Evaluation and care of international living kidney donor candidates: Strategies for addressing common considerations and challenges.

Autor: Shukhman E; Cedars-Sinai Comprehensive Transplant Center, Los Angeles, California., Hunt J; Recanati/Miller Transplantation Institute, Mount Sinai Hospital, New York, New York., LaPointe-Rudow D; Recanati/Miller Transplantation Institute, Mount Sinai Hospital, New York, New York., Mandelbrot D; University of Wisconsin Hospital and Clinics, Madison, Wisconsin., Hays RE; University of Wisconsin Hospital and Clinics, Madison, Wisconsin., Kumar V; University of Alabama Comprehensive Transplant Center, Birmingham, Alabama., Schaefer H; Vanderbilt Transplant Center, Nashville, Tennessee., Al Ammary F; Johns Hopkins Comprehensive Transplant Center, Baltimore, Maryland., Henderson ML; Johns Hopkins Comprehensive Transplant Center, Baltimore, Maryland., Nishio-Lucar A; University of Virginia, Charlottesville, Virginia., Cooper M; Medstar Georgetown Transplant Institute, Washington, District of Columbia., Lentine KL; Saint Louis University Center for Abdominal Transplantation, St. Louis, Missouri.
Jazyk: angličtina
Zdroj: Clinical transplantation [Clin Transplant] 2020 Mar; Vol. 34 (3), pp. e13792. Date of Electronic Publication: 2020 Feb 29.
DOI: 10.1111/ctr.13792
Abstrakt: End-stage kidney disease patients in the United States may have family members or friends who are not US citizens or residents but are willing to serve as their living kidney donor 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 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: (a) establishing program guidelines for international donor candidate evaluation and selection; (b) initial screening; (c) logistics planning; (d) comprehensive evaluation; and (e) 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 to optimize the care of this unique group of living donors.
(© 2020 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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