Indications for and Barriers to Preemptive Kidney Transplantation: A Review

被引:20
作者
Kallab, S. [1 ]
Bassil, N. [1 ]
Esposito, L. [1 ]
Cardeau-Desangles, I. [1 ]
Rostaing, L. [1 ,3 ]
Kamar, N. [1 ,2 ]
机构
[1] CHU Rangueil, Dept Nephrol Dialysis & Organ Transplantat, F-31059 Toulouse 9, France
[2] CHU Rangueil, INSERM, U858, IFR BMT, F-31059 Toulouse 9, France
[3] CHU Purpan, INSERM, U563, IFR BMT, Toulouse, France
关键词
LONG-TERM; SURVIVAL; DIALYSIS; ACTIVATION; RECIPIENTS; IMPACT; GRAFT;
D O I
10.1016/j.transproceed.2010.02.031
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Preemptive kidney transplantation is the treatment of choice for end-stage renal disease. Compared with nonpreemptive transplantation, preemptive transplantation is significantly associated with improved kidney allograft survival in recipients of either cadaver or living-donor transplants. This seems to be related to better patient survival. It can be proposed to all patients, but still needs to be evaluated for repeat transplantation. The main barriers are organ-allocation policies and late referral of patients to transplantation centers.
引用
收藏
页码:782 / 784
页数:3
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