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Updated: Jun 21, 2026
07:11
Surgical Techniques for Catheter Placement and 5/6 Nephrectomy in Murine Models of Peritoneal Dialysis
Published on: July 19, 2018
[Evaluating renal function and indications for starting dialysis]
José Luis Teruel1, Jaime Torrente, Milagros Fernández Lucas
1Servicio de Nefrología, Hospital Ramón y Cajal, Madrid. jteruel.hrc@salud.madrid.org
Summary
Kidney transplant recipients require continuous monitoring of renal function using glomerular filtration rate (GFR) calculations. Early dialysis initiation, when GFR falls below 15 ml/min/1.73 m2, prevents complications and ensures timely vascular access.
Area of Science:
- Nephrology
- Transplant Medicine
- Renal Function Evaluation
Context:
- Post-kidney transplant graft function monitoring is crucial.
- Patients with chronic graft dysfunction often initiate dialysis late, leading to uremic complications.
- Programmed dialysis initiation is preferred over emergency initiation in transplant recipients.
Purpose:
- To outline optimal strategies for monitoring renal function in transplant recipients.
- To define criteria for initiating dialysis in patients with chronic graft dysfunction.
- To emphasize the importance of programmed dialysis initiation and timely vascular access creation.
Summary:
- Glomerular filtration rate (GFR) estimation using serum creatinine, particularly the MDRD formula, is essential for graft function follow-up.
- All transplanted patients should be classified under Chronic Kidney Disease (CKD) staging, with interventions applied from stage 1-3.
- Dialysis should be considered when GFR is <15 ml/min/1.73 m2 or when uremic complications arise.
- Programmed dialysis initiation requires prompt vascular surgery evaluation for access, ideally when GFR <20 ml/min/1.73 m2.
- Peritoneal dialysis requires catheter placement at least 15 days before training initiation.
Impact:
- Improved management of kidney transplant recipients.
- Reduced incidence of uremic complications in post-transplant patients requiring dialysis.
- Enhanced planning and execution of dialysis initiation, leading to better patient outcomes.
- Standardized protocols for renal function monitoring and dialysis initiation in transplant care.
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