肾切除术后 3 年以上的活体供肾者的医疗保健随访。
Health care follow-up by live kidney donors more than three yr post-nephrectomy.
机构信息
Renal and Pancreas Transplant Division and Division of Nephrology, Department of Medicine, Saint Barnabas Medical Center, Livingston, NJ 07039, USA.
出版信息
Clin Transplant. 2012 May-Jun;26(3):E300-6. doi: 10.1111/j.1399-0012.2012.01660.x.
BACKGROUND
Live kidney donors are advised to follow up regularly with healthcare providers to monitor kidney function and to diagnose and treat relevant comorbidities. We sought to determine the frequency and correlates of follow-up care among live kidney donors.
METHODS
We sent a mailed questionnaire to 606 live kidney donors from a single center who were at least three yr post-nephrectomy.
RESULTS
We received usable responses from 276 (45.5%), at a median of 6.2 yr post-donation. Compared with non-responders, responding donors were more likely to be older (p < 0.001), female (p = 0.002), white (p < 0.001), and married to the recipient (p < 0.001). In the prior year, 87.7% of respondents reported seeing a physician or other healthcare professional, and 79.0% had seen a "general doctor" such as their primary care provider. In univariable analyses of live kidney donors who responded to our survey, lack of medical follow-up in the past year was associated with younger age, current lack of health insurance, and infrequent contact with the transplant recipient.
CONCLUSIONS
Most responding live kidney donors had seen a healthcare provider within the past year. To improve donors' follow-up, transplant centers can consider targeting donors who are younger or lack health insurance.
背景
活体肾捐献者被建议定期向医疗保健提供者进行随访，以监测肾功能，并诊断和治疗相关的合并症。我们旨在确定活体肾捐献者随访护理的频率和相关因素。
方法
我们向来自单个中心的 606 名至少术后 3 年的活体肾捐献者发送了一份邮寄问卷。
结果
我们收到了 276 份（45.5%）可用的回复，中位数为捐赠后 6.2 年。与未回复者相比，回复者更有可能年龄较大（p < 0.001）、女性（p = 0.002）、白人（p < 0.001）和与受者结婚（p < 0.001）。在过去的一年中，87.7%的受访者表示看过医生或其他医疗保健专业人员，79.0%的人看过“普通医生”，如他们的初级保健提供者。在对我们调查中回复的活体肾捐献者进行的单变量分析中，过去一年缺乏医疗随访与年龄较小、当前缺乏健康保险和与移植受者接触不频繁有关。
结论
大多数有回应的活体肾捐献者在过去一年中都看过医疗保健提供者。为了改善捐献者的随访，移植中心可以考虑针对年龄较小或缺乏健康保险的捐献者。
Zotero 插件