Kidney Exchange Program Reporting Standards: Evidence-Based Consensus From Europe.

Bart Smeulders,Michal A Mankowski,Joris Van De Klundert

doi:10.3389/fpubh.2021.623966

Abstract

Background: Kidney Exchange Programs can play an important role to increase access to the life saving and most cost-effective treatment for End Stage Renal Disease. The rise of national KEPs in Europe brings a need for standardized performance reporting to facilitate the development of an international evidence base on program practices.Methods: We systematically searched and reviewed the literature to extract kidney exchange program performance measures. Reported measures were initially categorized as structure, process, and outcome measures. Expert feedback was used to redefine categories and extend the set of measures to be considered. Using the Delphi method and a panel of 10 experts, the resulting measures were subsequently classified as mandatory (Base set), optional (Extended set), or deleted.Results: Out of the initial 1,668 articles identified by systematic literature search, 21 European publications on kidney exchange programs were included to collect performance measures, accompanied by three national program reports. The final measurement categories were Context, Population, Enrollment, Matching, Transplantation, and Outcomes. The set of performance measures resulting from the literature review was modified and classified as mandatory or optional. The resulting Base set and Extended set form the kidney exchange program reporting standard.Conclusions: The evidence-based and consensus-based kidney exchange program reporting standard can harmonize practical and scientific reporting on kidney exchange programs, thus facilitating the advancement of national programs. In addition, the kidney exchange program reporting standard can promote and align cross-national programs.

Highlights

With a mortality number of 1.2 million, Chronic Kidney Disease (CKD) is the 11th most common cause of death globally, and ranks 13th in Europe [1]. It is a progressive disease of which End Stage Renal Disease (ESRD) is the last stage
The relative contribution of ESRD to European mortality is increasing, and currently stands at 1.58% in Europe, while CKD accounts for 1.06% of the total burden of disease in Europe [1]
The above results were discussed with a broad expert panel of ENCKEP participants who proposed additional measures

Summary

Introduction

With a mortality number of 1.2 million, Chronic Kidney Disease (CKD) is the 11th most common cause of death globally, and ranks 13th in Europe [1]. It is a progressive disease of which End Stage Renal Disease (ESRD) is the last stage. In many European countries, transplantation programs have emanated from deceased donor programs They have been complemented by living donor programs to promote access and quality of transplantation [3, 4]. Kidney Exchange Programs can play an important role to increase access to the life saving and most cost-effective treatment for End Stage Renal Disease. The rise of national KEPs in Europe brings a need for standardized performance reporting to facilitate the development of an international evidence base on program practices

Methods

Results

Conclusion