The need for a living donor wellness program.

Abstract:

PURPOSE OF REVIEW:Living donation has a tremendous impact in bridging the gap between the shortage of organs and the growing list of transplant candidates but remains underutilized as a percentage of total transplants performed. This review focuses on obesity and social determinants of health as potential barriers to the expansion of living kidney donation. RECENT FINDINGS:The growing rate of obesity and associated metabolic syndrome make many potential donors unacceptable as donor candidates because of the future risk for developing chronic health conditions, such as hypertension and diabetes. There is also increasing evidence demonstrating socioeconomic differences and racial disparities potentially limit access to living donation in certain populations. These potentially modifiable factors are not exclusive of each other and together serve as significant contributing factors to lower rates of living donation. SUMMARY:Living donors make sacrifices to provide the gift of life to transplant recipients, despite the potential risks to their own health. Studies describing risk factors to living donation call attention to the overall need for more action to prioritize and promote the health and well being of living donors.

authors

Kim J,Kim S,Genyk Y,Maw TT

doi

10.1097/MOT.0000000000000779

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

311-315

issue

4

eissn

1087-2418

issn

1531-7013

journal_volume

25

pub_type

杂志文章,评审
  • Macrophages: contributors to allograft dysfunction, repair, or innocent bystanders?

    abstract:PURPOSE OF REVIEW:Macrophages are members of the innate immune response. However, their role in the adaptive immune response is not known. The purpose of this review is to highlight our current understanding of macrophage structure and function and how they may participate in allograft injury. RECENT FINDINGS:Studies ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32834ee5b6

    authors: Mannon RB

    更新日期:2012-02-01 00:00:00

  • Antibody-mediated rejection of the cardiac allograft: where do we stand in 2012?

    abstract:PURPOSE OF REVIEW:The review will discuss the current pathological criteria for the diagnosis and classification of antibody-mediated rejection (AMR) in the cardiac allograft. RECENT FINDINGS:Until recently, the diagnosis of AMR required clinical dysfunction, presence of donor specific antibodies and pathological alte...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e328353660f

    authors: Berry GJ

    更新日期:2012-06-01 00:00:00

  • The high-end range of biliary reconstruction in living donor liver transplant.

    abstract:PURPOSE OF REVIEW:To summarize recent evidence in literature regarding incidence and risk factors for biliary complications in living donor liver transplantation (LDLT), and current concepts in evaluation of donor biliary anatomy and surgical techniques of biliary reconstruction, to reduce the incidence of biliary comp...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000693

    authors: Bhangui P,Saha S

    更新日期:2019-10-01 00:00:00

  • The parallel paradigm between intestinal transplant inflammation and inflammatory bowel disease.

    abstract:PURPOSE OF REVIEW:A significant shift in our understanding of the molecular and cellular basis for inflammatory bowel disease (IBD) mirrors research that has been ongoing in intestinal transplantation. The blurring of lines between these two disease states creates an avenue into potential therapeutic interventions whic...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000615

    authors: Belyayev L,Loh K,Fishbein TM,Kroemer A

    更新日期:2019-04-01 00:00:00

  • Everolimus in pediatric transplantation.

    abstract:PURPOSE OF REVIEW:The use of everolimus has recently emerged for solid-organ transplantation in children. This review gives an overview of the relevant studies and clinical trials involving the immunosuppressive effects of everolimus in child organ transplant. RECENT FINDINGS:The use of everolimus in pediatric organ t...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e328356b080

    authors: Pape L,Ganschow R,Ahlenstiel T

    更新日期:2012-10-01 00:00:00

  • Pathology of C4d-negative antibody-mediated rejection in renal allografts.

    abstract:PURPOSE OF REVIEW:To summarize current evidence supporting the existence of C4d-negative antibody-mediated rejection (AMR) in renal allografts, its potential to cause chronic graft injury, and whether histopathologic features of C4d-negative AMR differ from those of C4d-positive AMR. RECENT FINDINGS:Recently published...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32835d4daf

    authors: Haas M

    更新日期:2013-06-01 00:00:00

  • Psychiatric evaluation of the face transplant candidate.

