TY - JOUR
T1 - Standard work-up of the low-risk kidney transplant candidate
T2 - a European expert survey of the ERA-EDTA Developing Education Science and Care for Renal Transplantation in European States Working Group
AU - Maggiore, Umberto
AU - Abramowicz, Daniel
AU - Budde, Klemens
AU - Crespo, Marta
AU - Mariat, Christophe
AU - Oberbauer, Rainer
AU - Pascual, Julio
AU - Peruzzi, Licia
AU - Schwartz Sorensen, Soren
AU - Viklicky, Ondrej
AU - Watschinger, Bruno
AU - Oniscu, Gabriel C
AU - Heemann, Uwe
AU - Hilbrands, Luuk B
AU - ERA-EDTA DESCARTES working group
N1 - © The Author(s) 2019. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved.
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Background: Existing guidelines on the evaluation and preparation of recipients for kidney transplantation target the entire spectrum of patients with end-stage renal disease. Within the ERA-EDTA Developing Education Science and Care for Renal Transplantation in European States (DESCARTES) Working Group, it was proposed that in a subset of relatively young patients (<40 years) without significant comorbidities (such as diabetes or cardiovascular disease), the work-up for transplantation could be restricted to a small set of tests. Methods: Aiming for agreement between transplant centres across Europe, we surveyed the opinion of 80 transplant professionals from 11 European states on the composition of a minimal work-up. Results: We show that there is a wide agreement among European experts that the work-up for kidney transplantation of the low-risk candidate, as opposed to the standard risk candidate, could include a limited number of investigations. However, there is some disagreement regarding the small number of diagnostic procedures, which is related to geographical location within Europe and the professional background of respondents. Conclusions: Based on the results of the survey, published guidelines and expert meetings by the DESCARTES Working Group, we have formulated a proposal for the work-up of low-risk kidney transplant candidates.
AB - Background: Existing guidelines on the evaluation and preparation of recipients for kidney transplantation target the entire spectrum of patients with end-stage renal disease. Within the ERA-EDTA Developing Education Science and Care for Renal Transplantation in European States (DESCARTES) Working Group, it was proposed that in a subset of relatively young patients (<40 years) without significant comorbidities (such as diabetes or cardiovascular disease), the work-up for transplantation could be restricted to a small set of tests. Methods: Aiming for agreement between transplant centres across Europe, we surveyed the opinion of 80 transplant professionals from 11 European states on the composition of a minimal work-up. Results: We show that there is a wide agreement among European experts that the work-up for kidney transplantation of the low-risk candidate, as opposed to the standard risk candidate, could include a limited number of investigations. However, there is some disagreement regarding the small number of diagnostic procedures, which is related to geographical location within Europe and the professional background of respondents. Conclusions: Based on the results of the survey, published guidelines and expert meetings by the DESCARTES Working Group, we have formulated a proposal for the work-up of low-risk kidney transplant candidates.
KW - Age
KW - ESRD
KW - Guidelines
KW - Kidney transplantation
KW - Pre-dialysis
UR - http://www.scopus.com/inward/record.url?scp=85071609027&partnerID=8YFLogxK
U2 - 10.1093/ndt/gfy391
DO - 10.1093/ndt/gfy391
M3 - Journal article
C2 - 30629182
SN - 0931-0509
VL - 34
SP - 1605
EP - 1611
JO - Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
JF - Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
IS - 9
ER -