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June 9, 2010

Perioperative Mortality and Long-term Survival in Live Kidney Donors

JAMA. 2010;303(22):2248-2250. doi:10.1001/jama.2010.728

To the Editor: Dr Segev and colleagues1 conducted a population-level assessment of the mortality from donor nephrectomies performed in the United States. We disagree with their conclusion that “perioperative mortality is low” and within an acceptable range. Although a rate of 3.1 per 10 000 cases is far below that of high-volume surgical procedures such as laparoscopic cholecystectomies (estimated as 18 per 10 000 cases in 19922), donors are a unique class of surgical patient.

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