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ITNS congratulates Mark Lockwood, PhD, RN, CCRC on his recent publication Frequency of In-Home Internet Use Among Prekidney and Postkidney Transplant Patients — Facilitators and Barriers to Use and Trends Over Time (Transplantation Direct 2017;3:e216; doi: 10.1097/TXD.0000000000000735. Published online 2 October, 2017). This study, which was funded by an ITNS research grant award, examined the facilitators and barriers to in-home Internet use among prekidney and postkidney transplant patients. Dr. Lockwood is an Assistant Professor in the Department of Biobehavioral Health Science at the University of Illinois at Chicago College of Nursing.
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Reuters
A shortage of nurses at U.S. hospitals hit West Virginia’s Charleston Area Medical Center at the worst possible time. The non-profit healthcare system is one of the state’s largest employers and sits in the heart of economically depressed coal country. It faces a $40 million deficit this year as it struggles with fewer privately insured patients, cuts in government reimbursement and higher labor costs to attract a shrinking pool of nurses.
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Transplant International
Treatment of acute rejection (AR) following kidney transplantation has improved in recent years, but there are still limitations to successful outcomes. This review article covers literature in regards to recipient and donor genetics of AR kidney and secondarily of liver allografts. Many candidate gene and some genome wide association studies (GWAS) have been conducted for AR in kidney transplantation.
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HealthDay News via Renal & Urology News
For organ recipients in Norway, the risk of skin cancer, particularly squamous cell carcinoma (SCC), has decreased since the mid-1980s, according to a study published online in JAMA Dermatology.
Syed Mohammad Husain Rizvi, MD, from Oslo University Hospital in Norway, and colleagues conducted a prospective cohort study involving 8026 patients receiving a kidney, heart, lung, or liver transplant in Norway from 1968 through 2012.
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Clinical Transplantation
Transplant patients often seek specific data and statistics to inform medical decision making; however, for many relevant measures, patient-friendly information is not available. Development of patient-centered resources should be informed by patient needs. This study used qualitative document research methods to review 678 detailed Scientific Registry of Transplant Recipients (SRTR) entries and summary counts of 55,362 United Network for Organ Sharing (UNOS) entries to provide a better understanding of what was asked and what requests were most common.
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Healio
Results of a virtual trial showed that transplantation with hepatitis C-positive livers with preemptive direct-active antiviral therapy may be a viable option for improving patient survival on the liver transplant waitlist, according to an expert at The Liver Meeting 2017.
“The fact is that donor liver availability continues to be limiting factor in increasing the number of liver transplants. Therefore, it becomes very important that we utilize all organs for a maximum potential,” Jagpreet Chhatwal, PhD, said.
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American Journal of Transplantation
The relationship between healthcare utilization before and after liver transplantation (LT) and its association with center characteristics is incompletely understood. This was a retrospective cohort study of 34,402 adult LTs between 2002-2013 using Vizient inpatient claims data linked to the United Network for Organ Sharing database. Multivariable mixed-effects linear regression models evaluated the association between hospitalization 90 days pre-LT and the number of days alive and out of the hospital (DAOH) 1 year post-LT.
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Nurse.com
Contributing to the evolution of New York University Langone Medical Center‘s (New York City) face transplant care protocol has been a remarkable journey for four nurses, who published a detailed article on nursing care at all stages of the procedure. Nicole Sweeney, MS, RN, CNOR, the medical center’s face transplant coordinator, said the manuscript is the first one to speak to the actual nursing care involved with face transplantation patients, especially in the perioperative setting. “[The article] is meant to help other institutions get their nursing care up and running for this procedure,” Sweeney said.
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News-Medical
A new study presented at The Liver Meeting®, held by the American Association for the Study of Liver Diseases, found that increased utilization of split liver transplantation (sharing a donor liver between one pediatric and one adult patient) could decrease the number of children who die awaiting liver transplantation without decreasing liver transplantation access for adult patients.
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Transplant Infectious Disease
Donors with an increased risk of transmitting human immunodeficiency virus (HIV), hepatitis B virus (HBV), or hepatitis C virus (HCV) (increased risk donors [IRDs]) are a potential source of organs for transplant. Organs from IRDs can be utilized with appropriate recipient consent and post-transplant follow-up. We reviewed the characteristics and utilization of IRDs in our Organ Procurement Organization (OPO) over a 2-year period.
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Obesity Surgery
Patients with a body mass index (BMI) >35 kg/m2 who need kidney transplant present with increased postoperative mortality and reduced kidney graft survival compared to patients with a lower BMI. For this reason, obese patients are often excluded from the transplantation waiting list. The aim of this study was to evaluate the feasibility and the results of laparoscopic sleeve gastrectomy (LSG) for obese patients awaiting a kidney transplant.
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Cardiovascular Business
Ventricular assist devices (VADs) foster improved survival for children awaiting heart transplantation when compared to the current standard of extracorporeal membrane oxygenation (ECMO), according to a new study in the Journal of the American College of Cardiology. When 164 pediatric patients were matched one-to-one to eliminate differences in baseline characteristics, those treated with VADs alone were twice as likely to survive from waitlist to transplant and survived an average of 39 percent longer versus patients treated with ECMO alone.
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FierceHealthcare
Burnout and stress impact healthcare workers at all levels, but for nurses it can lead to lapses in the quality of care they provide. Nurses can take steps to protect their well-being, and the safety of their patients, by educating themselves on the risks. Mary Gullatte, Ph.D., R.N., corporate director of nursing innovation and research at Emory Healthcare, said in an interview with FierceHealthcare that exhaustion can prevent nurses from "firing on all synapses" when caring for patients, leading to an "opportunity or a risk of care concerns."
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