The role of kidney transplantation as a component of integrated care for chronic kidney disease
Date
2020Author
Philip, J O'Connell
Mark, Brown
Tak, Mao
Rolando, Claure-Del G
Simon, J Davies
Somchai, Eiam-Ong
Mohamed, H Hassan
Kamyar, Kalantar-Zadeh
Adeera, Levin
Dominique, E Martin
Elmi, Muller
Shahrzad, Ossareh
Irma, Tchokhonelidze
Michele, Trask
Ahmed, Twahir
Were, Anthony J O
Yang, Chih-Wei
Alexander, Zemchenkov
Paul, N Harden
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
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, the general community, intensivists, and health departments. Development of transplant centers should be undertaken in concert with the development of a dialysis program. Both are essential components of integrated care for CKD and both should be viewed as part of the World Health Organization's initiative for universal health coverage. Provisions to cover the costs of treatment for patients need to be developed taking into account the state of development of the overall health framework in each country.
Citation
O'Connell PJ, Brown M, Chan TM, Claure-Del Granado R, Davies SJ, Eiam-Ong S, Hassan MH, Kalantar-Zadeh K, Levin A, Martin DE, Muller E, Ossareh S, Tchokhonelidze I, Trask M, Twahir A, Were AJO, Yang CW, Zemchenkov A, Harden PN. The role of kidney transplantation as a component of integrated care for chronic kidney disease. Kidney Int Suppl (2011). 2020 Mar;10(1):e78-e85. doi: 10.1016/j.kisu.2019.11.006. Epub 2020 Feb 19. PMID: 32149012; PMCID: PMC7031688.Publisher
University of Nairobi
Rights
Attribution-NonCommercial-NoDerivs 3.0 United StatesUsage Rights
http://creativecommons.org/licenses/by-nc-nd/3.0/us/Collections
- Faculty of Health Sciences (FHS) [10377]
The following license files are associated with this item: