Practical Approaches to Mitigating Economic Barriers to Living Kidney Donation for Patients and Programs

AbstractPurposeLive donor kidney transplantation has superior outcomes to deceased donor transplantation; however, the number of living kidney donors continues to decrease in the USA. This is in part attributed to economic barriers.Recent FindingsThe significant economic barriers that exist include out-of-pocket expenses, loss or increased costs of insurability, and potential loss of employment. This paper describes the economic barriers to living kidney donation and national, local, and private sector initiatives needed to alleviate these barriers.SummaryOngoing attention to economic barriers is needed including improvement in reimbursement for travel, a process for coverage of lost wages and civil protection so that healthy willing donors may proceed with their desire to be a living kidney donor.
Source: Current Transplantation Reports - Category: Transplant Surgery Source Type: research

Related Links:

Surgeons at the Cleveland Clinic managed to implant a donor kidney into a patient using a surgical robot, and all through one small incision. The technique, in which instruments as well as the donor kidney can be passed through a four centimeter (1.6...
Source: Medgadget - Category: Medical Devices Authors: Tags: Surgery Urology Source Type: blogs
ConclusionsMarked differences in risk for ESKD across types of donor-recipient relationship were observed for Asian, black, and white donors. These findings warrant further validation with more robust data to better inform clinical practice guidelines.
Source: American Journal of Kidney Diseases - Category: Urology & Nephrology Source Type: research
We report on the prespecified secondary outcome, echocardiographic indexes of LV function, from a previously reported study of the effect of lung ultrasound (US)-guided dry weight reduction on systolic blood pressure.Study DesignSingle-blind randomized trial.Settings &Participants71 clinically euvolemic hypertensive hemodialysis patients in Greece and Slovenia.InterventionThe active intervention group’s (n = 35) volume removal was guided by the total number of lung US B-lines observed every week before a midweek dialysis session. The usual-care group (n = 36) was treated using standard-of-care...
Source: American Journal of Kidney Diseases - Category: Urology & Nephrology Source Type: research
No abstract available
Source: Annals of Surgery - Category: Surgery Tags: SURGICAL PERSPECTIVES Source Type: research
TUESDAY, Nov. 12, 2019 -- Among identical-twin kidney transplants, patient and kidney graft survival rates are excellent, according to a study published online Oct. 9 in the American Journal of Transplantation. Dana R. Jorgensen, Ph.D., M.P.H., from...
Source: Drugs.com - Pharma News - Category: Pharmaceuticals Source Type: news
Should hepatitis C-infected kidneys be transplanted into uninfected recipients as standard practice? This editorial explores the issues.American Journal of Transplantation
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Transplantation Journal Article Source Type: news
To optimize strategies that mitigate the risk of graft loss associated with HLA incompatibility, we evaluated whether sequence defined HLA targets (eplets) that result in donor-specific antibodies are associated with transplant outcomes. To define this, we fit multivariable Cox proportional hazard models in a cohort of 118 382 United States first kidney transplant recipients to assess risk of death-censored graft failure by increments of ten antibody-verified eplet mismatches. To verify robustness of our findings, we conducted sensitivity analysis in this United States cohort and assessed the role of antibody-verified eple...
Source: Kidney International - Category: Urology & Nephrology Authors: Tags: Clinical Investigation Source Type: research
ConclusionsBased upon currently available evidence in observational studies, 30% lower risk of BPAR was observed in ER-Tac group compared with IR-Tac group at 12  months post-KT, while there was no significant difference in BPAR risk at any other studied time points. No differences in graft- and patient-survival rates and kidney function were found. Given the limitations of observational studies to make causal inference, as well as quality limitations among the included studies, caution should be exercised in interpreting these findings.
Source: Drugs - Category: Drugs & Pharmacology Source Type: research
Conference abstracts
Source: The Aspergillus Website - updates - Category: Respiratory Medicine Authors: Source Type: news
In conclusion, high-dose NR induces the onset of WAT dysfunction, which may in part explain the deterioration of metabolic health. Towards a Rigorous Definition of Cellular Senescence https://www.fightaging.org/archives/2019/11/towards-a-rigorous-definition-of-cellular-senescence/ The accumulation of lingering senescent cells is a significant cause of aging, disrupting tissue function and generating chronic inflammation throughout the body. Even while the first senolytic drugs capable of selectively destroying these cells already exist, and while a number of biotech companies are working on the productio...
Source: Fight Aging! - Category: Research Authors: Tags: Newsletters Source Type: blogs
More News: Employment | Kidney Transplant | Kidney Transplantation | Salaries | Transplant Surgery | Transplants | Urology & Nephrology