Table 2.

Proposed changes in approach to complex living kidney donors

Type of SafeguardExamplePurpose
EthicalIntegration of donor advocateMaximize independence of donor evaluation
Potential donors contact previous donors with similar risk factors or demographicsImprove informed consent process
LegalPractitioners understand state laws regarding informed consentEducate transplant practitioners about legal environment
Informed consent documented serially over workupProtect patients from harm
MedicalLong-term outcome studies for complex donorsIdentify which risk factors are clinically important
Ensure plan for follow-up primary care after nephrectomyMaximize likelihood that medical complications are identified and treated