    abstract:PURPOSE OF REVIEW:There have now been a total of 32 face transplants done in the world since the first in Amien, France, in 2005. This procedure is moving from being considered experimental to being considered an accepted option for reconstruction in cases of severe facial disfigurement. RECENT FINDINGS:There have bee...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000168

    authors: Coffman KL

    更新日期:2015-04-01 00:00:00

  • Immune monitoring in small bowel transplantation.

    abstract:PURPOSE OF REVIEW:Immune monitoring is needed in small bowel transplantation (SBTx) because of a high incidence of rejection and graft loss, and life-threatening complications of high-dose prophylactic immunosuppression. RECENT FINDINGS:Clinical tests relevant to SBTx include methods to detect antidonor human leukocyt...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e328339489c

    authors: Sindhi R,AshokKumar C,Mazariegos G,Nayyar N,Ningappa M,Soltys K,Bond G,Sun Q,Humar A,Abu-Elmagd K,Zeevi A

    更新日期:2010-06-01 00:00:00

  • Expansion of the criteria for living donor liver transplantation for hepatocellular carcinoma.

    abstract:PURPOSE OF REVIEW:Several expanded criteria for liver transplantation for hepatocellular carcinoma (HCC) have been suggested out of concern that the Milan criteria may be too strict, and thereby exclude patients who could benefit from this surgical procedure. However, most expanded criteria were designed for deceased d...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000294

    authors: Lee HW,Suh KS

    更新日期:2016-04-01 00:00:00

  • What will it take before a bioengineered heart will be implanted in patients?

    abstract:PURPOSE OF REVIEW:Heart transplantation is the only curative treatment option for end-stage heart failure. However, a shortage of donor organs is a major limitation of this approach. Regenerative medicine targets the goal of increasing the number of available hearts for transplantation. In this review, we highlight the...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000583

    authors: Taylor DA,Elgalad A,Sampaio LC

    更新日期:2018-12-01 00:00:00

  • Heart transplantation in cardiac storage diseases: data on Fabry disease and cardiac amyloidosis.

    abstract:PURPOSE OF REVIEW:To deeply investigate one type of intracellular cardiac storage disease, the Fabry disease and one example of extracellular cardiac storage disease, the cardiac amyloidosis, with the aim to collect data about cardiac treatment at the end-stage level and the feasibility of heart transplantation (HTx) i...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000756

    authors: Di Nora C,Livi U

    更新日期:2020-06-01 00:00:00

  • Defining kidney allograft benefit from successful pancreas transplant: separating fact from fiction.

    abstract:PURPOSE OF REVIEW:To define the natural history of kidney allograft loss related to recurrent diabetes following transplant, and to understand the potential benefit of pancreas transplantation upon kidney allograft survival. RECENT FINDINGS:A postulated benefit of simultaneous pancreas kidney transplant is that, unlik...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000547

    authors: Wiseman AC,Stites E,Kennealey P

    更新日期:2018-08-01 00:00:00

  • Coagulation, platelet activation and thrombosis in xenotransplantation.

    abstract:PURPOSE OF REVIEW:Xenotransplantation may become clinically feasible once the mechanisms of graft loss and rejection are better understood. Inflammatory reactions to vasculature of grafted pig organs and pancreatic islets have been linked to procoagulant activation and consumption with resulting thrombosis that preclud...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e3283373ccc

    authors: Schmelzle M,Schulte Esch J 2nd,Robson SC

    更新日期:2010-04-01 00:00:00

  • Long-term outcome after pancreas transplantation: a registry analysis.

    abstract:PURPOSE OF REVIEW:Pancreas transplantation provides the only proven method to restore long-term normoglycemia in patients with insulin-dependent diabetes mellitus. Although many studies describe the most important risk factors for short-term survival of a pancreas transplant, more information about factors that disting...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000331

    authors: Gruessner AC,Gruessner RW

    更新日期:2016-08-01 00:00:00

  • Deciphering antibody-mediated rejection: new insights into mechanisms and treatment.

