title: Protecting the Kidney in Liver Transplant Candidates: Practice-Based Recommendations From the American Society of Transplantation Liver and Intestine Community of Practice.
abstract: Acute kidney injury (AKI) and chronic kidney disease (CKD) are common in patients awaiting liver transplantation, and both have a marked impact on the perioperative and long-term morbidity and mortality of liver transplant recipients. Consequently, we reviewed the epidemiology of AKI and CKD in patients with end-stage liver disease, highlighted strategies to prevent and manage AKI, evaluated the changing liver transplant waiting list's impact on kidney function, delineated important considerations in simultaneous liver-kidney transplant selection, and projected possible future transplant policy changes and outcomes. This review was assembled by experts in the field and endorsed by the American Society of Transplantation Liver and Intestinal Community of Practice and Board of Directors and provides practice-based recommendations for preservation of kidney function in patients with end-stage liver disease.
authors.affiliation: Division of Hepatology, Baylor University Medical Center, Dallas, TX.
authors.forename: J G
authors.initials: JG
authors.lastname: O'Leary
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
authors.forename: J
authors.initials: J
authors.lastname: Levitsky
authors.affiliation: Division of Gastroenterology, Department of Medicine, Toronto General Hospital, University Health Network, University of Toronto, Ontario, Canada.
authors.forename: F
authors.initials: F
authors.lastname: Wong
authors.affiliation: Division of Nephology and Hypertension, Department of Medicine, University of Southern California, Los Angeles, CA.
authors.forename: M K
authors.initials: MK
authors.lastname: Nadim
authors.affiliation: Intermountain Transplant Center, Murray, UT.
authors.forename: M
authors.initials: M
authors.lastname: Charlton
authors.affiliation: Division of Gastroenterology, Department of Medicine, Stanford University, Stanford, CA.
authors.forename: W R
authors.initials: WR
authors.lastname: Kim
mesh_terms: D006801:Humans; D007422:Intestines; D007676:Kidney Failure, Chronic / Q000209:etiology / Q000517:prevention & control*; D016031:Liver Transplantation / Q000009:adverse effects*; D017410:Practice Guidelines as Topic / Q000592:standards*; D012958:Societies, Scientific
keywords: clinical research/practice; glomerular filtration rate (GFR); kidney (native) function/dysfunction; kidney disease; kidney transplantation/nephrology; liver transplantation/hepatology; translational research/science