RT Journal A1 Bowman J T1 PErioperative mortality and long-term survival in live kidney donors JF JAMA JO JAMA YR 2010 FD June 9 VO 303 IS 22 SP 2248 OP 2250 DO 10.1001/jama.2010.729 UL http://dx.doi.org/10.1001/jama.2010.729 AB This study confirms that living kidney donors during 1994 to 2009 had a normal life span (on average) when followed up for 1 to 15 years. Since chronic kidney failure is usually insidious in onset over a long period of time and silent without obvious signs and symptoms, I believe that the follow-up period needs to be extended to 20 years or longer to reassure younger kidney donors who expect to live another 30 or 40 years with only 1 kidney.