Current Management for Patients on the Waiting List of Deceased Donor Kidney Transplantation in Korea.
10.4285/jkstn.2010.24.4.272
- Author:
Kitae BANG
1
;
Myung gyu KIM
;
Nyeonim BYEON
;
Yoonjung KIM
;
Jong Cheol JEONG
;
Han RO
;
Yun Kyu OH
;
Sang il MIN
;
Jongwon HA
;
WonHyun CHO
;
Jaeseok YANG
;
Curie AHN
Author Information
1. Department of Internal Medicine, Eulji University of Medicine, Daejeon, Korea.
- Publication Type:Original Article
- Keywords:
Cadaver donor;
Kidney transplantation;
Waiting lists;
Survey
- MeSH:
Cadaver;
Cardiovascular Diseases;
Dialysis;
Early Detection of Cancer;
Follow-Up Studies;
Hearing;
Humans;
Inflammation;
Kidney;
Kidney Transplantation;
Korea;
Mass Screening;
Prognosis;
Surveys and Questionnaires;
Telephone;
Tissue Donors;
Transplants;
Waiting Lists
- From:The Journal of the Korean Society for Transplantation
2010;24(4):272-283
- CountryRepublic of Korea
- Language:Korean
-
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.
