Consensus Conference on Best Practices in Live Kidney Donation: Recommendations to Optimize Education, Access, and Care

Consensus Conference on Best Practices in Live Kidney Donation: Recommendations to Optimize Education, Access, and Care
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DOI:
10.1111/ajt.13173
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发表时间:
2015-04-01
影响因子:
8.8
通讯作者:
Rodrigue, J. R.
Rodrigue, J. R.
中科院分区:
医学2区
文献类型:
--
作者:
LaPointe Rudow, D.;Hays, R.;Rodrigue, J. R.

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活体肾移植是大多数晚期慢性肾病患者的最佳治疗选择;然而,美国的活体肾脏捐赠率有所下降。 2014 年 6 月 5 日至 6 日召开了一次共识会议,以确定与活体肾移植和活体肾捐赠相关的最佳实践和知识差距。移植专业人员、患者和其他主要利益相关者讨论了对移植候选者和潜在活体捐赠者进行活体肾脏捐赠教育的流程;活体捐赠者评估过程的效率;活体捐赠的差异;以及活体捐赠的财务和系统障碍。我们总结了这些教育和临床领域最佳实践的共识建议、未来的研究重点以及消除活体肾脏捐赠障碍的可能的公共政策举措。
Live donor kidney transplantation is the best treatment option for most patients with late-stage chronic kidney disease; however, the rate of living kidney donation has declined in the United States. A consensus conference was held June 5-6, 2014 to identify best practices and knowledge gaps pertaining to live donor kidney transplantation and living kidney donation. Transplant professionals, patients, and other key stakeholders discussed processes for educating transplant candidates and potential living donors about living kidney donation; efficiencies in the living donor evaluation process; disparities in living donation; and financial and systemic barriers to living donation. We summarize the consensus recommendations for best practices in these educational and clinical domains, future research priorities, and possible public policy initiatives to remove barriers to living kidney donation.