Fortuitous benefits of living kidney donation: Diagnosis of serious medical conditions during the living donor evaluation

2018 ◽  
Vol 32 (3) ◽  
pp. e13204 ◽  
Author(s):  
Arika Hoffman ◽  
Ketki Tendulkar ◽  
Shaheed Merani ◽  
Alexander Maskin ◽  
Alan Langnas
Keyword(s):  
Living Donor ◽  
Kidney Donation ◽  
Medical Conditions ◽  
Living Kidney Donation ◽  
Donor Evaluation

Native Americans’ Memorable Conversations About Living Kidney Donation and Transplant

2019 ◽  
Vol 30 (5) ◽  
pp. 679-692
Author(s):  
Jenn Anderson ◽  
Rebecca K. Britt ◽  
Brian C. Britt ◽  
Shana Harming ◽  
Nancy Fahrenwald
Keyword(s):  
Native Americans ◽  
Self Efficacy ◽  
Living Donor ◽  
Kidney Donation ◽  
Living Kidney Donation ◽  
Dialysis Treatment

Living kidney donation and transplant (LKDT) offers a path of hope for patients on indefinite dialysis treatment. However, identification of a living donor can be challenging; initiating these conversations is difficult. Our study analyzes memorable conversations about LKDT that occurred in response to an LKDT campaign targeted to Native Americans. Our analysis of n = 28 memorable conversations revealed that the campaign prompted conversations and increased communication efficacy about LKDT. Based on these findings, we suggest that campaign designers utilize narratives within campaigns to model communication self-efficacy and then analyze the content of postcampaign conversations as an indicator of campaign effectiveness.

scholarly journals Raising awareness of unspecified living kidney donation: an ELPAT* view

2019 ◽  
Vol 13 (2) ◽  
pp. 159-165
Author(s):  
Lisa Burnapp ◽  
Kristof Van Assche ◽  
Annette Lennerling ◽  
Dorthe Slaats ◽  
David Van Dellen ◽  
...  
Keyword(s):  
Living Donor ◽  
Kidney Donation ◽  
Public Healthcare ◽  
Living Kidney Donation ◽  
Donor Pool ◽  
Individual Country ◽  
The Public ◽  
Raising Awareness ◽  
Number Of Patients ◽  
Stage Renal Disease

Abstract Background Living donor kidney transplantation (LDKT) is the preferred treatment for patients with end-stage renal disease and unspecified living kidney donation is morally justified. Despite the excellent outcomes of LDKT, unspecified kidney donation (UKD) is limited to a minority of European countries due to legal constraints and moral objections. Consequently, there are significant variations in practice and approach between countries and the contribution of UKD is undervalued. Where UKD is accepted as routine, an increasing number of patients in the kidney exchange programme are successfully transplanted when a ‘chain’ of transplants is triggered by a single unspecified donor. By expanding the shared living donor pool, the benefit of LDKT is extended to patients who do not have their own living donor because a recipient on the national transplant list always completes the chain. Is there a moral imperative to increase the scope of UKD and how could this be achieved? Methods An examination of the literature and individual country practices was performed to identify the limitations on UKD in Europe and recommend strategies to increase transplant opportunities. Results Primary limitations to UKD, key players and their roles and responsibilities were identified. Conclusions Raising awareness to encourage the public to volunteer to donate is appropriate and desirable to increase UKD. Recommendations are made to provide a framework for increasing awareness and engagement in UKD. The public, healthcare professionals, policy makers and society and religious leaders have a role to play in creating an environment for change.

scholarly journals Helping More Patients Receive a Living Donor Kidney Transplant

2018 ◽  
Vol 13 (12) ◽  
pp. 1918-1923 ◽  
Author(s):  
Amit X. Garg
Keyword(s):  
Kidney Transplant ◽  
Living Donor ◽  
Current Knowledge ◽  
Kidney Donation ◽  
Living Kidney Donation ◽  
Donor Kidney ◽  
Kidney Replacement Therapy ◽  
To Come ◽  
Living Donor Kidney Transplant ◽  
Living Donor Kidney

The best treatment option for many patients with kidney failure is a kidney transplant from a living donor. Countries that successfully increase their rate of living kidney donation will decrease their reliance on dialysis, the most expensive and high-risk form of kidney replacement therapy. Outlined here are some barriers that prevent some patients from pursuing living kidney donation and current knowledge on some potential solutions to these barriers. Also described are strategies to promote living kidney donation in a defensible system of practice. Safely increasing the rate of living kidney donation will require better programs and policies to improve the experiences of living donors and their recipients, to safeguard the practice for years to come.

