Department of Internal Medicine, Washington University School of Medicine, St Louis, MO, USA.
Semin Nephrol. 2010 Jan;30(1):90-8. doi: 10.1016/j.semnephrol.2009.10.010.
One potential mechanism for reducing racial/ethnic disparities in the receipt of kidney transplants is to enhance minorities' pursuit of living donor kidney transplantation (LDKT). Pursuit of LDKT is influenced by patients' personal values, their extended social networks, the health care system, and the community at large. This review discusses research and interventions promoting LDKT, especially for minorities, including improving education for patients, donors, and providers, using LDKT kidneys more efficiently, and reducing surgical and financial barriers to transplant. Future directions to increase awareness of LDKT for more racial/ethnic minorities also are discussed including developing culturally tailored transplant education, clarifying transplant-eligibility practice guidelines, strengthening partnerships between community kidney providers and transplant centers, and conducting general media campaigns and community outreach.
减少肾脏移植中种族/民族差异的一个潜在机制是加强少数群体对活体供肾移植（LDKT）的追求。对 LDKT 的追求受到患者个人价值观、其扩展的社交网络、医疗保健系统和整个社区的影响。这篇综述讨论了促进 LDKT 的研究和干预措施，特别是针对少数群体的措施，包括改善患者、供者和提供者的教育，更有效地利用 LDKT 肾脏，以及减少移植的手术和经济障碍。还讨论了增加对更多种族/民族的 LDKT 的认识的未来方向，包括制定文化适应性的移植教育，澄清移植资格实践指南，加强社区肾脏提供者和移植中心之间的伙伴关系，以及开展大众媒体宣传和社区外展活动。
