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Decision Aids to Increase Living Donor Kidney Transplantation

  • Live Kidney Donation (K Lentine, Section Editor)
  • Published:
Current Transplantation Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

For the more than 636,000 adults with end-stage renal disease (ESRD) in the USA, kidney transplantation is the preferred treatment compared to dialysis. Living donor kidney transplantation (LDKT) comprised 31% of kidney transplantations in 2015, an 8% decrease since 2004. We aimed to summarize the current literature on decision aids that could be used to improve LDKT rates.

Recent Findings

Decision aids are evidence-based tools designed to help patients and their families make difficult treatment decisions. LDKT decision aids can help ESRD patients, patients’ family and friends, and healthcare providers engage in treatment decisions and thereby overcome multifactorial LDKT barriers.

Summary

We identified 12 LDKT decision aids designed to provide information about LDKT, and/or to help ESRD patients identify potential living donors, and/or to help healthcare providers make decisions about treatment for ESRD or living donation. Of these, four were shown to be effective in increasing LDKT, donor inquiries, LDKT knowledge, and willingness to discuss LDKT. Although each LDKT decision aid has limitations, adherence to decision aid development guidelines may improve decision aid utilization and access to LDKT.

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Authors and Affiliations

  1. Department of Surgery, Division of Transplantation, Emory University, Atlanta, GA, USA

    Jennifer C. Gander & Rachel E. Patzer

  2. Department of Surgery, Division of Transplantation, and Center for Healthcare Studies, and Center for Bioethics and Medical Humanities, Northwestern University Feinberg School of Medicine, Chicago, IL, USA

    Elisa J. Gordon

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  1. Jennifer C. Gander
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  2. Elisa J. Gordon
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  3. Rachel E. Patzer
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Correspondence to Rachel E. Patzer.

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Conflict of Interest

Jennifer Gander and Elisa Gordon declare no conflict of interest.

Rachel Patzer reports development of the iChoose Kidney tool, which is one of the decision aids described in this review article.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Live Kidney Donation

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Gander, J.C., Gordon, E.J. & Patzer, R.E. Decision Aids to Increase Living Donor Kidney Transplantation. Curr Transpl Rep 4, 1–12 (2017). https://doi.org/10.1007/s40472-017-0133-1

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