    abstract:PURPOSE OF REVIEW:To outline recent studies describing the mechanisms of antibody-mediated rejection (AMR) and new clinical protocols aimed at prevention and/or treatment of this difficult clinical entity. RECENT FINDINGS:The natural history of acute AMR after positive cross-match kidney transplantation involves an ac...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e3283342712

    authors: Stegall MD,Gloor JM

    更新日期:2010-02-01 00:00:00

  • Renal-sparing strategies in cardiac transplantation.

    abstract:PURPOSE OF REVIEW:Renal dysfunction due to calcineurin inhibitor (CNI) toxicity is a major clinical problem in cardiac transplantation. The aim of the article is to review the efficacy and safety of various renal sparing strategies in cardiac transplantation. RECENT FINDINGS:Small studies have documented that late ini...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32832e6f7b

    authors: Gustafsson F,Ross HJ

    更新日期:2009-10-01 00:00:00

  • Does the Canadian allocation system for highly sensitized patients work?

    abstract:PURPOSE OF REVIEW:The number of sensitized heart transplant candidates is rising. Highly sensitized patients are disadvantaged because they encounter longer waiting times to heart transplant. Strategies to reduce their waiting times include waitlist prioritization and desensitization therapies. The purpose of this revi...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000635

    authors: Aleksova N,Ross HJ

    更新日期:2019-06-01 00:00:00

  • The role of complement in regulating the alloresponse.

    abstract:PURPOSE OF REVIEW:This review emphasizes new information concerning the role of anaphylatoxins in the regulation of the immune response to allografts. Its timeliness relates the growing concept of the innate immune response as a regulator of the adaptive immune system and to how this concept lends itself to therapeutic...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32831ec551

    authors: Sacks S,Lee Q,Wong W,Zhou W

    更新日期:2009-02-01 00:00:00

  • Risk stratification and management of QuantiFERON-positive solid-organ living donors.

    abstract:PURPOSE OF REVIEW:Donor-derived disease with Mycobacterium tuberculosis (MTB) is likely to become more common as donor pools expand due to increasing transplant volume coupled with patterns of migration and global mobility. Our article reviews the current literature and provides a rational approach for clinicians manag...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000787

    authors: Gibb J,Wong D

    更新日期:2020-08-01 00:00:00

  • Lung transplantation for cystic fibrosis.

    abstract:PURPOSE OF REVIEW:There have been several recent articles which have attempted to refine the appropriate timing of listing for lung transplantation and the identification of factors which increase the risk with particular emphasis on pretransplant microbiology in patients with cystic fibrosis. Moreover, there are sever...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32830fe6b8

    authors: Corris PA

    更新日期:2008-10-01 00:00:00

  • T-cell-mediated rejection of the kidney in the era of donor-specific antibodies: diagnostic challenges and clinical significance.

    abstract:PURPOSE OF REVIEW:Burgeoning literature on antibody-mediated rejection (ABMR) has led to a perception that T-cell-mediated rejection (TCMR) is no longer a significant problem. This premise needs to be carefully appraised. RECENT FINDINGS:A review of the literature indicates that TCMR remains an independent-risk factor...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000189

    authors: Randhawa P

    更新日期:2015-06-01 00:00:00

  • Transmission of viral disease to the recipient through the donor liver.

    abstract:PURPOSE OF REVIEW:Morbidity and mortality after liver transplantation continue to be significantly influenced by infectious complications. A particular concern is transmission of pathogens through the graft, which may cause significant disease in the recipient. RECENT FINDINGS:For frequently transmitted herpes viruses...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章

    doi:10.1097/MOT.0b013e32814e6b67

    authors: Bonatti H,Sawyer R,Dickson RC,Razonable R,Schmitt T,Mendez J,Singh N,Pruett T

