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Dynamic challenges inhibiting optimal adoption of kidney paired donation: findings of a consensus conference.
Melcher, M L; Blosser, C D; Baxter-Lowe, L A; Delmonico, F L; Gentry, S E; Leishman, R; Knoll, G A; Leffell, M S; Leichtman, A B; Mast, D A; Nickerson, P W; Reed, E F; Rees, M A; Rodrigue, J R; Segev, D L; Serur, D; Tullius, S G; Zavala, E Y; Feng, S.
Affiliation
  • Melcher ML; Department of Surgery, Stanford University, Stanford, CA.
  • Blosser CD; Department of Internal Medicine, University of Iowa, Iowa City, IA.
  • Baxter-Lowe LA; Department of Surgery, UCSF, San Francisco, CA.
  • Delmonico FL; Department of Surgery, Massachusetts General Hospital, Boston, MA.
  • Gentry SE; New England Organ Bank, Boston, MA.
  • Leishman R; Department of Mathematics, U.S. Naval Academy, Annapolis, MD.
  • Knoll GA; United Network of Organ Sharing, Richmond, VA.
  • Leffell MS; Department of Medicine, Ottawa Hospital, Ottawa, ON.
  • Leichtman AB; Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
  • Mast DA; Department of Internal Medicine, University of Michigan, Ann Arbor, MI.
  • Nickerson PW; Stanford Hospital and Clinics, Palo Alto, CA.
  • Reed EF; Department of Internal Medicine, University of Manitoba, Winnipeg, MB.
  • Rees MA; Department of Pathology, University of California Los Angeles, Los Angeles, CA.
  • Rodrigue JR; Department of Urology & Pathology, University of Toledo Medical Center, Toledo, OH.
  • Segev DL; Transplant Institute, Beth Israel Deaconess Medical School, Boston, MA.
  • Serur D; Department of Surgery, Johns Hopkins University, Baltimore, MD.
  • Tullius SG; Department of Surgery, Cornell University, New York, NY.
  • Zavala EY; Department of Surgery, Brigham & Women's Hospital Harvard University, Boston, MA.
  • Feng S; Department of Surgery, Vanderbilt University Medical Center, Nashville, TN.
Am J Transplant ; 13(4): 851-860, 2013 Apr.
Article in En | MEDLINE | ID: mdl-23398969
ABSTRACT
While kidney paired donation (KPD) enables the utilization of living donor kidneys from healthy and willing donors incompatible with their intended recipients, the strategy poses complex challenges that have limited its adoption in United States and Canada. A consensus conference was convened March 29-30, 2012 to address the dynamic challenges and complexities of KPD that inhibit optimal implementation. Stakeholders considered donor evaluation and care, histocompatibility testing, allocation algorithms, financing, geographic challenges and implementation strategies with the goal to safely maximize KPD at every transplant center. Best practices, knowledge gaps and research goals were identified and summarized in this document.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Kidney Transplantation / Living Donors / Donor Selection / Renal Insufficiency Type of study: Diagnostic_studies / Guideline / Prognostic_studies Limits: Humans Country/Region as subject: America do norte Language: En Journal: Am J Transplant Year: 2013 Document type: Article
Fulltext
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PubMed Links
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Kidney Transplantation / Living Donors / Donor Selection / Renal Insufficiency Type of study: Diagnostic_studies / Guideline / Prognostic_studies Limits: Humans Country/Region as subject: America do norte Language: En Journal: Am J Transplant Year: 2013 Document type: Article