{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T11:48:13Z","timestamp":1782215293179,"version":"3.54.5"},"reference-count":22,"publisher":"Hamad bin Khalifa University Press (HBKU Press)","issue":"2","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Introduction<\/jats:bold>\n                    : Living kidney donation is essential for expanding transplant opportunities, given the worldwide scarcity of deceased donor organs. Kidney donors experience a slight but detectable long-term increase in risks such as hypertension, diabetes, and end-stage kidney disease, making sustained follow-up essential. However, adherence to post-donation surveillance remains inconsistent worldwide.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods<\/jats:bold>\n                    : This descriptive evaluation included living kidney donors enrolled in Qatar\u2019s national follow-up program at Hamad Medical Corporation, implemented in January 2017. The program mandates nephrology follow-up at 1 and 6 months post-donation and annually thereafter, with standardized clinical and laboratory monitoring. Adherence rates from 2017 to 2024 were assessed against institutional benchmarks (&gt;90%).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results<\/jats:bold>\n                    : Of 349 registered donors nationwide, 233 donated after program implementation. Despite a fourfold increase in eligible donors between 2017 and 2024, 1- and 6-month follow-up rates remained near 100%, and annual adherence consistently exceeded 90% from 2020 onward. Compliance with the nephrologist-led review of clinical and laboratory data approached 100% among attendees. Sustained performance was temporally associated with system-level interventions, including coordinator-led outreach, structured process redesign, enhanced donor education, and continuous quality improvement initiatives. Follow-up rates also remained robust during the COVID-19 pandemic despite the transition to telephone-based consultations.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusion<\/jats:bold>\n                    : A centralized, quality-driven national framework can achieve durable, high-level adherence to long-term follow-up among living kidney donors, even amid rapid program expansion. This scalable model provides a strong foundation for registry-based outcome monitoring and evidence-informed donor care.\n                  <\/jats:p>","DOI":"10.5339\/qmj.2026.39","type":"journal-article","created":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T10:57:03Z","timestamp":1782212223000},"source":"Crossref","is-referenced-by-count":0,"title":["Breaking barriers: A decade-long institutional journey to sustain mandated living kidney-donor follow-up in Qatar"],"prefix":"10.5339","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3180-1671","authenticated-orcid":true,"given":"Muhammad","family":"Asim","sequence":"first","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6389-9234","authenticated-orcid":true,"given":"Essa Abdulla","family":"Abuhelaiqa","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6859-4253","authenticated-orcid":true,"given":"Hassan Ali Al","family":"Malki","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3277","reference":[{"key":"B1","series-title":"1. United States Renal Data System. 2016 USRDS annual data report: Epidemiology of kidney disease in the United States. Bethesda MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 2016.","article-title":"2016 USRDS annual data report: Epidemiology of kidney disease in the United States","author":"United States Renal Data System","year":"2016","unstructured":"United States Renal Data System\n\n. \n2016 USRDS annual data report: Epidemiology of kidney disease in the United States\n. \n1. United States Renal Data System. 2016 USRDS annual data report: Epidemiology of kidney disease in the United States. Bethesda MD: National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 2016.