Evaluation of potential live donors for renal transplant: an evidence based approach and changing paradigms

Live donor renal transplantation remains the mainstay of renal replacement therapy in most countries, including Sri Lanka. The Amsterdam consensus guidelines were considered the benchmark in evaluation of live donors and used in assessing donor suitability for over two decades. However, recent evidence has cast doubts regarding the overall safety of kidney donation warranting a closer look at donor evaluation. This review aims to look at current available evidence regarding common donor conditions and the overall need for extra vigilance in donor evaluation.