to promote blood, stem cell and organ donation from minority ethnic groups in the UK.

 

Dr Graham Lipkin trained at Leeds General Infirmary, St Bartholomew's Hospital, London and University Hospital Birmingham. Dr Lipkin has specialised in renal medicine for over 30 years and was Clinical Director of Renal Medicine at University Hospital of Birmingham Foundation NHS Trust (UHBFT) for over 10 years. His clinical interests are in Renal (live donor) Transplantation, rare kidney disease and pregnancy in patients with CKD. He runs a research programme in Obstetric renal disease. He has led the development of the first adult Centre for Rare Diseases in the UK, sited in Birmingham which opened in 2016. He was elected President of the UK Kidney Association in June 2018 having been Clinical Vice President for 4 years. He was co-founder of the UK Renal Medicine quality improvement structure, the Kidney Quality Improvement Partnership and the joint Renal Association and British Renal Society Patient Safety Initiative. He is a Trustee of the UK Renal Registry and has sat on the Renal Clinical Reference Group and been an advisor to NICE. Dr Lipkin is a National Co-Lead for Renal GIRFT and authorised a national report for NHS England to guide the direction of renal services over the next 5-10 years.

1. Introduction.- 2. Living donor activity.- 3. Ethics of living kidney donation.- 4. Regulatory governance of living kidney donation.- 5. Novel use of living kidney donors.- 6. Barriers to living kidney donation.- 7. Medical evaluation of potential living kidney donors.- 8. Surgical assessment of potential living kidney donors.- 9. High-risk living kidney donors.- 10. Contra-indications to living kidney donation.- 11. Donor nephrectomy surgery.- 12. Peri- and post-operative care of living kidney donors.- 13. Post-donation haemodynamic consequences.- 14. Long-term outcomes.- 15. Strategies to increase living kidney donation.- 16. Summary and concluding chapter.