Renal Transplantation in Advanced Chronic Kidney Disease Patients

被引:14
作者
Ghanta, Mythili [1 ]
Jim, Belinda [2 ]
机构
[1] Temple Univ, Lewis Katz Sch Med, Dept Med, 3440 N Broad St,Kresge West Suite 100, Philadelphia, PA 19046 USA
[2] Albert Einstein Coll Med, Dept Med, Div Nephrol, Jacobi Med Ctr, 1400 Pelham Pkwy, Bronx, NY 10461 USA
关键词
Kidney transplant; New kidney allocation system; Pretransplantation evaluation process; Factors affecting transplant candidacy; Wait times; Wait-list mortality; OUTCOMES; OBESITY; HIV; MANAGEMENT; HCV;
D O I
10.1016/j.mcna.2015.12.003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Kidney transplantation is the best option for patients with end-stage kidney disease. It is associated with better quality of life, lower medical costs, less hospitalization, and improved survival compared with wait-listed patients who remain on dialysis. Timely referral for transplantation is essential to reap the maximal benefit and should begin in the advanced chronic kidney disease stage prior to starting dialysis. Shortage of donor organs remains the biggest challenge to transplantation. With the improved success of kidney transplantation, candidate acceptance criteria continue to broaden. This article provides an overview of the pretransplantation multidisciplinary evaluation process detailing the factors that determine transplant candidacy.
引用
收藏
页码:465 / +
页数:13
相关论文
共 24 条
[1]   Addressing Morbid Obesity as a Barrier to Renal Transplantation With Laparoscopic Sleeve Gastrectomy [J].
Freeman, C. M. ;
Woodle, E. S. ;
Shi, J. ;
Alexander, J. W. ;
Leggett, P. L. ;
Shah, S. A. ;
Paterno, F. ;
Cuffy, M. C. ;
Govil, A. ;
Mogilishetty, G. ;
Alloway, R. R. ;
Hanseman, D. ;
Cardi, M. ;
Diwan, T. S. .
AMERICAN JOURNAL OF TRANSPLANTATION, 2015, 15 (05) :1360-1368
[2]   Pathophysiologic and Treatment Strategies for Cardiovascular Disease in End-Stage Renal Disease and Kidney Transplantations [J].
Ghanta, Mythili ;
Kozicky, Mark ;
Jim, Belinda .
CARDIOLOGY IN REVIEW, 2015, 23 (03) :109-118
[3]   Management of peripheral vascular disease compromising renal allograft placement and function: review of the literature with an illustrative case [J].
Gill, Roop ;
Shapiro, Ron ;
Kayler, Liise K. .
CLINICAL TRANSPLANTATION, 2011, 25 (03) :337-344
[4]   Risk Factors for Retransplant Kidney Recipients: Relisting and Outcomes From Patients' Primary Transplant [J].
Heaphy, E. L. G. ;
Poggio, E. D. ;
Flechner, S. M. ;
Goldfarb, D. A. ;
Askar, M. ;
Fatica, R. ;
Srinivas, T. R. ;
Schold, J. D. .
AMERICAN JOURNAL OF TRANSPLANTATION, 2014, 14 (06) :1356-1367
[5]   Recipient obesity and outcomes after kidney transplantation: a systematic review and meta-analysis [J].
Hill, Christopher J. ;
Courtney, Aisling E. ;
Cardwell, Christopher R. ;
Maxwell, Alexander P. ;
Lucarelli, Giuseppe ;
Veroux, Massimiliano ;
Furriel, Frederico ;
Cannon, Robert M. ;
Hoogeveen, Ellen K. ;
Doshi, Mona ;
McCaughan, Jennifer A. .
NEPHROLOGY DIALYSIS TRANSPLANTATION, 2015, 30 (08) :1403-1411
[6]   Preemptive kidney transplantation: Has it come of age? [J].
Huang, Yihung ;
Samaniego, Millie .
NEPHROLOGIE & THERAPEUTIQUE, 2012, 8 (06) :428-432
[7]   Pulmonary Hypertension Is Associated With Reduced Patient Survival After Kidney Transplantation [J].
Issa, Naim ;
Krowka, Michael J. ;
Griffin, Matthew D. ;
Hickson, LaTonya J. ;
Stegall, Mark D. ;
Cosio, Fernando G. .
TRANSPLANTATION, 2008, 86 (10) :1384-1388
[8]   A primer on recurrent and de novo glomerulonephritis in renal allografts [J].
Ivanyi, Bela .
NATURE CLINICAL PRACTICE NEPHROLOGY, 2008, 4 (08) :446-457
[9]   Transplanting the highly sensitized patient: trials and tribulations [J].
Iyer, Hariharan S. ;
Jackson, Annette M. ;
Zachary, Andrea A. ;
Montgomery, Robert A. .
CURRENT OPINION IN NEPHROLOGY AND HYPERTENSION, 2013, 22 (06) :681-688
[10]   OPTN/SRTR 2013 Annual Data Report: Pancreas [J].
Kandaswamy, R. ;
Skeans, M. A. ;
Gustafson, S. K. ;
Carrico, R. J. ;
Tyler, K. H. ;
Israni, A. K. ;
Snyder, J. J. ;
Kasiske, B. L. .
AMERICAN JOURNAL OF TRANSPLANTATION, 2015, 15 :1-20