Expanding the access to kidney transplantation: Strategies for kidney transplant programs
Tissue and Organ Procurement
Waiting Lists
waiting lists
kidney transplantation
Kidney Transplantation
Health Services Accessibility
kidney failure
chronic
tissue and organ procurement
03 medical and health sciences
Health Economics
0302 clinical medicine
living donors
Nephrology
616
617
Living Donors
Humans
Kidney Failure, Chronic
health services accessibility
humans
DOI:
10.1111/ctr.15315
Publication Date:
2024-04-30T07:47:55Z
AUTHORS (16)
ABSTRACT
AbstractKidney transplantation is the most successful kidney replacement therapy available, resulting in improved recipient survival and societal cost savings. Yet, nearly 70 years after the first successful kidney transplant, there are still numerous barriers and untapped opportunities that constrain the access to transplant. The literature describing these barriers is extensive, but the practices and processes to solve them are less clear. Solutions must be multidisciplinary and be the product of strong partnerships among patients, their networks, health care providers, and transplant programs. Transparency in the referral, evaluation, and listing process as well as organ selection are paramount to build such partnerships. Providing early culturally congruent and patient‐centered education as well as maximizing the use of local resources to facilitate the transplant work up should be prioritized. Every opportunity to facilitate pre‐emptive kidney transplantation and living donation must be taken. Promoting the use of telemedicine and kidney paired donation as standards of care can positively impact the work up completion and maximize the chances of a living donor kidney transplant.
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