PMID- 16398711
OWN - NLM
STAT- MEDLINE
DCOM- 20060316
LR  - 20060109
IS  - 0894-0959 (Print)
IS  - 0894-0959 (Linking)
VI  - 18
IP  - 6
DP  - 2005 Nov-Dec
TI  - Kidney transplant candidate evaluation.
PG  - 487-94
AB  - The practicing nephrologist is an indispensable component in the evaluation of 
      the candidate for kidney transplantation, from referral to the transplant center 
      to eventual transplantation, which now may be years later. Early referral may 
      lead to preemptive transplantation, the ideal that has been achieved in 25% of 
      living donor transplant cases. Annually approximately 30% of U.S. deceased donor 
      kidneys are now transplanted under the allocation policies for zero human 
      leukocyte antigen (HLA) mismatch kidneys and expanded criteria donor kidneys. 
      Under either of these programs, candidates may receive a kidney offer soon after 
      entering the wait-list, so prompt and complete evaluation and preparation by the 
      practicing nephrologist is necessary for successful early transplantation. The 
      remaining candidates require periodic review while ascending the wait-list and 
      thorough repeat evaluation when nearing the top, as years may have passed since 
      initial evaluation. Wait-list management is a major challenge faced by transplant 
      centers, aggravated by the inexorable growth of the list. Active communication 
      between the practicing nephrologist and the transplant center is essential to 
      maintain the candidate's preparation for transplantation.
FAU - Scandling, John D
AU  - Scandling JD
AD  - Department of Medicine, Stanford University School of Medicine, and Stanford 
      Hospital and Clinics, Palo Alto, California, USA. jscand@stanford.edu
LA  - eng
PT  - Journal Article
PT  - Review
PL  - United States
TA  - Semin Dial
JT  - Seminars in dialysis
JID - 8911629
SB  - IM
MH  - *Comorbidity
MH  - Health Education
MH  - Humans
MH  - Kidney Failure, Chronic/*surgery
MH  - *Kidney Transplantation/psychology
MH  - Motivation
MH  - *Patient Selection
MH  - Referral and Consultation
MH  - Resource Allocation
MH  - Waiting Lists
RF  - 45
EDAT- 2006/01/10 09:00
MHDA- 2006/03/17 09:00
CRDT- 2006/01/10 09:00
PHST- 2006/01/10 09:00 [pubmed]
PHST- 2006/03/17 09:00 [medline]
PHST- 2006/01/10 09:00 [entrez]
AID - SDI094 [pii]
AID - 10.1111/j.1525-139X.2005.00094.x [doi]
PST - ppublish
SO  - Semin Dial. 2005 Nov-Dec;18(6):487-94. doi: 10.1111/j.1525-139X.2005.00094.x.