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| Format: | Artículo Open Access |
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Wiley
2026
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| Online-Zugang: | https://onlinelibrary.wiley.com/doi/10.1111/ctr.70571 |
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Inhaltsangabe:
- Recommendations for Living Kidney Donor Follow‐Up in Canada Sunita K. Singh Allison Jaure Maia P. Gill Olwyn Johnston Jagbir Gill Natasha Caton Michel Pâquet Peggy John Angela Ogniben Sarah Chritchley Christine Dipchand Justin Gill Pamela Pike M. Khaled Shamseddin Jason Bau Sita Gourishankar Julie Lesage Rahul Mainra Seychelle Yohanna Dervla M. Connaughton Nessa Gogan Leroy Storsley Vanessa Redditt Melissa Duff Rosanna Cazzolli Amanda Dominello Javier Reaburn Silva Nicole Scholes‐Robertson Victoria Sinka John S. Gill Clinical Transplantation ABSTRACT Background Post‐donation care is variable in Canada. Methods A virtual workshop including donors and health providers was conducted to advance recommendations for a new national standard of living donor follow‐up. Attendees participated in facilitated breakout groups to deliberate pre‐set questions on a draft care model informed by a survey of 685 previous donors. Deliberations were audio‐recorded, transcribed, and imported into HyperRESEARCH software to facilitate inductive, systematic and auditable coding of the data. Final meeting recommendations were approved by attendees and then presented for consideration of endorsement by all Canadian programs. Results We identified four themes: (1) Establishing a donor centric long‐term follow‐up plan; (2) Generating data to optimize donor outcomes; (3) Safeguarding donors and (4) Partnership to strengthen care (transplant centers enacting duty of care, setting expectations with donors for follow up, supporting a collaborative model with primary care doctors, harnessing technology, ensuring consistency, regularity, and feasibility). Post‐donation care should be donor‐centric, flexible and based on a strong collaboration between primary care providers and transplant programs. The new model should include a “safety net” to provide specialist care when needed, as well as donor consent for capture of long‐term health outcomes in a national registry. The recommendations are endorsed by all Canadian living donor programs. Conclusions Although necessary, the provision of universal health care coverage alone is insufficient to ensure long‐term donor health and inform future practice. A new national model of long‐term donor follow‐up informed by the lived experience of past donors and input from primary care and transplant providers was proposed. 10.1111/ctr.70571 http://creativecommons.org/licenses/by-nc-nd/4.0/