The role of kidney transplantation as a component of integrated care for chronic kidney disease

Kidney International Supplements
Philip J O'ConnellPaul N Harden

Abstract

Kidney transplant provides superior outcomes to dialysis as a treatment for end-stage kidney disease. Therefore, it is essential that kidney transplantation be part of an integrated treatment and management plan for chronic kidney disease (CKD). Developing an effective national program of transplantation is challenging because of the requirement for kidney donors and the need for a multidisciplinary team to provide expert care for both donors and recipients. This article outlines the steps necessary to establish a national kidney transplant program, starting with the requirement for effective legislation that provides the legal framework for transplantation whilst protecting organ donors, their families, recipients, and staff and is an essential requirement to combat organ trafficking. The next steps involve capacity building with the development of a multiskilled workforce, the credentialing of transplant centers, and the reporting of outcomes through national or regional registries. Although it is accepted that most transplant programs will begin with living related kidney donation, it is essential to aspire to and develop a deceased donor program. This requires engagement with multiple stakeholders, especially the patients, ...Continue Reading

Citations

Jun 20, 2020·Transplant International : Official Journal of the European Society for Organ Transplantation·John D Scandling
Apr 11, 2021·Pediatric Nephrology : Journal of the International Pediatric Nephrology Association·Arpana Iyengar, M I McCulloch
Jun 1, 2021·The International Journal of Angiology : Official Publication of the International College of Angiology, Inc·Lauren WeaverJorge Ortiz

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