DocWire News Editors

DocwireNews

Increasing access to kidney transplant for patients with advanced kidney disease has strong public and professional support. Nevertheless, more liberal practices for referral for kidney transplantation may increase the number of patients who are evaluated for transplant but do not receive a kidney. Shared decision making about transplant referral would be supported with a deeper understanding of the implications of being referred for transplant evaluation bit not receiving a kidney.<a href="https://www.washington.edu/">Catherine Butler</a> and colleagues conducted a qualitative analysis of adults referred to a transplant coordinator with no receipt of a kidney. Results of the analysis were reported during a poster session at Kidney Week 2019 in a poster titled Care Practices for Patients with Advanced Kidney Disease Who Were Evaluated for Transplant but Did Not Receive a Kidney.The analysis utilized data from the electronic medical record (EMR) for 148 patients with advanced kidney disease who were referred to the Veterans Affairs Puget Sound Health Care System&rsquo;s transplant coordinator from 2008 to 2018 who did not subsequently receive a kidney during the follow-up period. Patients were followed their death date or January 1, 2018. The researchers conducted an inductive content analysis to determine dominant emergent themes related to transplant evaluation.At the end of follow-up, 71% of the 209 adults evaluated for <a href="https://www.docwirenews.com/docwire-pick/top-kidney-news-from-april-2019/">transplant</a> during the study period had not received a kidney (n=148/209). Analysis of the EMR for this subset of patients revealed three dominate themes: (1) sources of forward momentum in the process of transplant evaluation; patients were commonly referred for transplant evaluation reflexively and the tendency was for the evaluation process to more forward until identification of an absolute contraindication or the patient passively withdrew; (2) the potential for transplant informs other medical decisions; engagement in the evaluation process may have far-reaching effects on other aspects of medical care; and (3) personal responsibility and psychological burden; patients felt personally responsible for their progress through the evaluation process, creating the possibility that the evaluation process could create a significant emotional toll on patients and families.In summary, the researchers said, &ldquo;Most patients evaluated for transplant at our center did not receive a kidney. The evaluation process could be burdensome and emotionally taxing for these patients and their families and could intrude on many other aspects of their care. These findings highlight the potential tradeoffs involved in being evaluated for kidney transplant and argue for engaging patients in a deliberate and shared approach to referral decisions.&rdquo;Source: Butler C, Taylor JS, Reese PP, O&rsquo;Hare AM. Care practices for patients with advanced kidney disease who were evaluated for transplant but did not receive a kidney. Abstract of a poster presented during the American Society of Nephrology Kidney Week 2019 (Abstract TH-PO1150), November 7, 2019, Washington, DC.

MarkAlain Déry, DO

The Significant Danger Measles Pose for Unvaccinated Children

Infectious Disease

Andrew Moreno

Antithrombotic Care in Hemophilia: A Summary of Multi-Organizational Clinical Practice Guidance

Hemophilia

James Tumlin, MD

Joel M. Topf, MD, FACP

Proteinuria Remission With Sparsentan in FSGS

NKF Spring Clinical Meetings 2025

Latest News

Evaluation Process for Transplant Can Be Burdensome

Kidney Transplantation

Increasing access to kidney transplant for patients with advanced kidney disease has strong public and professional support. Nevertheless, more liberal practices for referral ...

About Us

Editorial Policy

Advertising

Contact Us

eNewsletters

Contribute

Career Center

MashupMD

Blood Cancers Today

Cancer Nursing Today

GU Oncology Now

Urban Health Today

Bile Duct Cancer

Colorectal Cancer

Gastroesophageal Cancer

Gastric Cancer

GEP-NETs

GIST

Liver Cancer

Pancreatic Cancer

GI Oncology Now

Anemia

Deep Vein Thrombosis

Essential Thrombocythemia

Immune Thrombocytopenic Purpura

Myelodysplastic Syndromes

Myelofibrosis

Myeloproliferative Neoplasms

Polycythemia Vera

Pulmonary Embolism

Sickle Cell Disease

Thrombocytopenia

Thrombophilia

Thrombosis

Thrombotic Thrombocytopenic Purpura

Venous Thromboembolism

von Willebrand Disease

Heme Today

Acute Kidney Injury

ADPKD

Anemia and Kidney Disease

Chronic Kidney Disease

COVID-19 and Kidney Disease

Diabetes and Hypertension

End-Stage Renal Disease

Gout

Hyperkalemia

IgAN

Metabolic Acidosis

Nephrology Times

HER2 Breast Cancer

HR Breast Cancer

Triple-Negative Breast Cancer

Genetics & Breast Cancer

Breast Cancers Today

Atherosclerotic Disease

Atrial Fibrillation

Heart Failure

Hypertension

Interventional Cardiology

Lipid Management

Practice Tips With Dr. Lichaa

Preventive Cardiology

Stroke

Cardiology

Breast Cancer

Gynecologic Cancer

Head and Neck Cancer

Skin Cancer

Oncology

Sleep

Urology

Diabetes

Ophthalmology

— Demodex Blepharitis

Neurology

Rheumatology

Gastroenterology

Pulmonology

Infectious Diseases

— HIV

Health and Wellness

Lupus

Future of Medicine

Orthopedics

Pharmacology

Career News

More

Conferences

CardioNerds

The Sleep Source With Dr. Morse

Rheumatology Rounds With Dr. Maheswaranathan

Partners

Expert Interviews

Subscribe