Philip J. O'Connell , Mark Brown , Tak Mao Chan , Rolando Claure-Del Granado , Simon J. Davies , Somchai Eiam-Ong , Mohamed H. Hassan , Kamyar Kalantar-Zadeh , Adeera Levin , Dominique E. Martin , Elmi Muller , Shahrzad Ossareh , Irma Tchokhonelidze , Michele Trask , Ahmed Twahir , Anthony J.O. Were , Chih-Wei Yang , Alexander Zemchenkov , Paul N. Harden
{"title":"肾移植作为慢性肾脏疾病综合护理的一个组成部分的作用","authors":"Philip J. O'Connell , Mark Brown , Tak Mao Chan , Rolando Claure-Del Granado , Simon J. Davies , Somchai Eiam-Ong , Mohamed H. Hassan , Kamyar Kalantar-Zadeh , Adeera Levin , Dominique E. Martin , Elmi Muller , Shahrzad Ossareh , Irma Tchokhonelidze , Michele Trask , Ahmed Twahir , Anthony J.O. Were , Chih-Wei Yang , Alexander Zemchenkov , Paul N. Harden","doi":"10.1016/j.kisu.2019.11.006","DOIUrl":null,"url":null,"abstract":"<div><p>Kidney transplant<span><span> provides superior outcomes to dialysis as a treatment for end-stage kidney disease. Therefore, it is essential that </span>kidney transplantation<span><span> 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, </span>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.</span></span></p></div>","PeriodicalId":48895,"journal":{"name":"Kidney International Supplements","volume":"10 1","pages":"Pages e78-e85"},"PeriodicalIF":19.3000,"publicationDate":"2020-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.kisu.2019.11.006","citationCount":"13","resultStr":"{\"title\":\"The role of kidney transplantation as a component of integrated care for chronic kidney disease\",\"authors\":\"Philip J. O'Connell , Mark Brown , Tak Mao Chan , Rolando Claure-Del Granado , Simon J. Davies , Somchai Eiam-Ong , Mohamed H. Hassan , Kamyar Kalantar-Zadeh , Adeera Levin , Dominique E. Martin , Elmi Muller , Shahrzad Ossareh , Irma Tchokhonelidze , Michele Trask , Ahmed Twahir , Anthony J.O. Were , Chih-Wei Yang , Alexander Zemchenkov , Paul N. Harden\",\"doi\":\"10.1016/j.kisu.2019.11.006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Kidney transplant<span><span> provides superior outcomes to dialysis as a treatment for end-stage kidney disease. Therefore, it is essential that </span>kidney transplantation<span><span> 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, </span>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. 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The role of kidney transplantation as a component of integrated care for chronic kidney disease
Kidney 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.
期刊介绍:
Kidney International Supplements is published on behalf of the International Society of Nephrology (ISN) and comes complimentary as part of a subscription to Kidney International. Kidney International Supplements is a peer-reviewed journal whose focus is sponsored, topical content of interest to the nephrology community.