| Theme | Necessary kidney transplant knowledge for the dialysis staff, 2013 | |
|---|---|---|
| Title | Dialysis therapy and kidney transplantation | |
| Publish Date | 2013/08 | |
| Author | Masaki Muramatsu | Department of Nephrology, Nephrology, Toho University Faculty of Medicine |
| Author | Seiichiro Shishido | Department of Pediatric Nephrology, Toho University Faculty of Medicine |
| Author | Atsushi Aikawa | Department of Nephrology, Nephrology, Toho University Faculty of Medicine |
| [ Summary ] | Once a kidney has failed, the patient faces three renal replacement therapy (RRT) options : hemodialysis, peritoneal dialysis or kidney transplantation (KT). Selection of the proper type of RRT depends on many variables. The use of KT in Japan has recently increased. KT has become popular as a common form of RRT. End-stage kidney disease treatment requires adequate pre- and post-transplant management. Increased dialysis duration before KT has been shown to deleteriously affect patient and graft survival in several retrospective analyses. Moreover, some reports have shown improved graft survival rates in preemptive kidney transplant recipients compared to those who received pre-transplant dialysis. The timing of KT should be decided on according to optimal prognoses. The increased use of KT is associated with an increase in the number of dialysis patients for whom renal graft functions fail. Therefore, indications for dialysis after KT must include appropriate management, bearing in mind that patients may undergo more than one procedure over the course of their life. Appropriate treatment must also be decided on through cooperation between nephrologists, dialysis specialists and transplant surgeons, with an emphasis on transition continuity between treatment stages. |
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