    更新日期:2007-06-01 00:00:00

  • Mechanisms of lung ischemia-reperfusion injury.

    abstract:PURPOSE OF REVIEW:Lungs are extremely susceptible to injury, and despite advances in surgical management and immunosuppression, outcomes for lung transplantation are the worst of any solid organ transplant. The success of lung transplantation is limited by high rates of primary graft dysfunction because of ischemia-rep...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000304

    authors: Laubach VE,Sharma AK

    更新日期:2016-06-01 00:00:00

  • Antibody-mediated rejection.

    abstract:PURPOSE OF REVIEW:Pulmonary antibody-mediated rejection (AMR) while contributing to acute and chronic allograft dysfunction remains a diagnostic and therapeutic challenge. The diagnostic tenets upon which AMR is defined will be reviewed in the light of recent studies. RECENT FINDINGS:The introduction of solid phase as...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000235

    authors: Westall GP,Paraskeva MA,Snell GI

    更新日期:2015-10-01 00:00:00

  • Belatacept in kidney transplantation.

    abstract:PURPOSE OF REVIEW:In June 2011 the US Food and Drug Administration approved belatacept (Nulojix; Bristol-Myers Squibb, Princeton, New Jersey, USA) for the prophylaxis of organ rejection in adult kidney transplant recipients. This review will discuss the use of belatacept for the prevention of acute rejection as part of...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32835a4c0d

    authors: Wojciechowski D,Vincenti F

    更新日期:2012-12-01 00:00:00

  • The unique immunobiology of the skin: implications for tolerance of vascularized composite allografts.

    abstract:PURPOSE OF REVIEW:Vascularized composite allograft (VCA) transplantation restores function and form following major soft tissue and musculoskeletal injury. Lifelong immunosuppression is necessary for graft function and survival but acute skin-targeted rejection episodes remain common. We review recent advances in skin ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000136

    authors: Chadha R,Leonard DA,Kurtz JM,Cetrulo CL Jr

    更新日期:2014-12-01 00:00:00

  • Are geographic differences in transplantation inherently wrong?

    abstract:PURPOSE OF REVIEW:Geographic variation in liver transplantation has been the subject of extensive scrutiny, reflecting concerns that location is unfairly determinative for people needing organ transplantation. Drawing upon a number of established ethical approaches, we examine whether geographic differences in access t...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000400

    authors: Ladin K,Hanto DW

    更新日期:2017-04-01 00:00:00

  • Innate immunity in donor procurement.

    abstract:PURPOSE OF REVIEW:Ischaemic kidney injury occurs during organ procurement and can lead to delayed graft function or nonviable grafts. The innate immune system is a key trigger of inflammation in renal ischaemia. This review discusses the components of innate immunity known to be involved in renal ischaemic reperfusion ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e32835e2b0d

    authors: Cheung KP,Kasimsetty SG,McKay DB

    更新日期:2013-04-01 00:00:00

  • Pulmonary hypertension in liver transplant.

    abstract:PURPOSE OF REVIEW:Pulmonary hypertension patients provide challenging issues to anesthesiology. The condition is more so when it is associated with liver transplant surgery. This situation is especially true when associated with portopulmonary hypertension (POPH), a subdivision of pulmonary hypertension. Understanding ...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0b013e328346e138

    authors: Ayoub T

    更新日期:2011-06-01 00:00:00

  • Rethinking clinical endpoints in kidney transplant trials.

    abstract:PURPOSE OF REVIEW:Clinical trials testing novel kidney transplant therapies are challenged by low rates of long-term clinical outcomes such as death and graft loss. Herein, we critically review traditional and more recent strategies to expedite new therapies by minimizing sample size and follow-up duration using surrog...

    journal_title:Current opinion in organ transplantation

    pub_type: 杂志文章,评审

    doi:10.1097/MOT.0000000000000719

    authors: Maggiore U,Leventhal J,Cravedi P

    更新日期:2020-02-01 00:00:00