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Characteristics and Evaluation of Geographically Distant vs Geographically Nearby Living Kidney Donors.
Weng, F L; Lee, D C; Dhillon, N; Tibaldi, K N; Davis, L A; Patel, A M; Goldberg, R J; Morgievich, M; Mulgaonkar, S.
Afiliação
  • Weng FL; Renal and Pancreas Transplant Division, Saint Barnabas Medical Center, Livingston, New Jersey, USA; Rutgers School of Public Health, Department of Epidemiology, Piscataway, New Jersey, USA. Electronic address: fweng@barnabashealth.org.
  • Lee DC; Ronald O. Perelman Department of Emergency Medicine, New York University School of Medicine, New York, New York, USA; Department of Population Health, New York University School of Medicine, New York, New York, USA.
  • Dhillon N; Renal and Pancreas Transplant Division, Saint Barnabas Medical Center, Livingston, New Jersey, USA.
  • Tibaldi KN; Renal and Pancreas Transplant Division, Saint Barnabas Medical Center, Livingston, New Jersey, USA.
  • Davis LA; Renal and Pancreas Transplant Division, Saint Barnabas Medical Center, Livingston, New Jersey, USA.
  • Patel AM; Renal and Pancreas Transplant Division, Saint Barnabas Medical Center, Livingston, New Jersey, USA.
  • Goldberg RJ; Renal and Pancreas Transplant Division, Saint Barnabas Medical Center, Livingston, New Jersey, USA.
  • Morgievich M; Renal and Pancreas Transplant Division, Saint Barnabas Medical Center, Livingston, New Jersey, USA.
  • Mulgaonkar S; Renal and Pancreas Transplant Division, Saint Barnabas Medical Center, Livingston, New Jersey, USA.
Transplant Proc ; 48(6): 1934-9, 2016.
Article em En | MEDLINE | ID: mdl-27569925
BACKGROUND: Living donor kidney transplant (LDKT) can be impeded by multiple barriers. One possible barrier to LDKT is a large physical distance between the living donor's home residence and the procuring transplant center. METHODS: We performed a retrospective, single-center study of living kidney donors in the United States who were geographically distant (residing ≥150 miles) from our transplant center. Each distant donor was matched to 4 geographically nearby donors (<150 miles from our center) as controls. RESULTS: From 2007 to 2010, of 429 live kidney donors, 55 (12.8%) were geographically distant. Black donors composed a higher proportion of geographically distant vs nearby donors (34.6% vs 15.5%), whereas Hispanic and Asian donors composed a lower proportion (P = .001). Distant vs nearby donors had similar median times from donor referral to actual donation (165 vs 161 days, P = .81). The geographically distant donors lived a median of 703 miles (25% to 75% range, 244 to 1072) from our center and 21.2 miles (25% to 75% range, 9.8 to 49.7) from the nearest kidney transplant center. The proportion of geographically distant donors who had their physician evaluation (21.6%), psychosocial evaluation (21.6%), or computed tomography angiogram (29.4%) performed close to home, rather than at our center, was low. CONCLUSIONS: Many geographically distant donors live close to transplant centers other than the procuring transplant center, but few of these donors perform parts of their donor evaluation at these closer centers. Black donors comprise a large proportion of geographically distant donors. The evaluation of geographically distant donors, especially among minorities, warrants further study.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transplante de Rim / Doadores Vivos / Doação Dirigida de Tecido Tipo de estudo: Observational_studies Limite: Adult / Female / Humans / Male / Middle aged País como assunto: America do norte Idioma: En Ano de publicação: 2016 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Transplante de Rim / Doadores Vivos / Doação Dirigida de Tecido Tipo de estudo: Observational_studies Limite: Adult / Female / Humans / Male / Middle aged País como assunto: America do norte Idioma: En Ano de publicação: 2016 Tipo de documento: Article