Patient-Centered Research and Outcomes in Cancer and Kidney Transplantation

Dobrijevic, Ellen; Scholes-Robertson, Nicole; Guha, Chandana; Howell, Martin; Jauré, Allison; Wong, Germaine; van Zwieten, Anita

doi:10.1016/j.semnephrol.2024.151499

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2024

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Cited by 2 publications

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Global Health Epidemiology: Contemporary Issues and Methodological Challenges in Understanding and Tackling the Inequitable Burden of NCDs

van Zwieten,

Khalatbari-Soltani,

Miranda

2024

Handbook of Epidemiology

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Global Health Epidemiology: Contemporary Issues and Methodological Challenges in Understanding and Tackling the Inequitable Burden of NCDs

van Zwieten,

Khalatbari-Soltani,

Miranda

2024

Handbook of Epidemiology

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Supportive care in transplantation: A patient-centered care model to better support kidney transplant candidates and recipients

Slominska,

Loban,

Kinsella

et al. 2024

World J Transplant

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Kidney transplantation (KT), although the best treatment option for eligible patients, entails maintaining and adhering to a life-long treatment regimen of medications, lifestyle changes, self-care, and appointments. Many patients experience uncertain outcome trajectories increasing their vulnerability and symptom burden and generating complex care needs. Even when transplants are successful, for some patients the adjustment to life post-transplant can be challenging and psychological difficulties, economic challenges and social isolation have been reported. About 50% of patients lose their transplant within 10 years and must return to dialysis or pursue another transplant or conservative care. This paper documents the complicated journey patients undertake before and after KT and outlines some initiatives aimed at improving patient-centered care in transplantation. A more cohesive approach to care that borrows its philosophical approach from the established field of supportive oncology may improve patient experiences and outcomes. We propose the "supportive care in transplantation" care model to operationalize a patient-centered approach in transplantation. This model can build on other ongoing initiatives of other scholars and researchers and can help advance patient-centered care through the entire care continuum of kidney transplant recipients and candidates. Multi-dimensionality, multi-disciplinarity and evidence-based approaches are proposed as other key tenets of this care model. We conclude by proposing the potential advantages of this approach to patients and healthcare systems.

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Patient-Centered Research and Outcomes in Cancer and Kidney Transplantation

Cited by 2 publications

References 54 publications

Global Health Epidemiology: Contemporary Issues and Methodological Challenges in Understanding and Tackling the Inequitable Burden of NCDs

Global Health Epidemiology: Contemporary Issues and Methodological Challenges in Understanding and Tackling the Inequitable Burden of NCDs

Supportive care in transplantation: A patient-centered care model to better support kidney transplant candidates and recipients

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