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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

827
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

926
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
631
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

559
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...
559
Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy01:26

Extracorporeal Removal of Drugs: Continuous Renal Replacement Therapy

414
Continuous Renal Replacement Therapy (CRRT) is an essential intervention for patients experiencing severe kidney dysfunction. This therapy offers a continuous mechanism for removing fluids and toxins from the bloodstream, leveraging the patient’s blood pressure to facilitate filtration through a specialized filter. This method contrasts with intermittent dialysis, providing a gentler and more consistent removal of waste products and excess fluid, which is particularly beneficial in...
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Chronic Kidney Disease III: Interprofessional Care01:28

Chronic Kidney Disease III: Interprofessional Care

679
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
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Related Experiment Video

Updated: May 1, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
07:13

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Multi-Listing Among Rural Kidney Transplant Recipients: A National Cohort Study.

Erin R Weeda1,2, Arwen B L Declan1,2,3, Patricia J Greene1

  • 1University of South Carolina School of Medicine Greenville, Greenville, South Carolina, USA.

The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association
|April 30, 2026
PubMed
Summary
This summary is machine-generated.

Multi-listing on kidney transplant waitlists improves access for rural patients, but they may receive organs from less ideal donors. Further research is needed to understand these trade-offs for rural kidney transplant candidates.

Keywords:
kidney transplantationmulti‐listingorgan procurementrural populationwaiting list

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Area of Science:

  • Nephrology
  • Transplant Surgery
  • Public Health

Background:

  • Kidney transplantation rates are lower in rural populations compared to urban.
  • Multi-listing (listing at >2 centers) may improve transplant rates but is understudied in rural patients.

Purpose of the Study:

  • To compare demographic, clinical, and donor characteristics of rural kidney transplant recipients based on multi-listing status (single vs. multi-listed).

Main Methods:

  • Retrospective cohort study using the Scientific Registry of Transplant Recipients (SRTR) from 2019-2023.
  • Identified adult, first-time, deceased-donor kidney transplant recipients in rural areas (RUCA Codes).
  • Stratified patients into single-listed and multi-listed cohorts.

Main Results:

  • Of 6246 rural recipients, 13.3% were multi-listed.
  • Multi-listed patients were more educated, employed, and had shorter dialysis durations.
  • Donors for multi-listed recipients had higher Kidney Donor Profile Index scores.

Conclusions:

  • Multi-listed rural patients have favorable characteristics for graft success.
  • These patients may receive organs from donors with less favorable profiles.
  • Further research should explore trade-offs in multi-listing strategies for rural populations.