臨牀透析 Vol.33 No.13(2)


特集名 透析スタッフにとっての腎移植―直面する臨床的課題
題名 腎移植医と透析医・透析スタッフとの接点―北陸地区での取り組み
発刊年月 2017年 12月
著者 横山 仁 金沢医科大学病院腎臓内科
著者 松井 佑樹 金沢医科大学病院腎臓内科
著者 田中 達朗 金沢医科大学病院泌尿器科
著者 宮澤 克人 金沢医科大学病院泌尿器科
著者 下川 雪江 金沢医科大学病院看護部
著者 山口 裕美子 公益社団法人石川県臓器移植推進財団・石川県移植コーディネーター
【 要旨 】 「腎移植医と透析医・透析スタッフとの接点」について,北陸地区(石川県)の取り組みをモデルとして紹介した.とくに,腎移植医と透析医・透析スタッフとが毎年接する重要な事柄として,(公社)日本臓器移植ネットワークから各献腎移植施設に求められている,献腎移植希望登録者に対する年1度以上の適切な評価がある.透析施設からの必要な情報提供として,原疾患,腎生検の病理結果,透析状況,輸血記録,服薬状況並びに合併症の加療歴および患者の社会的背景(住所,勤務場所,緊急時の連絡先など)などについて事例を提示した.さらに,献腎移植における先行的腎移植の登録基準や透析スタッフ,患者と家族への腎移植学習会についても解説した.
Theme Kidney transplantation for dialysis room staff -- Recent clinical issues
Title Contact between the renal transplant physicians and the doctors/staffs of dialysis centers : A model of the Hokuriku area
Author Hitoshi Yokoyama Department of Nephrology, Kanazawa Medical University School of Medicine
Author Yuki Matsui Department of Nephrology, Kanazawa Medical University School of Medicine
Author Tatsuro Tanaka Department of Urology, Kanazawa Medical University School of Medicine
Author Katsuhito Miyazawa Department of Urology, Kanazawa Medical University School of Medicine
Author Yukie Shimokawa Department of Nursing, Kanazawa Medical University School of Medicine
Author Yumiko Yamaguchi Ishikawa Prefecture, Organ Transplant Promotion Foundation / Transplant Coordinator
[ Summary ] We introduced the efforts of individuals who coordinated between the renal transplant physicians and the doctors/staffs of the dialysis centers in the Hokuriku area (Ishikawa prefecture). First, since assessments conducted in both renal transplant facilities and dialysis centers are important, registrants for deceased donor kidney transplant must be annually checked by physicians of transplant facilities according to guidelines of the Japan Organ Transplantation Network for an appropriate evaluation at least once a year and for continuation of the registration. Data, such as original disease, pathological result of renal biopsy, dialysis situation, blood transfusion record, medical history and complications, and social background of the patient (address, work place, emergency contact point, etc.) who is in contact with renal transplant facilities, which should be provided by the doctors/staffs of the dialysis centers, are presented. In addition, the registration criteria for pre-emptive kidney transplantation (PEKT) in deceased donor kidney transplantation and the lectures for the staffs of the dialysis centers and the patients and their family are discussed.
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