Living kidney donation is widely practiced throughout the world. During the past 2 decades, various groups have provided guidance about the evaluation and care of living donors. However, during this time, our knowledge in the field has advanced substantially and many agreed on the need for a comprehensive, unifying document. KDIGO (Kidney Disease: Improving Global Outcomes) addressed this issue at an international level with the publication of its clinical practice guideline on the evaluation and care of living kidney donors. The KDIGO work group extensively reviewed the available literature and wrote a series of guideline recommendations using various degrees of evidence when available. As has become recent practice, NKF-KDOQI (National Kidney Foundation-Kidney Disease Outcomes Quality Initiative) convened a work group to provide a commentary on the KDIGO guideline, with a focus on how these recommendations apply in the context of the United States. In the United States, the United Network for Organ Sharing (UNOS) guides and regulates the practice of living kidney donation. While the KDIGO guideline for the care of living kidney donors and UNOS policy are similar in most aspects of the care of living kidney donors, several important areas are not consistent or do not align with common practice by US transplantation programs in areas in which UNOS has not set specific policy. For the time being, and recognizing the value of the KDIGO guidelines, US transplantation programs should continue to follow UNOS policy.

中文翻译：

---

KDOQI US对2017年KDIGO临床实践指南中有关活体肾脏捐赠者的评估和护理的评论。

活体肾脏捐赠在世界范围内被广泛实践。在过去的20年中，各个小组为活体捐献者的评估和护理提供了指导。但是，在这段时间里，我们在该领域的知识有了长足的进步，许多人同意需要一个全面，统一的文件。KDIGO（肾脏疾病：改善全球成果）在国际层面上发布了有关评估和护理活体肾脏供体的临床实践指南，从而解决了这一问题。KDIGO工作组广泛审查了现有文献，并在可获得的情况下使用各种程度的证据撰写了一系列指南建议。按照最近的惯例，NKF-KDOQI（国家肾脏基金会-肾脏疾病成果质量计划）召集了一个工作组，对KDIGO指南进行评论，重点是这些建议如何在美国范围内应用。在美国，器官共享联合网络（UNOS）指导并规范了活体肾脏捐献的做法。尽管KDIGO的活体肾脏捐献者护理指南和UNOS政策在大多数方面都相似，但在UNOS所在的地区，有几个重要领域不一致或与美国移植计划的惯例不符没有设定具体政策。暂时并认识到KDIGO准则的价值，美国移植计划应继续遵循UNOS政策。重点介绍这些建议如何在美国范围内适用。在美国，器官共享联合网络（UNOS）指导并规范了活体肾脏捐献的做法。尽管KDIGO的活体肾脏捐献者护理指南和UNOS政策在大多数方面都相似，但在UNOS所在的地区，有几个重要领域不一致或与美国移植计划的惯例不符没有设定具体政策。暂时并认识到KDIGO准则的价值，美国移植计划应继续遵循UNOS政策。重点介绍这些建议如何在美国范围内适用。在美国，器官共享联合网络（UNOS）指导并规范了活体肾脏捐献的做法。尽管KDIGO的活体肾脏捐献者护理指南和UNOS政策在大多数方面都相似，但在UNOS所在的地区，有几个重要领域不一致或与美国移植计划的惯例不符没有设定具体政策。暂时并认识到KDIGO准则的价值，美国移植计划应继续遵循UNOS政策。尽管KDIGO的活体肾脏捐献者护理指南和UNOS政策在大多数方面都相似，但在UNOS所在的地区，有几个重要领域不一致或与美国移植计划的惯例不符没有设定具体政策。暂时并认识到KDIGO准则的价值，美国移植计划应继续遵循UNOS政策。尽管KDIGO的活体肾脏捐献者护理指南和UNOS政策在大多数方面都相似，但在UNOS所在的地区，有几个重要领域不一致或与美国移植计划的惯例不符没有设定具体政策。暂时并认识到KDIGO准则的价值，美国移植计划应继续遵循UNOS政策。