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Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
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Updated: Dec 31, 2025

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
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OPTN/SRTR 2018 Annual Data Report: Kidney.

A Hart1,2, J M Smith2,3, M A Skeans2

  • 1Department of Medicine, Hennepin Healthcare, University of Minnesota, Minneapolis, MN.

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
|January 4, 2020
PubMed
Summary
This summary is machine-generated.

US kidney transplant numbers rose in 2018, with more deceased and living donor transplants. However, challenges remain, including long dialysis times and persistent racial disparities in living donation.

Keywords:
Kidney allocation systemkidney donationkidney transplantwaiting list

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Area of Science:

  • Nephrology
  • Transplantation
  • Public Health

Background:

  • Severe organ shortage persists despite increasing kidney transplants.
  • Rising proportion of elderly candidates and long dialysis wait times present challenges.
  • Geographic disparities in transplant access exist nationwide.

Purpose of the Study:

  • To analyze 2018 trends in kidney transplantation in the US.
  • To identify progress and persistent challenges in organ donation and transplantation.
  • To examine disparities in kidney transplant access and outcomes.

Main Methods:

  • Analysis of national kidney transplant data from 2018.
  • Examination of trends in donor types, recipient demographics, and waitlist times.
  • Comparison of transplant rates across different donation service areas and demographic groups.

Main Results:

  • Declining waitlist numbers and increased deceased and living donor kidney transplants were observed.
  • Nearly 20% of recovered organs were discarded; increasing use of hepatitis C positive donors noted.
  • Racial disparities in living donation persisted; pediatric living donor transplants remained low at 36.2%.

Conclusions:

  • While kidney transplantation shows positive trends, significant challenges like long wait times and disparities require attention.
  • Addressing organ discard and promoting living donation, especially in pediatric cases, are crucial.
  • Continued monitoring of organ recovery trends and transplant access is essential for improving outcomes.