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Increasing Access to Living Donor Kidney Transplantation: A Program Report
Kyla L Naylor1,2, Susan Q McKenzie3, Seychelle Yohanna4
1London Health Sciences Centre Research Institute, ON, Canada.
Canadian Journal of Kidney Health and Disease
|February 5, 2026
Summary
Improving access to living donor kidney transplants is crucial for kidney failure patients. This project established national standards for donor evaluation and a one-day assessment clinic, enhancing equitable access to transplants.
Area of Science:
- Nephrology
- Transplantation Immunology
- Health Services Research
Background:
- Living donor kidney transplantation is the optimal treatment for kidney failure.
- Significant barriers hinder access to living donor kidney transplants for many patients.
- The Can-SOLVE CKD Network project aims to improve living donor kidney transplantation access.
Purpose of the Study:
- Enhance understanding of living kidney donor and transplant processes.
- Implement and evaluate patient-informed, evidence-based solutions.
- Improve access to living donor kidney transplantation in Ontario and beyond.
Main Methods:
- Utilized insights from patients, healthcare professionals, and researchers.
- Analyzed Ontario's administrative health care databases and clinical trials.
- Employed qualitative methodologies including surveys, interviews, and consensus meetings.
Main Results:
- Established 35 national consensus standards for high-quality living kidney donor evaluation.
- Demonstrated scalability of a one-day living kidney donor evaluation clinic.
- Expanded a peer-support program and developed strong system partnerships.
Conclusions:
- Patient-oriented research and volunteer involvement are vital for improving living kidney donation access.
- The project has led to actionable changes and established national standards.
- Continued focus on equitable access is essential for a fair and timely transplant system.
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