Re: Consensus Conference on Best Practices in Live Kidney Donation: Recommendations to Optimize Education, Access, and Care

Re: Consensus Conference on Best Practices in Live Kidney Donation: Recommendations to Optimize Education, Access, and Care

Urological Survey Renal Transplantation and Renovascular Hypertension Re: Consensus Conference on Best Practices in Live Kidney Donation: Recommendati...

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Urological Survey Renal Transplantation and Renovascular Hypertension Re: Consensus Conference on Best Practices in Live Kidney Donation: Recommendations to Optimize Education, Access, and Care D. LaPointe Rudow, R. Hays, P. Baliga, D. J. Cohen, M. Cooper, G. M. Danovitch, M. A. Dew, E. J. Gordon, D. A. Mandelbrot, S. McGuire, J. Milton, D. R. Moore, M. Morgievich, J. D. Schold, D. L. Segev, D. Serur, R. W. Steiner, J. C. Tan, A. D. Waterman, E. Y. Zavala and J. R. Rodrigue Recanati Miller Transplantation Institute, Mount Sinai Medical Center, New York, New York Am J Transplant 2015; 15: 914e922.

Abstract for this article http://dx.doi.org/10.1016/j.juro.2015.07.001 available at http://jurology.com/ Editorial Comment: While living kidney donation (LKD) is recognized as the optimal treatment for those needing renal replacement therapy, the numbers of living kidney donor transplants have been in decline for a decade. Donor characteristics have changed, reflecting a significant increase in nonrelated donors from a broader social network. Finally, there is wide variability in the application of LKD between programs. This study suggests that the transplant community take a fresh look at LKD practice and processes. A consensus conference of thought leaders was held in 2014 in collaboration with the Living Donor Community of Practice of the American Society of Transplantation to update best practices in living donor transplantation. The 5 domains of review included transplant candidate/living donor kidney transplant educational processes, potential living donor educational processes, strategies to optimize educational efficiencies in living kidney donor evaluation, strategies to reduce disparities in LKD and strategies to decrease systematic barriers in LKD. This article is a must read for urologists performing LKDs. This document can be a springboard for programmatic improvement and enhancement of the use of living donor kidney transplantation. David A. Goldfarb, MD

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http://dx.doi.org/10.1016/j.juro.2015.07.001 Vol. 194, 1062, October 2015 Printed in U.S.A.