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Out of 5291 donors (56,962 person\u2010years; median follow\u2010up, 10.96\u2009years), three donors underwent KRT (0.53 per 10,000 person\u2010years). No events occurred within 10\u2009years of donation. Australian clinicians can now counsel and guide potential donors using local data: risk of kidney failure requiring KRT is very low, but late events warrant lifelong follow\u2010up.<\/jats:p>","DOI":"10.5694\/mja2.70206","type":"journal-article","created":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T14:01:22Z","timestamp":1779631282000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Kidney Failure After Living Kidney Donation in Australia: A National Registry Linkage Study, 2004\u20132024"],"prefix":"10.5694","volume":"224","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9250-107X","authenticated-orcid":false,"given":"Melanie","family":"Wyld","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"},{"name":"Department of Renal Medicine Royal Prince Alfred Hospital  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Wyburn","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health University of Sydney  Camperdown New South Wales Australia"},{"name":"Department of Renal Medicine Royal Prince Alfred Hospital  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra2014530"},{"key":"e_1_2_11_3_1","unstructured":"Australia and New Zealand Organ Replacement Therapies Registry Group \u201cAustralia and New Zealand Dialysis and Transplant Registry. ANZDATA 44th Annual Report 2021 (Data to 2020) [Internet] \u201dANZORRG 2021 https:\/\/anzorrg.org.au\/reports\/anzdata\u201044th\u2010annual\u2010report\u20102021\u2010data\u2010to\u20102020."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2013.460"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.285141"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znac114"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.tp.0000886060.42393.16"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ekir.2024.11.1362"},{"key":"e_1_2_11_9_1","unstructured":"Australian Government Cancer Australia \u201cKidney cancer in Australia statistics (Cancer Australia 2025) \u201dhttps:\/\/www.canceraustralia.gov.au\/cancer\u2010types\/kidney\u2010cancer\/kidney\u2010cancer\u2010australia\u2010statistics."},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/TXD.0000000000000975"}],"container-title":["Medical Journal of Australia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.5694\/mja2.70206","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.5694\/mja2.70206","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.5694\/mja2.70206","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T07:28:59Z","timestamp":1790234939000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.5694\/mja2.70206"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.5694\/mja2.70206"],"URL":"https:\/\/doi.org\/10.5694\/mja2.70206","archive":["Portico"],"relation":{},"ISSN":["0025-729X","1326-5377"],"issn-type":[{"value":"0025-729X","type":"print"},{"value":"1326-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2026-02-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-27","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-05-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70206"}}