Evaluation and care of international living kidney donor candidates: Strategies for addressing common considerations and challenges.
Evaluation and care of international living kidney donor candidates: Strategies for addressing common considerations and challenges.
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评估和护理国际活肾脏捐助者候选人：解决共同考虑和挑战的策略。
DOI：
10.1111/ctr.13792
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发表时间：
2020-03
影响因子：
2.1
通讯作者：
Lentine KL
中科院分区：
文献类型：
--
作者：
Shukhman E;Hunt J;LaPointe-Rudow D;Mandelbrot D;Hays RE;Kumar V;Schaefer H;Al Ammary F;Henderson ML;Nishio-Lucar A;Cooper M;Lentine KL
美国的终末期肾病患者可能有非美国公民或居民的家庭成员或朋友，但愿意作为他们在美国的活体肾脏捐赠者（“国际捐赠者”）。2017年7月，美国移植学会（AST）活体捐赠者实践社区（LDCOP）召集了一个多学科的活体捐赠护理专家工作组，包括协调员、社会工作者、捐赠者倡导者、管理人员和医生，以评估与国际捐赠者评估和护理相关的教育差距。对国际活体捐赠者候选人的评估是一个资源密集的过程，它提出了评估剥削/引诱风险、解决沟通障碍、后勤障碍和在其本国获得护理的关键考虑因素。通过建立共识的讨论，我们提出了以下建议：1)建立国际捐助者候选人评估和选择的项目指导方针；2)初步筛选；3)物流规划；4)综合评价；5)捐赠后护理与随访。这些建议的目的不是指导正式的政策，而是作为指导，帮助项目更高效、更有效地组织和执行评估和护理协调。我们还为研究和宣传工作提供建议，以帮助优化对这一独特的活体捐赠者群体的护理。
End-stage kidney disease patients in the United States may have family members or friends who are not U.S. citizens or residents but are willing to serve as their living kidney donors in the United States (“international donors”). In July 2017, the American Society for Transplantation (AST) Live Donor Community of Practice (LDCOP) convened a multidisciplinary workgroup of experts in living donation care, including coordinators, social workers, donor advocates, administrators and physicians, to evaluate educational gaps related to the evaluation and care of international donors. The evaluation of the international living donor candidates is a resource intensive process that raises key considerations for assessing risk of exploitation/ inducement, and addressing communication barriers, logistics barriers and access to care in their home country. Through consensus-building discussions, we developed recommendations related to: 1) establishing program guidelines for international donor candidate evaluation and selection; 2) initial screening; 3) logistics planning; 4) comprehensive evaluation; and 5) postdonation care and follow-up. These recommendations are not intended to direct formal policy, but rather as guidance to help programs more efficiently and effectively structure and execute evaluations and care coordination. We also offer recommendations for research and advocacy efforts to help optimize the care of this unique group of living donors.
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影响因子：
6.2
作者：
Lentine KL;Kasiske BL;Levey AS;Adams PL;Alberú J;Bakr MA;Gallon L;Garvey CA;Guleria S;Li PK;Segev DL;Taler SJ;Tanabe K;Wright L;Zeier MG;Cheung M;Garg AX
通讯作者：
Garg AX
影响因子：
8.8
作者：
LaPointe Rudow, D.;Hays, R.;Rodrigue, J. R.
通讯作者：
Rodrigue, J. R.
影响因子：
2.8
作者：
Gordon, Elisa J.;Lee, Jungwha;Shumate, Michelle D.
通讯作者：
Shumate, Michelle D.
影响因子：
8.8
作者：
Schnitzler, M. A.;Skeans, M. A.;Kasiske, B. L.
通讯作者：
Kasiske, B. L.
影响因子：
2.1
作者：
Tietjen, Andrea;Hays, Rebecca;Lentine, Krista L.
通讯作者：
Lentine, Krista L.