J Korean Med Sci.  2025 Mar;40(10):e33. 10.3346/jkms.2025.40.e33.

Strategies for Monitoring and Supporting Living Donors in Korea: An Expert Position Paper

Affiliations
  • 1Transplantation Center, Seoul National University Hospital, Seoul, Korea
  • 2Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
  • 3The Transplantation Research Institute, Seoul National University College of Medicine, Seoul, Korea
  • 4Department of Surgery, Seoul National University Hospital, Seoul, Korea
  • 5Department of Surgery, National Cancer Center, Goyang, Korea
  • 6Department of Surgery, Seoul National University College of Medicine, Seoul, Korea

Abstract

Background
The number of organ transplants in South Korea has increased, with a notable rise in living donor transplants. Ensuring their long-term health and well-being is critical to address potential complications and maintain the success of the transplant programs.
Methods
A diverse advisory panel, including transplant experts and coordinators, was established to evaluate the follow-up care for living donors. The panel reviewed the results of a brief survey of donors regarding their donation experience, follow-up programs, guidelines, and policies from South Korea and other countries, aiming to identify best practices and recommend improvements.
Results
The study found that follow-up care for living donors in South Korea is inconsistent and lacks standardization. Significant variability exists in follow-up practices across different institutions, and comprehensive data on donor health pre- and post-donation are scarce. The need for continuous, systematic follow-up, encompassing both medical and psychological support, is emphasized to ensure donor well-being.
Conclusion
Improving follow-up care for living donors is essential. Establishing a national registry and increasing donor advocacy teams are meaningful steps to enhance donor care, ensure long-term health, and maintain ethical standards in organ donation.

Keyword

Transplantation; Living Donor; Monitoring; Donor Advocacy; Korea
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