Renal Transplantation in Advanced Chronic Kidney Disease Patients.
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.
Department of Medicine, Lewis Katz School of Medicine at Temple University, 3440 N Broad St, Kresge West Suite 100, Philadelphia, PA 19046, USA. Electronic address: mythilighanta@gmail.com.
Mythili
M
Ghanta
Division of Nephrology, Department of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, 1400 Pelham Parkway, Bronx, NY 10461, USA.
Belinda
B
Jim
D015897:Comorbidity; D005919:Glomerular Filtration Rate; D006801:Humans; D007676:Kidney Failure, Chronic / Q000145:classification / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D016030:Kidney Transplantation; D008403:Mass Screening; D010353:Patient Education as Topic; D011183:Postoperative Complications / Q000401:mortality; D011379:Prognosis; D012017:Referral and Consultation; D012307:Risk Factors; D015996:Survival Rate; D014022:Tissue Survival; D066027:Transplant Recipients; D014850:Waiting Lists
Factors affecting transplant candidacy; Kidney transplant; New kidney allocation system; Pretransplantation evaluation process; Wait times; Wait-list mortality