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[Kidney transplantation. Results and indications]
D Durand1, L Rostaing, M Abbal
1Service de néphrologie-hypertension artérielle-dialyse-transplantation, CHU-Hôpital de Rangueil, 31403 Toulouse. durand.d@chu-toulouse.fr
La Revue Du Praticien
|May 18, 2001
Summary
Renal transplantation offers better outcomes than dialysis, with expanding indications for at-risk populations. Careful donor-recipient matching is crucial due to organ shortages, especially for elderly or diabetic patients.
Area of Science:
- Nephrology
- Transplantation immunology
- Geriatric medicine
Context:
- Renal transplantation is superior to dialysis for end-stage renal disease.
- Increasingly, older patients and those with diabetes are candidates for kidney transplants.
- Cadaveric kidney shortages necessitate using 'borderline' organs.
Purpose:
- To evaluate the expanding indications for renal transplantation.
- To address the challenges of donor-recipient matching with limited organ availability.
- To highlight the importance of individualized risk-benefit assessments for potential transplant recipients.
Summary:
- Kidney transplantation yields better results than dialysis, with growing eligibility for elderly and diabetic patients.
- The scarcity of donor kidneys leads to the use of organs from higher-risk donors, including the elderly or those with vascular disease.
- A thorough case-by-case evaluation of donor-recipient compatibility and associated risks is essential before transplantation.
Impact:
- Improved patient outcomes through successful renal transplantation.
- Expanded criteria for kidney transplantation, benefiting a wider range of patients.
- Highlights the critical need for increased organ donation to overcome transplantation limitations.