Use of Telehealth to Expand Living Kidney Donation and Living Kidney Donor Transplantation

摘要

Purpose of Review Living donor kidney transplantation (LDKT) remains the treatment of choice for suitable candidates with advanced kidney disease. Despite excellent outcomes for living kidney donors, the rate of living kidney donation has remained relatively stable over the past decade despite the growing number of those in need of kidney transplants. Telehealth may represent an opportunity to increase access to evaluation and donation for living donor candidates and improve care and follow-up of living donors. This review discusses current and potential opportunities in the utilization of telehealth throughout the donation process. Recent Findings There are numerous computer-based and mobile application (app) resources for living kidney donor candidates and patients with advanced kidney disease listed for kidney transplantation which provide education on LDKT. Many of these apps allow for home education and interactions to occur without the need for travel. Donor advocacy is being seen increasingly on social media campaigns via apps. Additionally, donor candidates are often able to go online and refer themselves directly to transplant centers which can be done at any time. Finally, the use of mobile apps and telehealth videoconferencing may improve transplant center compliance with postdonation regulatory requirements for living kidney donors. Although regulatory, reimbursement, and privacy requirements will need to be addressed, telehealth appears to be an important opportunity to engage living kidney donor candidates and donors. By increasing living donor recruitment and LDKT, the widening chasm of organ supply and demand may narrow.