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Living Kidney Donation: Best Practices in Evaluation, Care and Follow-up

Editat de Krista L. Lentine, Beatrice P. Concepcion, Edgar V. Lerma
en Limba Engleză Hardback – 6 mar 2021
This book provides a complete guide to the evaluation, care, and follow-up of living kidney donors. Living donor kidney transplantation is established as the best treatment option for kidney failure. However, despite the tremendous benefits of living donation to recipients and society, the outcomes and optimal care of donors themselves have received relatively less attention. Fortunately, things are changing – including recent landmark developments in living donor risk assessment, policy and guidance.  
This volume offers authoritative, evidence-based guidance on the full range of clinical scenarios encountered in the evaluation and care of living kidney donors. The approach to key elements of risk assessment, ethical considerations and informed consent is accompanied by recommendations for patient-centered care before, during, and after donation.  Advocacy initiatives and policies to remove disincentives to donation and advance a defensible system of practice are also discussed. 
General and transplant nephrologists, as well as related allied health professionals, can look to this book as a comprehensive resource addressing contemporary clinical topics in the practice of living kidney donation.

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Specificații

ISBN-13: 9783030536176
ISBN-10: 3030536173
Pagini: 378
Ilustrații: XXIV, 378 p. 49 illus., 42 illus. in color.
Dimensiuni: 155 x 235 mm
Greutate: 0.87 kg
Ediția:1st ed. 2021
Editura: Springer International Publishing
Colecția Springer
Locul publicării:Cham, Switzerland

Cuprins

Introduction
•Organ shortage
•Benefits to recipients of LKDT
•Ethical foundation of donor autonomy within boundaries of ‘acceptable risk’
•Brief mention of Peter Reese work on ‘harms’ that may results from declining a donor candidate
•Landscape of living donation - Epidemiology, trends 
 
Informed Consent and Framework for Care
•Core principles and processes of informed consent
•Overview of the Living Donor Care Team - Roles & Responsibilities
 
Medical Evaluation
•GFR, Albuminuria, Hematuria
•Renal anatomy, Nephrolithiasis
•Blood pressure
•Metabolic
•Cancer
•Infections
•Genetics - ADPKD, ApoL1, and other less common 
•Peri-operative screening
 
Compatibility, Paired Donation, and Incompatible Living Donor Transplants
 
Psychosocial Evaluation
 
Risk Assessment 
•New risk calculators for donor ESRD (Grams ‘predonation’, Massie ‘postdonation’)
•New tools for recipient outcomes based on LD characteristics

•Pregnancy-related risks and counseling

 
Surgical Approaches 
•Comparative data on outcomes, recovery, pain, cosmesis as per the surgical trials.
 
Follow-up Care
 
Policy & Ethics
•Core Ethical Tenets & Unacceptable practices.  
•‘Incentives’/paying donors (can be brief – Declaration of Istanbul, note as illegal and most countries, etc)
•Donor Candidate identification (including emerging approaches like Social Media)
•Non-directed donors
•International donors
•Disparities in access to LKDT and strategies to less
•Mitigating barriers/disincentives to living donation – including Financial, Educational/SES/health literacy-related, etc)
 

Notă biografică

Krista L. Lentine, MD, PhD
Professor of Medicine
Mid-America Transplant/Jane A. Beckman Endowed Chair in Transplantation
Division of Nephrology / Center for Abdominal Transplantation
Saint Louis University School of Medicine
St. Louis, MO, USA
 
Beatrice P. Concepcion, MD

Assistant Professor of Medicine

Department of Medicine
Division of Nephrology and Hypertension
Vanderbilt University Medical Center
Nashville, TN, USA
 
Edgar V. Lerma, MD 
Clinical Professor of Medicine

Department of Medicine

Section of Nephrology
Department of Medicine
University of Illinois at Chicago College of Medicine/ 
Associates in Nephrology, S.C.
Chicago, IL, USA
 

Textul de pe ultima copertă

This book provides a complete guide to the evaluation, care, and follow-up of living kidney donors. Living donor kidney transplantation is established as the best treatment option for kidney failure. However, despite the tremendous benefits of living donation to recipients and society, the outcomes and optimal care of donors themselves have received relatively less attention. Fortunately, things are changing – including recent landmark developments in living donor risk assessment, policy and guidance.  
This volume offers authoritative, evidence-based guidance on the full range of clinical scenarios encountered in the evaluation and care of living kidney donors. The approach to key elements of risk assessment, ethical considerations and informed consent is accompanied by recommendations for patient-centered care before, during, and after donation.  Advocacy initiatives and policies to remove disincentives to donation and advance a defensible system of practice are also discussed. 
General and transplant nephrologists, as well as related allied health professionals, can look to this book as a comprehensive resource addressing contemporary clinical topics in the practice of living kidney donation.
 

Caracteristici

Provides authoritative, evidence-based guidelines in the evaluation and care of living kidney donors
Offers key elements of assessment, consent and recommendations for optimal care before, during, and after donation
Includes recently published KDIGO clinical guidelines related to transplantation and donor evaluation

Descriere

This book provides a complete guide to the evaluation, care, and follow-up of living kidney donors. Living donor kidney transplantation is established as the best treatment option for kidney failure. However, despite the tremendous benefits of living donation to recipients and society, the outcomes and optimal care of donors themselves have received relatively less attention. Fortunately, things are changing – including recent landmark developments in living donor risk assessment, policy and guidance.  
This volume offers authoritative, evidence-based guidance on the full range of clinical scenarios encountered in the evaluation and care of living kidney donors. The approach to key elements of risk assessment, ethical considerations and informed consent is accompanied by recommendations for patient-centered care before, during, and after donation.  Advocacy initiatives and policies to remove disincentives to donation and advance a defensible system of practice are also discussed. 
General and transplant nephrologists, as well as related allied health professionals, can look to this book as a comprehensive resource addressing contemporary clinical topics in the practice of living kidney donation.