Recanati Miller Transplantation Institute, Mount Sinai Hospital, New York City, New York.
Department of Population Health Science and Policy, Mount Sinai Hospital, New York City, New York.
Clin Transplant. 2019 Feb;33(2):e13471. doi: 10.1111/ctr.13471. Epub 2019 Jan 20.
Candidates for living donor kidney transplantation (LDKT) find it difficult to discuss living donation with people in their social network, and there is a lack of useful interventions to train them. The Kidney Coach Program (KCP) was developed to equip individuals (advocates for candidates and candidate themselves) with the tools needed to find potential donors. The purpose of this pilot study is to evaluate the effects of the KCP on increasing the number of people considering living donation.
Candidates for the KCP were recruited. Data were collected on the number of live donor inquiries in the coach group compared to listed patients (historical controls).
Over a 12-month period, 20 transplant candidates enrolled in the KCP were compared to 50 controls. Eighty percent of the participants in the KCP had at least one donor inquiry compared to 38% of controls (P = 0.001). Significantly, more Caucasian candidates participated in the KCP compared to other racial groups.
The KCP can be an effective method to increase awareness of a patient's need for LDKT. Existing clinical staff successfully implemented the program. Transplant programs should provide training to candidates and their supports on effective ways to find a living donor.
目的：评估 Kidney Coach Program（KCP）在增加考虑活体捐赠人数方面的效果。
方法：招募 KCP 的候选者。比较教练组中的活体捐赠询问数量与列出的患者（历史对照）。
结果：在 12 个月的时间里，20 名 KCP 候选者与 50 名对照者进行了比较。与对照组的 38%相比，KCP 组的 80%的参与者有至少一个捐赠询问（P = 0.001）。值得注意的是，与其他种族群体相比，更多的白人候选者参加了 KCP。
结论：KCP 可能是提高患者对活体供肾移植需求的有效方法。现有临床工作人员成功实施了该方案。移植项目应为候选者及其支持人员提供寻找活体供者的有效方法的培训。
