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Living Donor Kidney Transplantation: Improving Education Outside of Transplant Centers about Live Donor Transplantation--Recommendations from a Consensus Conference.
Clin J Am Soc Nephrol. 2015 Sep 04; 10(9):1659-69.CJ

Abstract

Living donor kidney transplantation (LDKT) offers better quality of life and clinical outcomes, including patient survival, compared with remaining on dialysis or receiving a deceased donor kidney transplant. Although LDKT education within transplant centers for both potential recipients and living donors is very important, outreach and education to kidney patients in settings other than transplant centers and to the general public is also critical to increase access to this highly beneficial treatment. In June 2014, the American Society of Transplantation's Live Donor Community of Practice, with the support of 10 additional sponsors, convened a consensus conference to determine best practices in LDKT, including a workgroup focused on developing a set of recommendations for optimizing outreach and LDKT education outside of transplant centers. Members of this workgroup performed a structured literature review, conducted teleconference meetings, and met in person at the 2-day conference. Their efforts resulted in consensus around the following recommendations. First, preemptive transplantation should be promoted through increased LDKT education by primary care physicians and community nephrologists. Second, dialysis providers should be trained to educate their own patients about LDKT and deceased donor kidney transplantation. Third, partnerships between community organizations, organ procurement organizations, religious organizations, and transplant centers should be fostered to support transplantation. Fourth, use of technology should be improved or expanded to better educate kidney patients and their support networks. Fifth, LDKT education and outreach should be improved for kidney patients in rural areas. Finally, a consensus-driven, evidence-based public message about LDKT should be developed. Discussion of the effect and potential for implementation around each recommendation is featured, particularly regarding reducing racial and socioeconomic disparities in access to LDKT. To accomplish these recommendations, the entire community of professionals and organizations serving kidney patients must work collaboratively toward ensuring accurate, comprehensive, and up-to-date LDKT education for all patients, thereby reducing barriers to LDKT access and increasing LDKT rates.

Authors+Show Affiliations

Due to the number of contributing authors,the affiliations are provided in the Supplemental Material. awaterman@mednet.ucla.edu.Due to the number of contributing authors,the affiliations are provided in the Supplemental Material.Due to the number of contributing authors,the affiliations are provided in the Supplemental Material.Due to the number of contributing authors,the affiliations are provided in the Supplemental Material.Due to the number of contributing authors,the affiliations are provided in the Supplemental Material.Due to the number of contributing authors,the affiliations are provided in the Supplemental Material.Due to the number of contributing authors,the affiliations are provided in the Supplemental Material.Due to the number of contributing authors,the affiliations are provided in the Supplemental Material.Due to the number of contributing authors,the affiliations are provided in the Supplemental Material.Due to the number of contributing authors,the affiliations are provided in the Supplemental Material.Due to the number of contributing authors,the affiliations are provided in the Supplemental Material.Due to the number of contributing authors,the affiliations are provided in the Supplemental Material.Due to the number of contributing authors,the affiliations are provided in the Supplemental Material.Due to the number of contributing authors,the affiliations are provided in the Supplemental Material.No affiliation info available

Pub Type(s)

Consensus Development Conference
Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

