Donor App Increases Awareness and Overall Living Kidney Organ Donation

IF 1.9 4区 医学 Q2 SURGERY
Tayseer Shamaa, Iman Bajjoka, Rohini Prashar, Matthew Callaghan, Salvatore Serra, Marwan Abouljoud, Jason Denny
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引用次数: 0

Abstract

Thirty-seven million adult Americans have chronic kidney disease with African Americans are significantly more likely to develop end-stage renal disease (ESRD) compared to other racial groups. Donor App was designed to help kidney transplant candidates (KTCs) identify potential living donors (LDs) by creating social media postings about their need for transplant. The purpose of this study is to evaluate the feasibility of using Donor App in improving awareness about living organ donation and rates of living donor kidney transplantation (LDKT). LD inquiries and transplant outcomes were compared between KTCs who used the Donor App with 1:3 matched historic controls from our center's waitlist. Forty-nine KTCs posted their stories using Donor App. The total views on all platforms and patients were 11 881. Ninety-three potential LD inquiries came on behalf of 26/49 KTCs (53%). KTCs with at least one potential LD inquiry were likely to have at least one donor champion (p = 0.01), used multiple social media outlets (p = 0.003), and had significantly higher median views versus candidates without inquiries (263 [interquartile range (IQR): 117–624] vs. 42 [IQR: 15–96], respectively; p < 0.001). To date, three underwent transplants (two LDKTs and one deceased direct donation). None of the matched controls had any potential LD inquiries (p = 0.01). The Donor App can significantly increase awareness and rate of living organ donation.

捐赠应用程序提高意识和整体活体肾脏器官捐赠
3700万成年美国人患有慢性肾病,与其他种族相比,非洲裔美国人更有可能患上终末期肾病(ESRD)。捐赠者应用程序旨在通过在社交媒体上发布有关移植需求的帖子,帮助肾脏移植候选人(ktc)识别潜在的活体捐赠者(ld)。本研究的目的是评估使用Donor App提高活体器官捐献意识和活体肾移植率的可行性。将使用供体应用程序的ktc与我们中心等待名单中1:3匹配的历史对照进行LD查询和移植结果的比较。49家ktc通过捐赠App发布了自己的故事,各平台和患者的总浏览量为11881人次。49个区议会中有26个(53%)提出九十三宗潜在的地政总署查询。至少有一个潜在的LD询问的ktc可能至少有一个捐赠者冠军(p = 0.01),使用多个社交媒体渠道(p = 0.003),并且与没有询问的候选人相比,他们的中位数观点显著更高(263[四分位间距(IQR): 117-624]对42 [IQR: 15-96];p & lt;0.001)。迄今为止,有3人接受了移植(2例ldkt和1例死者直接捐赠)。没有匹配的对照有任何潜在的LD询问(p = 0.01)。捐献App可以显著提高活体器官捐献的认知度和比例。
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来源期刊
Clinical Transplantation
Clinical Transplantation 医学-外科
CiteScore
3.70
自引率
4.80%
发文量
286
审稿时长
2 months
期刊介绍: Clinical Transplantation: The Journal of Clinical and Translational Research aims to serve as a channel of rapid communication for all those involved in the care of patients who require, or have had, organ or tissue transplants, including: kidney, intestine, liver, pancreas, islets, heart, heart valves, lung, bone marrow, cornea, skin, bone, and cartilage, viable or stored. Published monthly, Clinical Transplantation’s scope is focused on the complete spectrum of present transplant therapies, as well as also those that are experimental or may become possible in future. Topics include: Immunology and immunosuppression; Patient preparation; Social, ethical, and psychological issues; Complications, short- and long-term results; Artificial organs; Donation and preservation of organ and tissue; Translational studies; Advances in tissue typing; Updates on transplant pathology;. Clinical and translational studies are particularly welcome, as well as focused reviews. Full-length papers and short communications are invited. Clinical reviews are encouraged, as well as seminal papers in basic science which might lead to immediate clinical application. Prominence is regularly given to the results of cooperative surveys conducted by the organ and tissue transplant registries. Clinical Transplantation: The Journal of Clinical and Translational Research is essential reading for clinicians and researchers in the diverse field of transplantation: surgeons; clinical immunologists; cryobiologists; hematologists; gastroenterologists; hepatologists; pulmonologists; nephrologists; cardiologists; and endocrinologists. It will also be of interest to sociologists, psychologists, research workers, and to all health professionals whose combined efforts will improve the prognosis of transplant recipients.
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