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Article: The role of kidney transplantation as a component of integrated care for chronic kidney disease

TitleThe role of kidney transplantation as a component of integrated care for chronic kidney disease
Authors
Keywordschronic kidney disease
integrated care
kidney transplantation
sustainable care
universal health care
Issue Date2020
PublisherElsevier Inc. The Journal's web site is located at http://www.sciencedirect.com/science/journal/00852538
Citation
Kidney International Supplements, 2020, v. 10 n. 1, p. e78-e85 How to Cite?
AbstractKidney 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.
Persistent Identifierhttp://hdl.handle.net/10722/289767
ISSN
2019 Impact Factor: 12.818
2015 SCImago Journal Rankings: 2.976
PubMed Central ID

 

DC FieldValueLanguage
dc.contributor.authorO'Connell, PJ-
dc.contributor.authorBrown, M-
dc.contributor.authorChan, TM-
dc.contributor.authorClaure-Del Granado, R-
dc.contributor.authorDavies, SJ-
dc.contributor.authorEiam-Ong, S-
dc.contributor.authorHassan, MH-
dc.contributor.authorKalantar-Zadeh, K-
dc.contributor.authorLevin, A-
dc.contributor.authorMartin, DE-
dc.contributor.authorMuller, E-
dc.contributor.authorOssareh, S-
dc.contributor.authorTchokhonelidze, I-
dc.contributor.authorTrask, M-
dc.contributor.authorTwahir, A-
dc.contributor.authorWere, AJO-
dc.contributor.authorYang, CW-
dc.contributor.authorZemchenkov, A-
dc.contributor.authorHarden, PN-
dc.date.accessioned2020-10-22T08:17:11Z-
dc.date.available2020-10-22T08:17:11Z-
dc.date.issued2020-
dc.identifier.citationKidney International Supplements, 2020, v. 10 n. 1, p. e78-e85-
dc.identifier.issn2157-1724-
dc.identifier.urihttp://hdl.handle.net/10722/289767-
dc.description.abstractKidney 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.-
dc.languageeng-
dc.publisherElsevier Inc. The Journal's web site is located at http://www.sciencedirect.com/science/journal/00852538-
dc.relation.ispartofKidney International Supplements-
dc.subjectchronic kidney disease-
dc.subjectintegrated care-
dc.subjectkidney transplantation-
dc.subjectsustainable care-
dc.subjectuniversal health care-
dc.titleThe role of kidney transplantation as a component of integrated care for chronic kidney disease-
dc.typeArticle-
dc.identifier.emailChan, TM: dtmchan@hkucc.hku.hk-
dc.identifier.authorityChan, TM=rp00394-
dc.description.naturelink_to_OA_fulltext-
dc.identifier.doi10.1016/j.kisu.2019.11.006-
dc.identifier.pmid32149012-
dc.identifier.pmcidPMC7031688-
dc.identifier.scopuseid_2-s2.0-85079229400-
dc.identifier.hkuros315893-
dc.identifier.volume10-
dc.identifier.issue1-
dc.identifier.spagee78-
dc.identifier.epagee85-
dc.publisher.placeUnited States-
dc.identifier.issnl2157-1716-

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