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Follow-up Care of Living Kidney Donors in Alberta, Canada.


ABSTRACT: Background:Previous guidelines recommend that living kidney donors receive lifelong annual follow-up care to assess renal health. Objective:To determine whether these best practice recommendations are currently being followed. Design:Retrospective cohort study using linked health care databases. Setting:Alberta, Canada (2002-2014). Patients:Living kidney donors. Measurements:We determined the proportion of donors who had annual outpatient physician visits and laboratory measurements for serum creatinine and albuminuria. Results:There were 534 living kidney donors with a median follow-up of 7 years (maximum 13 years). The median age at the time of donation was 41 years and 62% were women. Overall, 25% of donors had all 3 markers of care (physician visit, serum creatinine, albuminuria measurement) in each year of follow-up. Adherence to physician visits was higher than serum creatinine or albuminuria measurements (67% vs 31% vs 28% of donors, respectively). Donors with guideline-concordant care were more likely to be older, reside closer to the transplant center, and receive their nephrectomy in more recent years. Limitations:Our results may not be generalizable to other countries that do not have a similar universal health care system. Conclusions:These findings suggest significant evidence-practice gaps, in that the majority of donors saw a physician, but the minority had measurements of kidney function or albuminuria. Future interventions should target improving follow-up care for all donors.

SUBMITTER: Lam NN 

PROVIDER: S-EPMC6073841 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature

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Follow-up Care of Living Kidney Donors in Alberta, Canada.

Lam Ngan N NN   Lentine Krista L KL   Hemmelgarn Brenda B   Klarenbach Scott S   Quinn Robert R RR   Lloyd Anita A   Gourishankar Sita S   Garg Amit X AX  

Canadian journal of kidney health and disease 20180726


<h4>Background</h4>Previous guidelines recommend that living kidney donors receive lifelong annual follow-up care to assess renal health.<h4>Objective</h4>To determine whether these best practice recommendations are currently being followed.<h4>Design</h4>Retrospective cohort study using linked health care databases.<h4>Setting</h4>Alberta, Canada (2002-2014).<h4>Patients</h4>Living kidney donors.<h4>Measurements</h4>We determined the proportion of donors who had annual outpatient physician visi  ...[more]

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