Attitude of Ancillary Personnel Faced With Living Kidney Donation in a Hospital With a Living Donor Kidney Transplant Program

2007 ◽  
Vol 83 (3) ◽  
pp. 336-340 ◽  
Author(s):  
Antonio R??os ◽  
Pablo Ram??rez ◽  
Mar??a del Mar Rodr??guez ◽  
Lewa Mart??nez ◽  
Mariano Jeime Montoya ◽  
...  
Keyword(s):  
Kidney Transplant ◽  
Living Donor ◽  
Kidney Donation ◽  
Living Kidney Donation ◽  
Donor Kidney ◽  
Transplant Program ◽  
Living Donor Kidney Transplant ◽  
Living Donor Kidney

scholarly journals Alternative Living Kidney Donation Programs Boost Genetically Unrelated Donation

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Rosalie A. Poldervaart ◽  
Mirjam Laging ◽  
Tessa Royaards ◽  
Judith A. Kal-van Gestel ◽  
Madelon van Agteren ◽  
...  
Keyword(s):  
Graft Survival ◽  
Living Donor ◽  
Kidney Donation ◽  
Alternative Programs ◽  
Living Kidney Donation ◽  
Kidney Exchange ◽  
Unrelated Donors ◽  
Altruistic Donor ◽  
The Relationship ◽  
Patient And Graft Survival

Donor-recipient ABO and/or HLA incompatibility used to lead to donor decline. Development of alternative transplantation programs enabled transplantation of incompatible couples. How did that influence couple characteristics? Between 2000 and 2014, 1232 living donor transplantations have been performed. In conventional and ABO-incompatible transplantation the willing donor becomes an actual donor for the intended recipient. In kidney-exchange and domino-donation the donor donates indirectly to the intended recipient. The relationship between the donor and intended recipient was studied. There were 935 conventional and 297 alternative program transplantations. There were 66 ABO-incompatible, 68 domino-paired, 62 kidney-exchange, and 104 altruistic donor transplantations. Waiting list recipients (n=101) were excluded as they did not bring a living donor. 1131 couples remained of whom 196 participated in alternative programs.Genetically unrelateddonors (486) were primarily partners.Genetically relateddonors (645) were siblings, parents, children, and others. Compared to genetically related couples, almost three times as many genetically unrelated couples were incompatible and participated in alternative programs (P<0.001). 62% of couples were genetically related in the conventional donation program versus 32% in alternative programs (P<0.001). Patient and graft survival were not significantly different between recipient programs. Alternative donation programs increase the number of transplantations by enabling genetically unrelated donors to donate.

scholarly journals Barriers to the Donation of Living Kidneys for Kidney Transplantation

2021 ◽  
Author(s):  
Kyungok Min ◽  
Tai Yeon Koo ◽  
Young Hui Hwang ◽  
Jaeseok Yang
Keyword(s):  
Kidney Transplantation ◽  
Living Donor ◽  
Kidney Donation ◽  
Living Kidney Donation ◽  
Donor Kidney ◽  
Related Factors ◽  
Living Donor Transplantation ◽  
Work Up ◽  
Donor Kidney Transplantation ◽  
Living Donor Kidney

