Expanding the access to kidney transplantation: Strategies for kidney transplant programs

Document Type

Article

Publication Date

5-1-2024

Publication Title

Clinical transplantation

Abstract

Kidney 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.

Medical Subject Headings

Kidney Transplantation; Humans; Health Services Accessibility; Tissue and Organ Procurement; Kidney Failure, Chronic; Living Donors; Waiting Lists

PubMed ID

38686443

Volume

38

Issue

5

First Page

15315

Last Page

15315

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