On the Dilemma of Preemptive Kidney Transplantation

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Preemptive Kidney Transplantation

End-stage renal disease (ESRD) is a severe health problem with high mortality and morbidity rates and growing incidence worldwide. Recently, two main renal replacement therapy modalities have been used for ESRD patients: Dialysis and kidney transplantation. It is undoubtedly clear that transplantation is the best choise for long term survival and every transplantation candidate is also a preemp...

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Preemptive kidney transplantation: ethical issues.

Preemptive kidney transplantation, as a treatment modality for end-stage renal disease, offers higher clinical advantages compared to maintenance dialysis. Nevertheless, preemptive transplantations raises ethical concerns, particularly regarding medical resource allocation. From an ethical perspective, health care decisions should be focused on the patient's needs. Nevertheless, a fair distribu...

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Barriers to preemptive kidney transplantation.

BACKGROUND Patients who receive kidney transplants before beginning dialysis (known as preemptive transplantation) have lower rates of morbidity and mortality and a longer work life than do those who receive them after beginning dialysis. But in the United States fewer than 2.5% of patients with end-stage kidney disease undergo transplantation as their initial therapy. OBJECTIVE To understand...

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Preemptive kidney transplantation in systemic lupus erythematosus.

Preemptive kidney transplantation is associated with superior outcomes. Patients who have kidney failure due to systemic lupus erythematosus (SLE) may not receive a preemptive kidney transplant because of the concern for risk of disease recurrence with shortened graft and patient survival. We identified 8001 patients in the United Network for Organ Sharing dataset who underwent kidney transplan...

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Preemptive kidney transplantation: the advantage and the advantaged.

It remains unclear whether preemptive transplantation is beneficial, and if so, who benefits. A total of 38,836 first, kidney-only transplants between 1995 and 1998 were retrospectively studied. A surprising 39% of preemptive transplants were from cadaver donors, and the proportions of cadaver donor transplants that were preemptive changed little, from 7.3% in 1995 to 7.7% in 1998. Preemptive t...

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ژورنال

عنوان ژورنال: Medical Decision Making

سال: 1998

ISSN: 0272-989X,1552-681X

DOI: 10.1177/0272989x9801800313