[Documento di indirizzo della Società Italiana di Nefrologia per ottimizzare l'implementazione del Trapianto di Rene...

The purpose of this document is to highlight the current issues limiting the expansion of the transplant program and to outline the actions, resources, and organizational measures needed to optimize and promote kidney transplantation in Italy, especially transplant from living donors. A primary goal of the document is to promote both qualitative and quantitative uniformity of transplant activity across the national territory, thereby reducing the existing geographical disparities. To make enrollment in the transplant program faster and easier, the document sets out minimum group of diagnostic tests for both donor and recipient, specifying only certain cases where further tests are needed, since these often cause unacceptable delays in completing eligibility for the waiting list. The document will be presented to national health institutions (National Transplant Center - Istituto Superiore di Sanità) and may serve as a reference tool at the regional level for technical working groups on kidney transplantation within the Italian regions.