Division of Nephrology, Department of Medicine, McGill University Health Centre, Montreal, Canada.
Research Institute of the McGill University Health Centre, Metabolic Disorders and Complications (MeDiC) Program, Montreal, Canada.
Prog Transplant. 2023 Sep;33(3):242-246. doi: 10.1177/15269248231189879. Epub 2023 Jul 20.
Every year, over 30,000 healthy individuals globally donate a kidney to a patient with kidney failure. These living kidney donors are at higher risk of some medical complications post-donation when compared with matched controls. Although the absolute risk of these complications is low, appropriate long-term care is essential to allow early detection and timely interventions. Some transplant centers follow living donors long-term, but many recommend that donors regularly see a primary care practitioner post-donation. However, primary care is currently not integrated with transplant centers, and the two often work in silos with little to no channels of communication with each other. As this model of care is suboptimal, existing evidence suggests that post-donation care and follow-up are inadequate. We argue for an integrated model of living donor care with stronger continuity and coordination between primary care and transplant centers that are developed with the input of all relevant stakeholders.
每年，全球有超过 30000 名健康个体将肾脏捐赠给肾衰竭患者。与匹配对照相比，这些活体肾脏捐献者在捐赠后出现某些医疗并发症的风险更高。尽管这些并发症的绝对风险较低，但适当的长期护理对于早期发现和及时干预至关重要。一些移植中心对活体供者进行长期随访，但许多中心建议供者在捐赠后定期看初级保健医生。然而，初级保健目前并未与移植中心整合，两者通常各自为政，彼此之间几乎没有沟通渠道。由于这种护理模式并不理想，现有证据表明，捐赠后的护理和随访不足。我们主张建立一个活体供者护理的综合模式，加强初级保健和移植中心之间的连续性和协调性，并且该模式是在所有相关利益攸关方的参与下制定的。
