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. 2015 Sep 4;10(9):1659-69.
doi: 10.2215/CJN.00950115. Epub 2015 Jun 26.

Living Donor Kidney Transplantation: Improving Education Outside of Transplant Centers about Live Donor Transplantation--Recommendations from a Consensus Conference

Amy D Waterman  1 , Marie Morgievich  2 , David J Cohen  2 , Zeeshan Butt  2 , Harini A Chakkera  2 , Carrie Lindower  2 , Rebecca E Hays  2 , Janet M Hiller  2 , Krista L Lentine  2 , Arthur J Matas  2 , Emilio D Poggio  2 , Michael A Rees  2 , James R Rodrigue  2 , Dianne LaPointe Rudow  2 ; American Society of Transplantation
Affiliations

Living Donor Kidney Transplantation: Improving Education Outside of Transplant Centers about Live Donor Transplantation--Recommendations from a Consensus Conference

Amy D Waterman et al. Clin J Am Soc Nephrol. .

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.

Keywords: consensus conference; live donor kidney transplantation; outreach; patient education; recommendations.

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Figures

Figure 1.
Figure 1.
Results of the structured literature review on kidney transplantation educational strategies.
Figure 2.
Figure 2.
Continuum of transplant education highlighting key touch points for outreach.
See this image and copyright information in PMC

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