To the Editor: The outcomes for living kidney donors, shown in the study by Ibrahim et al. (Jan. 29 issue), are reassuring. Key strengths of the study are the large sample and the long follow-up. However, limitations include a highly selected and ethnically homogeneous population and the lack of acknowledgment that living donors today have an increasing number of health risk factors such as obesity. Also missing are considerations of the effect of unique regional practices and rates of end-stage renal disease (ESRD), socioeconomic influences, access to health care, educational level, and lifestyle choices. We would argue that the good . . .
No takes yet. Share an insight, caveat, or question.
Davis et al. (2009) studied this question.