\n. \n2016"},{"issue":"1","key":"B2","series-title":"Kidney Int","first-page":"162","article-title":"Long-term risks for kidney donors","volume":"86","author":"Mj\u00f8en\n \nG","year":"2014","unstructured":"Mj\u00f8en\n \nG\n\n, \n\nHallan\n \nS\n\n, \n\nHartmann\n \nA\n\n, \n\nFoss\n \nA\n\n, \n\nMidtvedt\n \nK\n\n, \n\n\u00d8yen\n \nO\n\n\n\n. \nLong-term risks for kidney donors\n. \nKidney Int\n. \n2014\nJul\n86\n1\n162\n7\n\nhttps:\/\/doi.org\/10.1038\/ki.2013.460"},{"issue":"6","key":"B3","series-title":"JAMA","first-page":"579","article-title":"Risk of end-stage renal disease following live kidney donation","volume":"311","author":"Muzaale\n \nAD","year":"2014","unstructured":"Muzaale\n \nAD\n\n, \n\nMassie\n \nAB\n\n, \n\nWang\n \nMC\n\n, \n\nMontgomery\n \nRA\n\n, \n\nMcBride\n \nMA\n\n, \n\nWainright\n \nJL\n\n\n\n. \nRisk of end-stage renal disease following live kidney donation\n. \nJAMA\n. \n2014\nFeb 12\n311\n6\n579\n86\n\nhttps:\/\/doi.org\/10.1001\/jama.2013.285141"},{"issue":"5","key":"B4","series-title":"N Engl J Med","first-page":"411","article-title":"Kidney-failure risk projection for the living kidney-donor candidate","volume":"374","author":"Grams\n \nME","year":"2016","unstructured":"Grams\n \nME\n\n, \n\nSang\n \nY\n\n, \n\nLevey\n \nAS\n\n, \n\nMatsushita\n \nK\n\n, \n\nBallew\n \nS\n\n, \n\nChang\n \nAR\n\n\n\n. \nKidney-failure risk projection for the living kidney-donor candidate\n. \nN Engl J Med\n. \n2016\nFeb 4\n374\n5\n411\n21\n\nhttps:\/\/doi.org\/10.1056\/NEJMoa1510491"},{"issue":"12","key":"B5","series-title":"Am J Transplant","first-page":"3540","article-title":"Patterns of end-stage renal disease caused by diabetes, hypertension, and glomerulonephritis in live kidney donors","volume":"16","author":"Anjum\n \nS","year":"2016","unstructured":"Anjum\n \nS\n\n, \n\nMuzaale\n \nAD\n\n, \n\nMassie\n \nAB\n\n, \n\nBae\n 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\nBMJ Open\n. \n2016\nMar 22\n6\n3\n\nhttps:\/\/doi.org\/10.1136\/bmjopen-2015-010869"},{"issue":"12","key":"B11","series-title":"Clin J Am Soc Nephrol","first-page":"1635","article-title":"Perspectives on long-term follow-up among living kidney donors","volume":"19","author":"Singh\n \nSK","year":"2024","unstructured":"Singh\n \nSK\n\n, \n\nJaure\n \nA\n\n, \n\nCaton\n \nN\n\n, \n\nJohnson\n \nO\n\n, \n\nHanson\n \nCS\n\n, \n\nDominello\n \nA\n\n\n\n. \nPerspectives on long-term follow-up among living kidney donors\n. \nClin J Am Soc Nephrol\n. \n2024\nDec 1\n19\n12\n1635\n42\n\nhttps:\/\/doi.org\/10.2215\/CJN.0000000000000547"},{"issue":"4","key":"B12","series-title":"JAMA Netw Open","article-title":"Assessment of postdonation outcomes in US living kidney donors using publicly available data sets","volume":"2","author":"Chen\n \nJ","year":"2019","unstructured":"Chen\n \nJ\n\n, \n\nBhattacharya\n \nS\n\n, \n\nSirota\n \nM\n\n, \n\nLaiudompitak\n \nS\n\n, \n\nSchaefer\n \nH\n\n, 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\n\nMuzaale\n \nAD\n\n, \n\nShaffer\n \nAA\n\n, \n\nKoons\n \nB\n\n\n\n. \nThe landscape of international living kidney donation in the United States\n. \nAm J Transplant\n. \n2019\nFeb 8\n19\n7\n2009\n19\n\nhttps:\/\/doi.org\/10.1111\/ajt.15256"},{"issue":"6","key":"B18","series-title":"Indian J Nephrol","first-page":"423","article-title":"Follow-up rates of living kidney donor in Japan: A single center study","volume":"26","author":"Imai\n \nN","year":"2016","unstructured":"Imai\n \nN\n\n, \n\nShibagaki\n \nY\n\n, \n\nYazawa\n \nM\n\n, \n\nKitajima\n \nK\n\n, \n\nNakazawa\n \nR\n\n, \n\nSasaki\n \nH\n\n\n\n. \nFollow-up rates of living kidney donor in Japan: A single center study\n. \nIndian J Nephrol\n. \n2016\nNov\n26\n6\n423\n6\n\nhttps:\/\/doi.org\/10.4103\/0971-4065.172229"},{"key":"B19","series-title":"Can J Kidney Health Dis","article-title":"Long-term outcomes for living kidney donors with early guideline-concordant follow-up care: A retrospective cohort 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17\n30\n6\n\nhttps:\/\/doi.org\/10.1111\/nep.70065"},{"key":"B21","series-title":"Transplantation","article-title":"KDIGO clinical practice guideline on the evaluation and care of living kidney donors","volume":"101","author":"Lentine\n \nKL","year":"2017","unstructured":"Lentine\n \nKL\n\n, \n\nKasiske\n \nBL\n\n, \n\nLevey\n \nAS\n\n, \n\nAdams\n \nPL\n\n, \n\nAlber\u00fa\n \nJ\n\n, \n\nBakr\n \nMA\n\n\n\n. \nKDIGO clinical practice guideline on the evaluation and care of living kidney donors\n. \nTransplantation\n. \n2017\nAug\n101\n\nhttps:\/\/doi.org\/10.1097\/TP.0000000000001769"},{"key":"B22","series-title":"Am J Transplant","first-page":"553","article-title":"OPTN\/SRTR 2020 annual data report: Living donor collective","volume":"22","author":"Kasiske\n \nBL","year":"2020","unstructured":"Kasiske\n \nBL\n\n, \n\nLentine\n \nKL\n\n, \n\nAhn\n \nY\n\n, \n\nSkeans\n \nMA\n\n, \n\nEberhard\n \nT\n\n, \n\nFolken\n \nC\n\n\n\n. \nOPTN\/SRTR 2020 annual data report: Living donor 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