26116651

Citation

Waterman, Amy D., et al. "Living Donor Kidney Transplantation: Improving Education Outside of Transplant Centers About Live Donor Transplantation--Recommendations From a Consensus Conference." Clinical Journal of the American Society of Nephrology : CJASN, vol. 10, no. 9, 2015, pp. 1659-69.
Waterman AD, Morgievich M, Cohen DJ, et al. Living Donor Kidney Transplantation: Improving Education Outside of Transplant Centers about Live Donor Transplantation--Recommendations from a Consensus Conference. Clin J Am Soc Nephrol. 2015;10(9):1659-69.
Waterman, A. D., Morgievich, M., Cohen, D. J., Butt, Z., Chakkera, H. A., Lindower, C., Hays, R. E., Hiller, J. M., Lentine, K. L., Matas, A. J., Poggio, E. D., Rees, M. A., Rodrigue, J. R., & LaPointe Rudow, D. (2015). Living Donor Kidney Transplantation: Improving Education Outside of Transplant Centers about Live Donor Transplantation--Recommendations from a Consensus Conference. Clinical Journal of the American Society of Nephrology : CJASN, 10(9), 1659-69. https://doi.org/10.2215/CJN.00950115
Waterman AD, et al. Living Donor Kidney Transplantation: Improving Education Outside of Transplant Centers About Live Donor Transplantation--Recommendations From a Consensus Conference. Clin J Am Soc Nephrol. 2015 Sep 4;10(9):1659-69. PubMed PMID: 26116651.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Living Donor Kidney Transplantation: Improving Education Outside of Transplant Centers about Live Donor Transplantation--Recommendations from a Consensus Conference. AU - Waterman,Amy D, AU - Morgievich,Marie, AU - Cohen,David J, AU - Butt,Zeeshan, AU - Chakkera,Harini A, AU - Lindower,Carrie, AU - Hays,Rebecca E, AU - Hiller,Janet M, AU - Lentine,Krista L, AU - Matas,Arthur J, AU - Poggio,Emilio D, AU - Rees,Michael A, AU - Rodrigue,James R, AU - LaPointe Rudow,Dianne, AU - ,, Y1 - 2015/06/26/ PY - 2015/6/28/entrez PY - 2015/6/28/pubmed PY - 2016/6/22/medline KW - consensus conference KW - live donor kidney transplantation KW - outreach KW - patient education KW - recommendations SP - 1659 EP - 69 JF - Clinical journal of the American Society of Nephrology : CJASN JO - Clin J Am Soc Nephrol VL - 10 IS - 9 N2 - Living donor kidney transplantation (LDKT) offers better quality of life and clinical outcomes, including patient survival, compared with remaining on dialysis or receiving a deceased donor kidney transplant. Although LDKT education within transplant centers for both potential recipients and living donors is very important, outreach and education to kidney patients in settings other than transplant centers and to the general public is also critical to increase access to this highly beneficial treatment. In June 2014, the American Society of Transplantation's Live Donor Community of Practice, with the support of 10 additional sponsors, convened a consensus conference to determine best practices in LDKT, including a workgroup focused on developing a set of recommendations for optimizing outreach and LDKT education outside of transplant centers. Members of this workgroup performed a structured literature review, conducted teleconference meetings, and met in person at the 2-day conference. Their efforts resulted in consensus around the following recommendations. First, preemptive transplantation should be promoted through increased LDKT education by primary care physicians and community nephrologists. Second, dialysis providers should be trained to educate their own patients about LDKT and deceased donor kidney transplantation. Third, partnerships between community organizations, organ procurement organizations, religious organizations, and transplant centers should be fostered to support transplantation. Fourth, use of technology should be improved or expanded to better educate kidney patients and their support networks. Fifth, LDKT education and outreach should be improved for kidney patients in rural areas. Finally, a consensus-driven, evidence-based public message about LDKT should be developed. Discussion of the effect and potential for implementation around each recommendation is featured, particularly regarding reducing racial and socioeconomic disparities in access to LDKT. To accomplish these recommendations, the entire community of professionals and organizations serving kidney patients must work collaboratively toward ensuring accurate, comprehensive, and up-to-date LDKT education for all patients, thereby reducing barriers to LDKT access and increasing LDKT rates. SN - 1555-905X UR - https://www.unboundmedicine.com/medline/citation/26116651/Living_Donor_Kidney_Transplantation:_Improving_Education_Outside_of_Transplant_Centers_about_Live_Donor_Transplantation__Recommendations_from_a_Consensus_Conference_ DB - PRIME DP - Unbound Medicine ER -