A Scoping Review for Strategies to Increase Living Kidney Donation

Barnieh, Lianne; Collister, David; Manns, Braden; Lam, Ngan N.; Shojai, Soroush; Lorenzetti, Diane; Gill, John S.; Klarenbach, Scott

doi:10.2215/cjn.01470217

Cited by 53 publications

(56 citation statements)

References 45 publications

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“…Many programs have been designed and implemented to assist transplant candidates to identify a living donor successfully . Explore Transplant is one such program .…”

Section: Discussionmentioning

confidence: 99%

Increasing living donation by implementing the Kidney Coach Program

Rudow

Geatrakas

Armenti

et al. 2019

Clinical Transplantation

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Candidates for living donor kidney transplantation (LDKT) find it difficult to discuss living donation with people in their social network, and there is a lack of useful interventions to train them. The Kidney Coach Program (KCP) was developed to equip individuals (advocates for candidates and candidate themselves) with the tools needed to find potential donors. The purpose of this pilot study is to evaluate the effects of the KCP on increasing the number of people considering living donation. Methods:Candidates for the KCP were recruited. Data were collected on the number of live donor inquiries in the coach group compared to listed patients (historical controls).Results: Over a 12-month period, 20 transplant candidates enrolled in the KCP were compared to 50 controls. Eighty percent of the participants in the KCP had at least one donor inquiry compared to 38% of controls (P = 0.001). Significantly, more Caucasian candidates participated in the KCP compared to other racial groups. Conclusions:The KCP can be an effective method to increase awareness of a patient's need for LDKT. Existing clinical staff successfully implemented the program.Transplant programs should provide training to candidates and their supports on effective ways to find a living donor.

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“…Many programs have been designed and implemented to assist transplant candidates to identify a living donor successfully . Explore Transplant is one such program .…”

Section: Discussionmentioning

confidence: 99%

Increasing living donation by implementing the Kidney Coach Program

Rudow

Geatrakas

Armenti

et al. 2019

Clinical Transplantation

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“…This highlights that in most countries information from the treating physicians is more important than from the World Wide Web. A scoping review addressed strategies to increase live kidney donation and found that recipient-based education that reaches friends and family has the best evidence of being effective [32]. In contrast to the global trend, the Google Trends TM search highlighted an increase in search queries in Spain.…”

Section: Discussionmentioning

confidence: 99%

Is There Decreasing Public Interest in Renal Transplantation? A Google TrendsTM Analysis

Kronbichler

Effenberger

Smıth

et al. 2020

JCM

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Background and objectives: Renal transplantation is the preferred form of renal replacement therapy for the majority of patients with end stage renal disease (ESRD). The Internet is a key tool for people seeking healthcare-related information. This current work explored the interest in kidney transplantation based on Internet search queries using Google Trends TM . Design, setting, participants, and measurements: We performed a Google Trends TM search with the search term "kidney transplantation" between 2004 (year of inception) and 2018. We retrieved and analyzed data on the worldwide trend as well as data from the United Network for Organ Sharing (UNOS), the Organización Nacional de Trasplantes (ONT), the Eurotransplant area, and the National Health Service (NHS) Transplant Register. Google Trends TM indices were investigated and compared to the numbers of performed kidney transplants, which were extracted from the respective official websites of UNOS, ONT, Eurotransplant, and the NHS. Results: During an investigational period of 15 years, there was a significant decrease of the worldwide Google Trends TM index from 76.3 to 25.4, corresponding to an absolute reduction of −50.9% and a relative reduction by −66.7%. The trend was even more pronounced for the UNOS area (−75.2%), while in the same time period the number of transplanted kidneys in the UNOS area increased by 21.9%. Events of public interest had an impact on the search queries in the year of occurrence, as shown by an increase in the Google Trends TM index by 39.2% in the year 2005 in Austria when a person of public interest received his second live donor kidney transplant. Conclusions: This study indicates a decreased public interest in kidney transplantation. There is a clear need to raise public awareness, since transplantation represents the best form of renal replacement therapy for patients with ESRD. Information should be provided on social media, with a special focus on readability and equitable access, as well as on web pages.

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“…Several other strategies show promise in increasing access to living donor kidney transplantation whereas other strategies do not (summarized in a review by Barnieh et al [34]). These strategies involve complex processes and include greater education for patients with kidney failure, removing disincentives (such as the expenses incurred by donors), a web-based system for donor-candidate screening, use of transplant champions to help intended recipients prepare for kidney transplantation (including finding living kidney donors), and creating dedicated multidisciplinary healthcare teams to support living kidney donation (34,35). Rigorous research methods are needed to assess the effects of complex interventions (36).…”

Section: Solutions To Improve Patient Experiences and Safely Increasementioning

confidence: 99%

Helping More Patients Receive a Living Donor Kidney Transplant

Garg

2018

CJASN

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The best treatment option for many patients with kidney failure is a kidney transplant from a living donor. Countries that successfully increase their rate of living kidney donation will decrease their reliance on dialysis, the most expensive and high-risk form of kidney replacement therapy. Outlined here are some barriers that prevent some patients from pursuing living kidney donation and current knowledge on some potential solutions to these barriers. Also described are strategies to promote living kidney donation in a defensible system of practice. Safely increasing the rate of living kidney donation will require better programs and policies to improve the experiences of living donors and their recipients, to safeguard the practice for years to come.

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A Scoping Review for Strategies to Increase Living Kidney Donation

Cited by 53 publications

References 45 publications

Increasing living donation by implementing the Kidney Coach Program

Increasing living donation by implementing the Kidney Coach Program

Is There Decreasing Public Interest in Renal Transplantation? A Google TrendsTM Analysis

Helping More Patients Receive a Living Donor Kidney Transplant

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