The Role of an Interdisciplinary Transplant Team on Living Donation Kidney Transplantation Program

Fonouni, Hamidreza; Golriz, Mohammad; Mehrabi, Arianeb; Oweira, Hani; Schmied, Bruno M.; Müller, Sascha; Jarahian, Parvin; Rad, Morva Tahmasbi; Esmaeilzadeh, Majid; Tönshoff, Burkhard; Weitz, Jürgen; Büchler, Markus W.; Zeier, Martin; Schmidt, Jan

doi:10.1016/j.transproceed.2009.12.038

Cited by 26 publications

(17 citation statements)

References 11 publications

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“…3,9 Given the recent substantial technical and medical advances in the field of transplantation, a multidisciplinary team approach to these complex patients is now advocated as the standard of care. 13,14 The interdisciplinary approach can have a dramatic impact on patient outcomes and has been demonstrated to increase the number of living donor transplants, thereby reduce waiting times, as well as decreasing infection rates, episodes of acute rejection, and cold ischemic time. 13,15 These teams often include a urologist, a Surgical representation in Canadian renal transplantation vascular or general surgeon, a nephrologist, and a transplant nurse or coordinator.…”

Section: Discussionmentioning

confidence: 99%

“…13,14 The interdisciplinary approach can have a dramatic impact on patient outcomes and has been demonstrated to increase the number of living donor transplants, thereby reduce waiting times, as well as decreasing infection rates, episodes of acute rejection, and cold ischemic time. 13,15 These teams often include a urologist, a Surgical representation in Canadian renal transplantation vascular or general surgeon, a nephrologist, and a transplant nurse or coordinator. 13 The Royal College of Surgeons of England has advocated the involvement of a urologist with a strong commitment to renal transplant on the transplant team.…”

Section: Discussionmentioning

confidence: 99%

“…13,15 These teams often include a urologist, a Surgical representation in Canadian renal transplantation vascular or general surgeon, a nephrologist, and a transplant nurse or coordinator. 13 The Royal College of Surgeons of England has advocated the involvement of a urologist with a strong commitment to renal transplant on the transplant team.…”

Section: Discussionmentioning

confidence: 99%

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Changing of the guard? A glance at the surgical representation in the Canadian renal transplantation community

McGregor

Bjazevic

Patel

et al. 2016

CUAJ

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Introduction: Renal transplant is the gold standard treatment for end-stage renal disease (ESRD), and the prevalence of both ESRD and renal transplant has been steadily increasing over the past decade. However, involvement of urology in renal transplant has been declining. We examine the current state of urology involvement in renal transplant programs across Canada. Methods: A telephone survey of all surgical transplant centres in Canada was performed. Information regarding the number of transplant surgeons, their individual training background, and their involvement in specific procedures, including open and laparoscopic living donor nephrectomy, deceased donor nephrectomy, and recipient renal transplant were collected. Results: There are 59 Canadian transplant surgeons, including 27 (46%) who completed a urology residency and 32 (54%) with a general surgery background. With regards to procedures performed, 58 (98%) perform recipient renal transplant surgery, 36 (61%) perform laparoscopic donor nephrectomy, and 17 (29%) perform open donor nephrectomy. There was no significant difference in the number of surgeons that perform renal recipient surgery, laparoscopic or open donor nephrectomies, and deceased donor nephrectomies between surgeons of the two different training backgrounds. Conclusions: The role of urology in Canadian renal transplant has declined significantly over the past decade. Given the medical and surgical complexity of renal transplant, along with the growing need for renal transplants, a multidisciplinary team approach is imperative. Strong urology involvement with the transplant team is crucial for optimal care of these complex patients. IntroductionRenal transplantation remains the gold standard treatment for end-stage renal disease (ESRD) worldwide, offering improved survival and quality of life for transplant recipients.1 Here in Canada, a total of 2367 renal transplant surgeries were performed in 2013. 1 The incidence of ESRD, and number of renal transplants performed, has been steadily increasing in Canada since 2003, demonstrating the need for well-trained transplant surgeons.1 Naturally, renal surgery is second nature to the urologist, and historically all aspects of renal transplant surgery were overseen and performed by urologic surgeons.2,3 More recently, there has been a trend towards decreased involvement of urology in all aspects of the renal transplantation process, including the recipient transplant, donor nephrectomy, and the medical management of the recipient.3-6 However, limited data currently exists regarding the current environment of renal transplant in Canada. To gain a better idea of the current involvement of urology in the Canadian transplant arena, we performed a poll of all Canadian transplant programs to determine what surgical subspecialties were performing the transplant surgeries and to see if their involvement varied between the various components of the transplant process. MethodsFollowing approval from the University of Manitoba ethics review board, ...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Changing of the guard? A glance at the surgical representation in the Canadian renal transplantation community

McGregor

Bjazevic

Patel

et al. 2016

CUAJ

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“…27 It has been reported many times that the results of kidney transplant from living donors are more satisfactory than from deceased donors. [28][29][30][31][32][33][34] Because most of the PKD subtypes are genetic diseases, living relatives may avoid donating a kidney because of fear of a future appearance of polycystic disease. The rate of kidney transplants from living donors in patients with PKD was lower than the total rate of living-donor kidney transplant in our kidney transplant program (21% vs 36%).…”

Section: Discussionmentioning

confidence: 99%

Untitled

Mehrabi

Golriz

Maier

et al. 2015

Exp Clin Transplant

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27%). In deceased-donor versus living-donor transplant recipients, surgical complications included arterial stenosis (1% vs 0%), venous thrombosis (1% vs 0%), urine leakage (0.5% vs 1.9%), ureteral stenosis (0.5% vs 0%), reflux (0% vs 1.9%), lymphocele (11.7% vs 8.1%), and hernia (5.2% vs 8.1%), with no statistically significant differences shown between the groups. The living-donor group had graft and patient survival rates as high as the deceased-donor group. Conclusions: The low rate of morbidity and excellent survival rates make kidney transplant an excellent option for patients with polycystic kidney disease. Although fear of future appearance of polycystic kidney disease may reduce the rate of related living donors, our study showed that graft and patient survival rates in the living-donor group were as high as in the deceased-donor group.

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“…7). Durch die Etablierung eines interaktiven interdisziplinären Transplantationsteams [13] konnte in den letzten Jahren an unserer Klinik die Zahl der Lebendspende-NTPLs signifikant gesteigert werden (. Abb.…”

Section: Diskussionunclassified

Lebendspende-Nierentransplantation

Mehrabi

Fonouni

Golriz

et al. 2010

Chirurg

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Due to the existing organ shortage the option of a kidney transplantation (KTx) in patients with end-stage renal disease is not always possible despite the offer of this therapy. So far the required number of KTx could not be adequately achieved by organ donations from deceased persons. To solve this problem living donation KTx programs have already become established in many transplantation centers. In published reports it has been shown that with the living donation program better results could be achieved in terms of graft function and patient survival compared to cadaver donation KTx. Therefore, living donation KTx allows an optimal alternative to expand the organ pool. The aim of our study is to present the long-term results of our living donation KTx program regarding graft function and patient survival. Finally, the risks of living donation KTx will be discussed based on the reported experiences of other centers.

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The Role of an Interdisciplinary Transplant Team on Living Donation Kidney Transplantation Program

Cited by 26 publications

References 11 publications

Changing of the guard? A glance at the surgical representation in the Canadian renal transplantation community

Changing of the guard? A glance at the surgical representation in the Canadian renal transplantation community

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Lebendspende-Nierentransplantation

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