Live Kidney Donor Study - Cross-Sectional and Historical Cohort Study

Living donor transplants provide several advantages over deceased donor kidneys, including a
shorter waiting time. Living donor grafts also appear to have a lower rate of delayed graft
function and improved long-term recipient and graft survival. Most published studies of
living kidney donation have supported that the donation process is relatively safe for the
donor. However, these reports also emphasize concerns that comprehensive long-term data on
U.S. live donor outcomes are insufficient. One concern is that current data may
underestimate the true long-term morbidity and mortality of living kidney donation.
Additionally, older studies might not apply to the current donor population that includes
older and more obese individuals.

This is an observational study to look at the long term outcomes in living kidney donors.
This study also seeks to find out if living kidney donors are at higher risk for certain
conditions when compared to people of similar backgrounds who have not donated a kidney.
Medical history, completed questionnaires, and blood and urine tests will be collected from
donors and non donors. The compiled data from donors and non donors will be compared. Risks
for diseases related to the kidney, heart, and blood vessels will be examined between the
two groups. Quality of life and health insurance status will also be compared.

The study will be conducted in 2 phases. All donors who donated a kidney between 5 and 50
years ago at one of the three study transplant centers will be asked to take part in Phase
1. Phase 1 aims to collect limited medical information using a short questionnaire. Phase 2
will include Phase 1 donors who agree to further assessments and matched community control
participants. Participants in Phase 2 will be asked to complete more in-depth questionnaires
on health status and quality of life. Phase 2 also involves height, weight, and blood
pressure measurements. Blood and urine will be collected for this study if the participant
does not have the necessary tests within 3 years of study participation.

Seven thousand-eight hundred-sixty four (7864) previous kidney donors and about two
thousand-five hundred (2500) control subjects will be asked to take part in this study.
Participants will be recruited for this study over a 2.5.

Inclusion Criteria:

- Underwent a unilateral donor nephrectomy between 5 and 50 years ago; but no later
than June 30, 2005

- Alive at the time of study recruitment

Exclusion Criteria:

- Inability to contact donor

Community Control Inclusion Criteria:

- Matched to donor as healthy subject with a medical encounter date within 5 years of
the date of donation and alive at the time of study recruitment

- Same gender as donor

- Same race as donor

- Matched by age, not to differ by more than 2 years

- Matched by BMI, not to differ by more than 5 kg/m^2 (JHS only)

Community Control Exclusion Criteria:

- Inability to contact control participant

- Inability or unwillingness to provide informed consent

- Hypertension or identified Charlson comorbidity index variable diagnosed prior to or
on the encounter date matched to the donor date of donation (REP only)