{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T14:44:50Z","timestamp":1786373090699,"version":"build-2736575974"},"reference-count":32,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"10","funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["20R26070"],"award-info":[{"award-number":["20R26070"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000191","name":"Kidney Foundation of Canada","doi-asserted-by":"publisher","award":["20R73656"],"award-info":[{"award-number":["20R73656"]}],"id":[{"id":"10.13039\/501100000191","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"CIHR","doi-asserted-by":"publisher","award":["GSD 140313"],"award-info":[{"award-number":["GSD 140313"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"CIHR","doi-asserted-by":"publisher","award":["FRN 148377"],"award-info":[{"award-number":["FRN 148377"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004948","name":"Astellas Pharma","doi-asserted-by":"publisher","award":["R-17-088"],"award-info":[{"award-number":["R-17-088"]}],"id":[{"id":"10.13039\/501100004948","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CJASN"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background and objectives<\/jats:title>\n                    <jats:p>Many patients, providers, and potential living donors perceive the living kidney donor evaluation process to be lengthy and difficult to navigate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design, setting, participants, &amp; measurements<\/jats:title>\n                    <jats:p>We sought consensus on key terms and process and outcome indicators that can be used to measure how efficiently a transplant center evaluates persons interested in becoming a living kidney donor. Using a RAND-modified Delphi method, 77 participants (kidney transplant recipients or recipient candidates, living kidney donors or donor candidates, health care providers, and health care administrators) completed an online survey to define the terms and indicators. The definitions were then further refined during an in-person meeting with ten stakeholders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We identified 16 process indicators (\n                      <jats:italic toggle=\"yes\">e.g.<\/jats:italic>\n                      , average time to evaluate a donor candidate), eight outcome indicators (\n                      <jats:italic toggle=\"yes\">e.g.<\/jats:italic>\n                      , annual number of preemptive living kidney donor transplants), and two measures that can be considered both process and outcome indicators (\n                      <jats:italic toggle=\"yes\">e.g.<\/jats:italic>\n                      , average number of times a candidate visited the transplant center for the evaluation). Transplant centers wishing to implement this set of indicators will require 22 unique data elements, all of which are either readily available or easily collected prospectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We identified a set of indicators through a consensus-based approach that may be used to monitor and improve the performance of a transplant center in how efficiently it evaluates persons interested in becoming a living kidney donor.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2215\/cjn.03780320","type":"journal-article","created":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T13:55:55Z","timestamp":1600955755000},"page":"1464-1473","source":"Crossref","is-referenced-by-count":13,"title":["A RAND-Modified Delphi on Key Indicators to Measure the Efficiency of Living Kidney Donor Candidate Evaluations"],"prefix":"10.2215","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9650-9105","authenticated-orcid":false,"given":"Steven","family":"Habbous","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada"},{"name":"Quality, Measurement, and Evaluation, Ontario Health (Cancer Care Ontario), Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lianne","family":"Barnieh","sequence":"additional","affiliation":[{"name":"Department of Nephrology, London Health Sciences Centre, London, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenneth","family":"Litchfield","sequence":"additional","affiliation":[{"name":"Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"McKenzie","sequence":"additional","affiliation":[{"name":"Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marian","family":"Reich","sequence":"additional","affiliation":[{"name":"Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0129-7091","authenticated-orcid":false,"given":"Ngan N.","family":"Lam","sequence":"additional","affiliation":[{"name":"Division of Nephrology, University of Calgary, Calgary, Alberta, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4781-4699","authenticated-orcid":false,"given":"Istvan","family":"Mucsi","sequence":"additional","affiliation":[{"name":"Kidney Transplant Program, University Health Network, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4106-0451","authenticated-orcid":false,"given":"Ann","family":"Bugeja","sequence":"additional","affiliation":[{"name":"Division of Nephrology, The Ottawa Hospital, Ottawa, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0404-7319","authenticated-orcid":false,"given":"Seychelle","family":"Yohanna","sequence":"additional","affiliation":[{"name":"Division of Nephrology, McMaster University, Hamilton, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahul","family":"Mainra","sequence":"additional","affiliation":[{"name":"Saskatchewan Transplant Program, Saskatoon Health Region, Saskatoon, Saskatchewan, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Chong","sequence":"additional","affiliation":[{"name":"Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Fantus","sequence":"additional","affiliation":[{"name":"Department of Medicine, Centre Hospitalier de l\u2019Universit\u00e9 de Montr\u00e9al, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1576-7696","authenticated-orcid":false,"given":"G V Ramesh","family":"Prasad","sequence":"additional","affiliation":[{"name":"Kidney Transplant Program, St. Michael\u2019s Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Dipchand","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Dalhousie University, Halifax, Nova Scotia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jagbir","family":"Gill","sequence":"additional","affiliation":[{"name":"Division of Nephrology, St. Paul\u2019s Hospital, Vancouver, British Columbia, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah","family":"Getchell","sequence":"additional","affiliation":[{"name":"Canadians Seeking Solutions and Innovations to Overcome Chronic Kidney Disease, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3398-3114","authenticated-orcid":false,"given":"Amit X.","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada"},{"name":"Department of Nephrology, London Health Sciences Centre, London, Ontario, 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