{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:37:50Z","timestamp":1762868270323,"version":"3.41.2"},"reference-count":40,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2020,10,19]],"date-time":"2020-10-19T00:00:00Z","timestamp":1603065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01DK120551"],"award-info":[{"award-number":["R01DK120551"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Transplantation"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The evaluation and care of non\u2010US citizen, non\u2010US residents who wish to come to the United States to serve as international living kidney donors (ILKDs) can pose unique challenges. We surveyed US transplant programs to better understand practices related to ILKD care. We distributed the survey by email and professional society list\u2010servs (Fall 2018, assessing 2017 experience). Eighty\u2010five programs responded (36.8% program response rate), of which 80 considered ILKD candidates. Only 18 programs had written protocols for ILKD evaluation. Programs had a median of 3 (range: 0,75) ILKD candidates who initiated contact during the year, from origin countries spanning 6 continents. Fewer (median: 1, range: 0,25) were approved for donation. Program\u2010reported reasons for not completing ILKD evaluations included visa barriers (58.6%), inability to complete evaluation (34.3%), concerns regarding follow\u2010up (31.4%) or other healthcare access (28.6%), and financial impacts (21.4%). Programs that did not evaluate ILKDs reported similar concerns. Staff time required to evaluate ILKDs was estimated as 1.5\u2010to\u20103\u2010times (47.9%) or &gt;3\u2010times (32.9%) that needed for domestic candidates. Among programs accepting ILKDs, on average 55% reported successful completion of 1\u2010year follow\u2010up. ILKD evaluation is a resource\u2010intensive process with variable outcomes. Planning and commitment are necessary to care for this unique candidate group.<\/jats:p>","DOI":"10.1111\/ctr.14064","type":"journal-article","created":{"date-parts":[[2020,8,28]],"date-time":"2020-08-28T03:07:09Z","timestamp":1598584029000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Care of international living kidney donor candidates in the United States: A survey of contemporary experience, practice, and challenges"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9423-4849","authenticated-orcid":false,"given":"Krista L.","family":"Lentine","sequence":"first","affiliation":[{"name":"Saint Louis University Center for Abdominal Transplantation St. Louis Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1750-0119","authenticated-orcid":false,"given":"Jennifer D.","family":"Motter","sequence":"additional","affiliation":[{"name":"Johns Hopkins Comprehensive Transplant Center Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4239-1252","authenticated-orcid":false,"given":"Macey L.","family":"Henderson","sequence":"additional","affiliation":[{"name":"Johns Hopkins Comprehensive Transplant Center Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5876-3938","authenticated-orcid":false,"given":"Rebecca E","family":"Hays","sequence":"additional","affiliation":[{"name":"University of Wisconsin Hospital and Clinics Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellen","family":"Shukhman","sequence":"additional","affiliation":[{"name":"Cedars\u2010Sinai Comprehensive Transplant Center Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Hunt","sequence":"additional","affiliation":[{"name":"Recanati\/Miller Transplantation Institute Mount Sinai Hospital New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0928-2860","authenticated-orcid":false,"given":"Fawaz","family":"Al Ammary","sequence":"additional","affiliation":[{"name":"Johns Hopkins Comprehensive Transplant Center Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vineeta","family":"Kumar","sequence":"additional","affiliation":[{"name":"University of Alabama Comprehensive Transplant Center Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0506-9950","authenticated-orcid":false,"given":"Dianne","family":"LaPointe Rudow","sequence":"additional","affiliation":[{"name":"Recanati\/Miller Transplantation Institute Mount Sinai Hospital New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4644-3590","authenticated-orcid":false,"given":"Sarah E.","family":"Van Pilsum Rasmussen","sequence":"additional","affiliation":[{"name":"Johns Hopkins Comprehensive Transplant Center Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1326-3013","authenticated-orcid":false,"given":"Angie G.","family":"Nishio\u2010Lucar","sequence":"additional","affiliation":[{"name":"University of Virginia Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heidi M.","family":"Schaefer","sequence":"additional","affiliation":[{"name":"Vanderbilt Transplant Center Nashville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Cooper","sequence":"additional","affiliation":[{"name":"MedStar Georgetown Transplant Institute Washington District of Columbia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3326-8583","authenticated-orcid":false,"given":"Didier A.","family":"Mandelbrot","sequence":"additional","affiliation":[{"name":"Cedars\u2010Sinai Comprehensive Transplant Center Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,10,19]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"OPTN (Organ Procurement and Transplantation Network)\/UNOS (United Network for Organ Sharing).National Data Reports Transplants by Donor Type Latest Data.https:\/\/optn.transplant.hrsa.gov\/data\/view\u2010data\u2010reports\/national\u2010data\/. Accessed August 8 2020."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.15672"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.15368"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.16136"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.06250518"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.07150717"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.19152"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.13173"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.15256"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajt.13766"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e318295ee7d"},{"key":"e_1_2_8_13_1","unstructured":"OPTN (Organ Procurement and Transplantation Network)\/UNOS (United Network for Organ Sharing).OPTN Policies Policy 14: Living Donation.http:\/\/optn.transplant.hrsa.gov\/governance\/policies\/. 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