Nephrology

Transplant nephrology

Questions discussed in this category

Would you consider a BRCA carrier patient for kidney transplantation?

5 Answers available

Do you make adjustments to the immunosuppressive regimen for kidney transplant recipients on tacrolimus who develop posterior reversible encephalopathy syndrome (PRES)?

2 Answers available

How has the introduction of lumasiran affected the need for combined liver and kidney transplantation in patients with ESKD related to primary hyperoxaluria type 1?

2 Answers available

Would you recommend starting an SGLT2i in a patient with a kidney transplant and moderately increased albuminuria?

2 Answers available

Do you recommend switching from tacrolimus to cyclosporine in a kidney transplant patient diagnosed with PTLD?

Bustami et al., PMID 14678038

4 Answers available

What considerations do you take when evaluating a patient for kidney transplantation who has a history of kidney disease and an abdominal aortic aneurysm treated with past stenting?

1 Answer available

What is your approach for a kidney transplant patient who develops proteinuria after everolimus initiation?

1 Answer available

How would you treat a kidney transplant patient with both biopsy-proven BK nephropathy and recurrent membranous glomerulonephritis with nephrotic range proteinuria?

1 Answer available

In which patients awaiting a kidney transplant do you evaluate for primary hyperoxaluria given the high risk of allograft dysfunction following transplantation?

1 Answer available

What is your strategy for managing immunosuppression in patients with a kidney transplant who develop metastatic cancer?

3 Answers available

What are your top takeaways from ASN 2023?

2 Answers available

Would you recommend complement testing in a kidney transplant recipient with chronic antibody-mediated rejection and biopsy-proven thrombotic microangiopathy to determine the need for eculizumab?

1 Answer available

Do you recommend performing surveillance kidney allograft biopsies in your asymptomatic kidney transplant recipients?

3 Answers available

Do you recommend ligation of a functional arteriovenous fistula after kidney transplantation?

2 Answers available

What is your approach to a living kidney donor evaluation for a patient with normal kidney function who wishes to donate to their monozygotic twin who has ESKD due to an autoimmune disorder?

1 Answer available

Would you consider a patient with spina bifida and end stage kidney disease secondary to reflux nephritis with an ileal conduit for a kidney transplant?

2 Answers available

Do you recommend noninvasive testing or coronary angiography as the initial test for pre-kidney transplant evaluation of an asymptomatic patient older than 50 years of age with ESKD secondary to diabetic nephropathy and no known history of CAD?

1 Answer available

Would you recommend avoiding PICC line placement in a kidney transplant patient with an estimated GFR of more than 45 ml/min/1.73m2 and no functional AV access?

2 Answers available

Would you perform plasmapheresis for an ABO-incompatible kidney transplant recipient who has titers of 1:16 and a stable creatinine 3 months post-transplant?

2 Answers available

What is your approach to inpatient immunosuppression for a kidney transplant patient on home tacrolimus, prednisone, and mycophenolic acid who cannot tolerate anything by mouth?

2 Answers available

Do you recommend holding cinacalcet after kidney transplantation and monitoring PTH levels before restarting it?

If so, how long would you monitor PTH levels?

1 Answer available

When do you deem it reasonable to transition outpatient management of a kidney transplant patient to general nephrology?

1 Answer available

Do you recommend starting aspirin for a patient with ESKD secondary to lupus nephritis with detected antiphospholipid antibodies on pretransplant workup but no history of a thrombotic event?

3 Answers available

How long would you continue prednisone in an ESKD patient with a failed kidney transplant who develops mild graft pain when steroids are tapered?

1 Answer available

What is your blood pressure goal for the first three months after kidney transplantation?

2 Answers available

What do you use to treat a kidney transplant patient with progressive BK nephropathy despite a maximal decrease in immunosuppression for months?

1 Answer available

How do you approach COVID-19 vaccination in those who underwent kidney transplantation for native kidney glomerular disease?

1 Answer available

Do you routinely advise patients waiting for a kidney transplant to seek referrals at multiple institutions to decrease waiting time?

1 Answer available

Do you use both rituximab and plasmapheresis in patients with recurrent primary FSGS within three months of kidney transplantation?

1 Answer available

What changes to immunosuppressant medications do you adopt for kidney transplant patients who contract COVID-19?

1 Answer available

Would you consider clearing a patient with essential thrombocytosis for a kidney donation?

1 Answer available

Papers discussed in this category

Clinical transplantation, 2017-05

Kidney allograft surveillance biopsy practices across US transplant centers: A UNOS survey.

Transplantation proceedings, 2020 Jun 21

Kidney Graft Surveillance Biopsy Utilization and Trends: Results From a Survey of High-Volume Transplant Centers.

Am J Transplant, 2021 Feb 23

Rituximab for recurrence of primary focal segmental glomerulosclerosis after kidney transplantation: Results of a nationwide study.

Transplantation, 2009 Aug 15

Use of rituximab in focal glomerulosclerosis relapses after renal transplantation.

Am J Transplant, 2019 Jul 01

Two-year outcomes in de novo renal transplant recipients receiving everolimus-facilitated calcineurin inhibitor reduction regimen from the TRANSFORM study.

Transpl Infect Dis, 2020 Jul 14

T-cell adoptive immunotherapy for BK nephropathy in renal transplantation.

Journal of the American Society of Nephrology : JASN, 2014-07

BP, cardiovascular disease, and death in the Folic Acid for Vascular Outcome Reduction in Transplantation trial.

Kidney Int, 2021 Mar

KDIGO 2021 Clinical Practice Guideline for the Management of Blood Pressure in Chronic Kidney Disease.

Pediatr Transplant, 2018 Dec 09

Effects of the strict control of blood pressure in pediatric renal transplant recipients-ESCORT trial.

N Engl J Med, 2015 Nov 09

A Randomized Trial of Intensive versus Standard Blood-Pressure Control.

Kidney Int, 1998 Jan

Association of chronic kidney graft failure with recipient blood pressure. Collaborative Transplant Study.

Sci Rep, 2019 Jul 19

Intensive blood pressure control is associated with improved patient and graft survival after renal transplantation.

J Rheumatol, 2017 May 15

Longterm Hydroxychloroquine Therapy and Low-dose Aspirin May Have an Additive Effectiveness in the Primary Prevention of Cardiovascular Events in Patients with Systemic Lupus Erythematosus.

JAMA, 2014-02-12

Risk of end-stage renal disease following live kidney donation.

Journal of autoimmunity, 2017 Apr 12

The epigenetic mechanism for discordance of autoimmunity in monozygotic twins.

Kidney international, 2013 Nov 27

Long-term risks for kidney donors.

Transplantation reviews (Orlando, Fla.), 2021 Jun 24

Management of the kidney transplant patient with Cancer: Report from a Multidisciplinary Consensus Conference.

Frontiers in cardiovascular medicine, 2022 Feb 23

Post-transplant Lymphoproliferative Disorder Following Cardiac Transplantation.

Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2023 Feb 13

Isolated kidney transplantation under lumasiran therapy in primary hyperoxaluria type 1: a report of five cases.

Oncology research, 2018-04-10

Normalization of Elevated Tumor Marker CA27-29 After Bilateral Lung Transplantation in a Patient With Breast Cancer and Idiopathic Pulmonary Fibrosis.

Balkan journal of medical genetics : BJMG, 2023 May 02

Pathogenic/Likely Pathogenic Variant Patients with Breast, Ovarian, and Other Cancers.

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