Abstract Since the waiting time for deceased donor kidney transplantation continues to increase, living donor kidney transplantation is an important treatment for end stage kidney disease patients. Barriers to living kidney donation have been rarely investigated despite a growing interest in the utilization of living donor transplantation and the satisfaction of donor safety. Here, we retrospectively analyzed 1,658 potential donors and 1,273 potential recipients who visited the Seoul National University Hospital for living kidney transplantation between 2010 and 2017 to study the causes of donation failure. Among 1,658 potential donors, 902 (54.4%) failed to donate kidneys. The average number of potential donors that received work-up was 1.30 ± 0.66 per recipient. Among living donor kidney transplant patients, 75.1% received kidneys after work-up of the first donor and 24.9% needed work-up of two or more donors. Donor-related factors (49.2%) were the most common causes of donation failure, followed by immunologic or size mismatches between donors and recipients (25.4%) and recipient-related factors (16.2%). Interestingly, withdrawal of donation will along with refusal by recipients or family were the commonest causes, suggesting the importance of non-biomedical aspects. The elucidation of the barriers to living kidney donation could ensure more efficient and safer living kidney donation.

scholarly journals Nursing personnel faced with living kidney donation in a Spanish hospital with a living-donor kidney transplant program

2009 ◽  
Vol 38 (11) ◽  
pp. 465-469
Author(s):  
Antonio Ríos ◽  
Laura Martínez-Alarcón ◽  
María del Mar Rodríguez ◽  
Dolores Lucas ◽  
P. Parrilla ◽  
...  
Keyword(s):  
Kidney Transplant ◽  
Living Donor ◽  
Nursing Personnel ◽  
Kidney Donation ◽  
Living Kidney Donation ◽  
Donor Kidney ◽  
Transplant Program ◽  
Spanish Hospital ◽  
Living Donor Kidney Transplant ◽  
Living Donor Kidney

scholarly journals Factors Impacting Conversations with Friends and Family about Living Kidney Donation

The Physician ◽  
2021 ◽  
Vol 7 (1) ◽  
pp. 1-7
Author(s):  
Ahmed Ahmed ◽  
Anna Winterbottom ◽  
John Stoves ◽  
Shenaz Ahmed ◽  
Sunil Daga
Keyword(s):  
Kidney Transplantation ◽  
Risk Perception ◽  
South Asian ◽  
Health Professionals ◽  
Living Donor ◽  
Financial Burden ◽  
Cultural Influences ◽  
Kidney Donation ◽  
Medical Mistrust ◽  
Living Kidney Donation

Introduction  Living donor kidney transplantation is the optimal modality of renal replacement therapy for advanced kidney disease. It is associated with superior recipient and graft survival, a better quality of life and self-reported health status compared to dialysis. Living kidney donation occurs less frequently in members of Black, Asian and Minority Ethnic (BAME) communities in Western countries. This scoping review explores the factors affecting the ability of patients (and health professionals) to initiate conversations about living kidney donation with family and friends, with a focus on BAME population groups. Methods  208 published articles were identified from online databases using keywords: ‘barriers’, ‘decision making’, ‘living donor’, and ‘kidney transplantation. Studies limited to donors or involving paediatric recipients were excluded, Results There were 25 studies that met the inclusion criteria. Of these, 21 studies included BAME communities. Participants of South Asian ethnicity were underrepresented. Key themes were; 1) lack of knowledge 2) risk perception 3) fear of financial burden on donors 4) guilt 5) religious and cultural influences and 6) mistrust of the medical establishment. There were noticeable differences in ethnicity, in the level of knowledge, risk perception and fear of financial burden. Religious/cultural reservations and medical mistrust were only reported in people from BAME populations. Two studies explored health professionals’ views. Discussion This literature review has identified different barriers to the pursuit of living kidney donation, some of which are linked to ethnicity. This study informs the development of a patient decision aid to support people to have conversations with potential donors, with a particular focus on South Asian groups, the second largest ethnic group in the UK.

scholarly journals Positive and negative aspects of mental health after unspecified living kidney donation: A cohort study

2021 ◽  
Author(s):  
Emma K. Massey ◽  
Mathilde C. Pronk ◽  
Willij C. Zuidema ◽  
Willem Weimar ◽  
Jacqueline Wetering ◽  
...  
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Kidney Donation ◽  
Living Kidney Donation
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