Kidney-pancreas transplantation: a treatment option for ESRD and type I diabetes.
Combined kidney-pancreas transplantation is a safe and effective treatment option for patients with end stage renal disease (ESRD) resulting from type I diabetes. Current 1 year graft survival rates are nearing 80% and evidence is accumulating that improvement occurs in microvascular and neuropathic complications of diabetes after transplantation. This article is a detailed overview based on the current literature and our experience at The University Hospitals of Cleveland of the challenges and benefits of kidney-pancreas transplantation and the nursing care required to prepare the patient for home.
Bartucci
M R
MR
Loughman
K A
KA
Moir
E J
EJ
D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D003928:Diabetic Nephropathies / Q000150:complications*; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000451:nursing / Q000601:surgery*; D016030:Kidney Transplantation / Q000451:nursing*; D016035:Pancreas Transplantation / Q000451:nursing*; D010347:Patient Care Planning; D016896:Treatment Outcome