Current Management for Patients on the Waiting List of Deceased Donor Kidney Transplantation in Korea / 대한이식학회지
The Journal of the Korean Society for Transplantation
;
: 272-283, 2010.
Article
in Korean
| WPRIM
| ID: wpr-86050
ABSTRACT
BACKGROUND:
Health maintenance and monitoring of transplant candidates, the great majority of whom are undergoing chronic dialysis, can be a determinant of post-transplant prognosis. New issues such as malignancy, inflammation, cardiovascular disease, and psychosocial problems might arise among potential recipients, which may lead to cancellation of the transplantation.METHODS:
A questionnaire, including questions regarding follow-up monitoring, was sent to 66 transplant centers, and responses to the survey were obtained from 35 centers (53%). A similar questionnaire was sent to 217 wait-listed patients, and 164 (76%) responded.RESULTS:
Regular contact between the transplant center and patients was maintained by only 37% of the centers. No consistent pattern of contact was observed for 11%. Sixty percent of the centers monitored patients by telephone. Three-fourths of the transplant centers monitored their patients annually or every 6 months. A cancer screening program was run by only 17% of the centers, and 29% did not routinely request cardiac screening. Most centers (83%) informed their patients of the features of marginal kidneys. However, many patients (69%) reported not hearing about marginal kidneys, and 43% indicated that a cadaver transplant was cancelled because of a cadaver donor problem.CONCLUSIONS:
Our survey indicates that the necessity for routine follow-up monitoring is broadly recognized by 86% of transplant centers and 78% of wait-listed patients However, no formal monitoring guidelines currently exist for wait-listed patients in Korea. Therefore, guidelines are absolutely necessary for improving the quality of post-transplant life.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Telephone
/
Tissue Donors
/
Cadaver
/
Cardiovascular Diseases
/
Mass Screening
/
Surveys and Questionnaires
/
Follow-Up Studies
/
Waiting Lists
/
Kidney Transplantation
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
/
Qualitative research
/
Screening study
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
The Journal of the Korean Society for Transplantation
Year:
2010
Type:
Article
Similar
MEDLINE
...
LILACS
LIS