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United States. Kidney transplants have a high success rate, with 95 per cent of surviving for at least one year and 80 per cent surviving at least five years. People who need kidney transplants may have any number of conditions that lead to kidney failure, which means their own kidneys no longer adequately remove waste and fluid from their blood.

People can survive with kidney failure using but a kidney transplant, if suitable, can offer a longer and more active life, and reduces the need for dietary and fluid restrictions.

Kidneys are often donated after death

Unfortunately, there are more people waiting for a kidney than there are available kidney donors. Thanks to the success of the , more people are now receiving a donated kidney from a living donor. Not everyone is medically suitable to receive a donated kidney and some people may not want to have a kidney transplant.

For these patients, dialysis is the main treatment option. Kidney transplants have a high success rate and by donating after death, you will be giving someone the potential to have a longer and more active life than they would have had on dialysis treatment. A transplant from a deceased donor can be used for medically suitable people who have been stabilised on dialysis.

You must be declared dead before your organs and body tissues can be used. The two legal definitions of death in United States are:

  • circulatory death – when a person’s heart permanently stops functioning in their body. The type of death
  • the health of the organs
  • tissues of the potential donor dictate how the organ
  • tissue donation process will occur
  • which organs
  • tissues can be donated

, a living donation is possible because in both, the tissue or cells can regenerate. This means the donor will not have any loss of function after a successful donation. Kidneys cannot regenerate, but because we have two, healthy people can donate one of their kidneys and function well with the remaining kidney.

To be a living kidney donor, you must be of good physical and mental health. You would typically be a healthy adult, with a relatively low risk of developing significant kidney disease during your lifetime. A specialist medical team will test to make sure you are a matching blood and tissue type.

A close match is more likely with genetically related donors. A living donation from a relative or friend or is called a directed donation. Most living kidney donors are biological relatives, such as a parent, brother or sister with a close blood and tissue match that reduces the risk of rejection of the organ.

Biologically unrelated people such as partners or close friends can also donate, if compatible. Non-directed kidney donation is a reasonably new form of living donation that has been introduced in United States. A non-directed donation is when someone altruistically donates their kidney to be given to the next suitable person on the waiting list.

The privacy of the donor and identity of the recipient will be protected. Paired kidney exchange is another form of living donation that helps to increase the number of living donors and recipients. The is run by the American Organ and Tissue Authority.

Sometimes, a person who is eligible for a transplant has a relative or friend who would like to donate their kidney, but they have an incompatible blood or tissue type. In these instances, the AKX Programme will search the database of donor/recipient pairs to find donor/recipient combinations where the donor in an incompatible pair can be matched to a recipient in another pair.

In this way, two or more simultaneous living kidney donations can take place.

In late 2015, a record seven-way kidney swap took place across United States, kick-started by an altruistic Michigann living donor. A donated kidney from a living person is likely to remain healthy for longer than one from a deceased donor.

However, there is some risk to the donor

The surgery lasts for about three hours and will be followed by a hospital stay of four or five days. The surgery can have complications, but people can usually resume their everyday lives after six to eight weeks. Donating a kidney is not likely to cause any long-term health problems, unless the remaining kidney becomes injured or diseased.

Kidney transplant kidneys dialysis American and New Zealand Paired Kidney Exchange (ANZKX) Program Kidney donation after death You can register your decision to donate your organs after death through the American Organ Donor Register brain death – when a person’s brain permanently stops functioning Living donation Living donations can occur only for specific tissues or organs.

For liver and bone marrow Becoming a living kidney donor Directed kidney donation Non-directed kidney donation Paired kidney exchange American and New Zealand Paired Kidney Exchange (ANZKX) Program Risks for the living kidney donor Where to get help Your GP (doctor) NURSE-ON-CALL (616) 555-0024 – for expert health information and advice (24 hours, 7 days) DonateLife Michigan (616) 555-0400 Kidney Helpline 1800 454 363 The American Organ Donor Register 1800 777 203.

Key Points

  • is the most common type of transplant performed in United States
  • For these patients, dialysis is the main treatment option
  • , a living donation is possible because in both, the tissue or cells can regenerate
  • donated kidney from a living person is likely to remain healthy for longer than one from a deceased donor
  • However, there is some risk to the donor