Nurse Practitioner/Nurse Clinician Adult and Pediatric Dialysis, Albany Medical Center Hospital, Albany, NY.
former Leader of ANNA's Transplant Specialty Practice Network.
Nephrol Nurs J. 2021 Sep-Oct;48(5):481-488.
Despite barriers and disincentives to living kidney donation, a record-setting number of living donor transplants (6,867) were performed in 2019. Additionally, there was a 24% increase in living donor kidney transplants from 2014-2019. These increases are welcome, yet the supply has not kept up with the demand, and the kidney transplant waiting list continues to grow. Innovative solutions are necessary to overcome disincentives to living kidney donation and increase the number of donors. The authors propose changing laws and rules to reimburse donors for all expenses related to donating a kidney; informing them of all the options of donation, including directed, non-directed, paired exchange, remote, and advanced donation; informing them of programs that transplant centers provide, including whether or not the center participates in the National Kidney Registry Donor Shield program; educating each donor about their personal risk; and dispelling misinformation they may have about living kidney donation. Implementing these measures will require a national, standard approach because there is variability between the states in relation to work leave and financial incentives for living donation.
尽管活体肾脏捐赠存在障碍和不利因素，但 2019 年仍创下了活体供者移植（6867 例）的纪录。此外，2014 年至 2019 年，活体供者肾脏移植的数量增加了 24%。这些增长是受欢迎的，但供应仍跟不上需求，肾脏移植等待名单仍在继续增加。需要创新的解决方案来克服活体肾脏捐赠的不利因素，增加供体数量。作者建议修改法律和规则，向捐赠者报销与捐献肾脏相关的所有费用；向他们说明所有的捐赠选择，包括定向、非定向、配对交换、远程和先进捐赠；告知他们移植中心提供的计划，包括中心是否参与国家肾脏登记处捐赠者保护计划；向每位捐赠者介绍他们的个人风险；消除他们对活体肾脏捐赠可能存在的误解。实施这些措施需要采取全国性的标准方法，因为各州在活体捐赠的工作休假和经济激励方面存在差异。
