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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Kidney Transplant II: Surgical Procedure01:26

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

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Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in...
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Continuous Renal Replacement Therapy, also known as CRRT, is a procedural treatment for acute kidney injury (AKI) that gradually removes uremic toxins and fluids while maintaining acid-base balance and stabilizing electrolytes. It is particularly useful for hemodynamically unstable patients. Unlike intermittent hemodialysis, which is faster, CRRT provides a gentler approach over 24 hours, closely mimicking the function of natural kidneys. However, CRRT is not ideal for patients with...
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Acute Kidney Injury (AKI) requires a collaborative healthcare approach to restore renal function and prevent complications. Essential management strategies involve monitoring fluid and electrolyte balance, adjusting medications, initiating dialysis when necessary, and providing nutritional support.Fluid and Electrolyte ManagementFluid Monitoring: Regularly monitoring body weight, central venous pressure, and urine output helps detect fluid imbalances early. Patient intake and output are...
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Related Experiment Video

Updated: Mar 31, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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Assessing the Implementation of Electronic Kidney Transplant Referral and Communication Programs.

Emma Blythe1, Laura McPherson2,3, Stephen Pastan4

  • 1Emory Health Services Research Center, Emory University School of Medicine, Atlanta, Georgia, USA.

Kidney International Reports
|March 30, 2026
PubMed
Summary

Electronic referral programs improve kidney transplant communication, but inconsistent staff use and training needs hinder widespread adoption. Further interventions are needed to optimize these systems for better patient access to transplants.

Keywords:
dialysisend-stage kidney diseasehealth communicationsimplementation sciencekidney transplantationmixed methods researchprocess evaluation

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Area of Science:

  • Nephrology
  • Health Informatics
  • Healthcare Management

Background:

  • Effective communication between dialysis and kidney transplant centers is vital for patient progression.
  • The implementation outcomes of electronic referral and communication programs remain largely unknown.

Purpose of the Study:

  • To evaluate the implementation of electronic transplant referral and communication programs.
  • To assess program adoption, effectiveness, and maintenance using the RE-AIM framework.

Main Methods:

  • Convergent mixed-methods design utilizing surveys and interviews.
  • Conducted in 2023 with 101 dialysis and 30 transplant center staff.
  • Assessed implementation using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.

Main Results:

  • 84% of staff reported using electronic referral programs, finding them easy to use (70%) and effective (80%).
  • Key barriers included unreliable use by colleagues (36%), high training costs versus efficiency gains, and insufficient trained staff.
  • Facilitators for program use involve leadership support and comprehensive training.

Conclusions:

  • Electronic programs show potential to streamline kidney transplant referrals and enhance communication.
  • Varied implementation between centers necessitates targeted interventions to refine and scale program use.
  • Optimizing these programs can improve patient access to kidney transplantation.