As a busy low clearance consultant it is all too easy to accept when a patient tells me they have no living donors and not explore further This paper will make me stop and take time to Better explain the benefits of receiving a living kidney Provide information in a suitable language where possible Find them a culturally relevant peer supporter Sign post them to the donor re-imbursement pathway Table: Disparities in access to LKDT shown in the ATTOM study levels Higher Possible explanation of LKDT levels of LKDT Older Younger patients reluctant to recruit donors from younger patients patients relatives Black and White Absence of suitable donors due to higher rates of Asian ethnicity hypertension and diabetes in possible donors ethnicity Cultural and religious beliefs Concerns about engagement with medical system Language barriers levels Higher levels Higher education associated with greater health literacy of education of education allowing more successful completion of transplant pathway Poorer Higher Economic challenges to costs of transport, childcare and time off work associated with living donor pathway and inconsistent knowledge of donor re-imbursement status status arrangements. Difficulties with decision making with short term focus Lack of social support Single, Married or Being in a relationship and family gives access to a wider divorced or living with a donor pool. widowed partner Better social support Update on UK LKD performance data by Renal centre pmp With the BTS and RA, the statistical team from NHS Blood and Transplant are working towards improving data collection for living kidney donors so that we can accurately understand and share LKD rates pmp for each Renal Centre. This data has previously been extracted using the dialysis centre code of the recipient and in future will be based on the post code of the living kidney donor. We will update you on progress in this area later in the year Kind regards Dr Caroline Wroe Dr Katie Vinen Chair of the UK Living Kidney Donation Network RA Lead for Living Kidney Donation Consultant Nephrologist Consultant Nephrologist, South Tees NHS Foundation Trust Kings College Hospital
As a busy low clearance consultant it is all too easy to accept when a patient tells me they have no living donors and not explore further This paper will make me stop and take time to Better explain the benefits of receiving a living kidney Provide information in a suitable language where possible Find them a culturally relevant peer supporter Sign post them to the donor re-imbursement pathway Table: Disparities in access to LKDT shown in the ATTOM study levels of LKDT Higher levels of LKDT Possible explanation Older patients Younger patients patients reluctant to recruit donors from younger relatives Black and Asian ethnicity White ethnicity Absence of suitable donors due to higher rates of hypertension and diabetes in possible donors Cultural and religious beliefs Concerns about engagement with medical system Language barriers levels of education Higher levels of education Higher education associated with greater health literacy allowing more successful completion of transplant pathway Poorer status Higher status Economic challenges to costs of transport, childcare and time off work associated with living donor pathway and inconsistent knowledge of donor re-imbursement arrangements. Difficulties with decision making with short term focus Lack of social support Single, divorced or widowed Married or living with a partner Being in a relationship and family gives access to a wider donor pool. Better social support Update on UK LKD performance data by Renal centre pmp With the BTS and RA, the statistical team from NHS Blood and Transplant are working towards improving data collection for living kidney donors so that we can accurately understand and share LKD rates pmp for each Renal Centre. This data has previously been extracted using the dialysis centre code of the recipient and in future will be based on the post code of the living kidney donor. We will update you on progress in this area later in the year Kind regards Dr Caroline Wroe Dr Katie Vinen Chair of the UK Living Kidney Donation Network RA Lead for Living Kidney Donation Consultant Nephrologist Consultant Nephrologist, South Tees NHS Foundation Trust Kings College Hospital