Determination of identifier factors for prioritization of kidney transplantation candidates in patients with chronic renal disease

Jangi, Majid; Sabbagh, Mahin Ghorban; Nazemian, F; Hami, Maryam; Tabesh, Hamed; Tara, Mahmoud

doi:10.5414/cn109618

Cited by 3 publications

(2 citation statements)

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“…First, this study consisted of a small sample (< 30) of clinicians who are experts in the field of kidney transplantation. However, the Delphi method is designed to develop consensus among a small group of experts and our panel size is consistent with previously published Delphi studies [5,25,47]. Despite the small sample size, the reported knowledge of the experts on frailty and cognitive impairment in kidney transplantation was high.…”

Section: Discussionsupporting

confidence: 67%

Defining the ethical considerations surrounding kidney transplantation for frail and cognitively impaired patients: a Delphi study of geriatric transplant experts

et al. 2022

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Background Among adult kidney transplant (KT) candidates, 21% are frail and 55% have cognitive impairment, increasing the risk of pre- and post-KT mortality. Centers often assess frailty status and cognitive function during transplant evaluation to help identify appropriate candidate. Yet, there are no ethical guidelines regarding the use of frailty and cognitive function during this evaluation. We seek to develop a clinical consensus on balancing utility and justice in access to KT for frail and cognitively impaired patients. Methods Twenty-seven experts caring for ESRD patients completed a two-round Delphi panel designed to facilitate consensus (> 80% agreement). Results Experts believed that denying patients transplantation based solely on expected patient survival was inequitable to frail or cognitively impaired candidates; 100% agreed that frailty and cognitive impairment are important factors to consider during KT evaluation. There was consensus that health related quality of life and social support are important to consider before waitlisting frail or cognitively impaired patients. Experts identified important factors to consider before waitlisting frail (likely to benefit from KT, frailty reversibility, age, and medical contraindications) and cognitively impaired (degree of impairment and medication adherence) patients. Conclusions Clinical experts believed it was ethically unacceptable to allocate organs solely based on patients’ expected survival; frailty and cognitive impairment should be measured at evaluation when weighed against other clinical factors. Ethical guidelines regarding the use of frailty and cognitive function during KT evaluation ought to be developed.

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Section: Discussionsupporting

confidence: 67%

Defining the ethical considerations surrounding kidney transplantation for frail and cognitively impaired patients: a Delphi study of geriatric transplant experts

et al. 2022

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“…The use of the Delphi increased substantially as the method became widely known in many professions, including nursing and medicine [ 20 , 21 ]. The combination of these two methods can be used to select the main evaluation indexes and provide a quantitative evaluation assessment to guide decision-making [ 17 , 22 ]. However, few reports have been addressed on the application of AHP and Delphi method on animal model.…”

Section: Introductionmentioning

confidence: 99%

Study on skin infection model of Staphylococcus aureus based on analytic hierarchy process and Delphi method

Liang

Zou

et al. 2023

Heliyon

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Scoring systems of kidney donation from deceased donors

Moghbeli

Jangi

Ebnehoseini

2021

Journal of Education and Health Promotion

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Renal disease is the most prevalent disease. Kidney failure can cause physical problems. Hence, patients need to use dialysis therapy or kidney transplantation, and actually, people are in the waiting list for a transplant. This research aimed to extract the prognostic models that evaluate the preparation of kidney donors diagnosed with brain death (DBD). This research was a systematic review of PubMed, Science Direct, and general explorers up until 2020. It followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses-P protocol. The assessment of the articles was done by the authors. This evaluation was supposed to be in the form of scoring, prioritizing, and ranking the donors in terms of their preparation. Eleven sources of information included 9 academic articles along with 2 Grey Sources from 7 different countries. 9 algorithms and models were extracted which included, overall 10 factors. All the models were comprised of 4 factors and about 90% of these models considered 4 or 5 factors to evaluate the preparation of kidney donors DBD. Over 60% of the models had taken into account age, blood pressure history, and creatinine factors. Disease prognosis facilitates a doctor's decision-making on the emergence of the disease. Prognostic models of renal diseases can be a great help to patients. A review of the related literature revealed that all the models received a high score in terms of the two factors they included, age and history of blood pressure.

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Determination of identifier factors for prioritization of kidney transplantation candidates in patients with chronic renal disease

Cited by 3 publications

References 0 publications

Defining the ethical considerations surrounding kidney transplantation for frail and cognitively impaired patients: a Delphi study of geriatric transplant experts

Defining the ethical considerations surrounding kidney transplantation for frail and cognitively impaired patients: a Delphi study of geriatric transplant experts

Study on skin infection model of Staphylococcus aureus based on analytic hierarchy process and Delphi method

Scoring systems of kidney donation from deceased donors

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