How much proteinuria would warrant consideration of native kidney nephrectomies at the time of a kidney transplant?  

We don't typically consider native nephrectomies unless the proteinuria is > 5-6 grams. We rarely end up doing native nephrectomies, though. The main problem, besides the complications associated with heavy proteinuria, is the inability to assess for recurrent disease post-transplant. This can be...