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Last Updated 6/16/19
   

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Kidney transplants are the second most common transplant operation in the United States (over 16,500 cases per year - cornea transplants are first). Compared to heart, lung, or liver transplants, it is an easier and less complicated operation.

The United Network for Organ Sharing (UNOS) is the private organization that runs the US transplant system under a contract with the federal government.

Despite continuing advances in medicine and technology, the demand for kidneys drastically outstrips the number of donors. In 2013, there were over 96,000 persons on waiting lists for kidney transplants in the US.

There are two types of kidney transplantation: cadaveric and living donor. Cadaver organs are distributed to those on a waiting list based on criteria set forth by UNOS. Live donor transplantation has become increasingly common, due in large part to the success of the procedure and the shortage of cadaveric organs. Living donation allows the immediate transplantation of kidneys into recipients so operations can be scheduled electively once a suitable living donor has been identified. This avoids the long waiting times encountered with cadaveric donation. A new procedure, the laparoscopic nephrectomy, has greatly reduced the trauma and recovery period for a living donor.

Kidney transplant recipients usually must take immunosuppressants, or anti-rejection drugs, for the rest of their lives. Medicare coverage for these medications is currently limited to three years, but federal legislation has been introduced to extend coverage. Immunosuppressant medications run on average between $1,000 - $1,200 monthly.

Warning: Changes should never be made in a patient's treatment or care based solely on the information found here.  All patients have unique healthcare concerns and considerations and these must all be taken into account before any changes can be safely made.  All medical and therapeutic decisions must come from a qualified health care provider.  Read RenalWEB's Legal Disclaimer before proceeding.

  NEWS and LATEST ARTICLES

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Free, Full-Text Articles from American Journal Of Kidney Diseases - June 2019

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Comparison of Organ Donation and Transplantation Rates between Opt-out and Opt-in Systems - Free, Full-Text Article from Kidney International. - June 2019

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56th ERA-EDTA Congress, June 13-16, Budapest, Hungary - Twitter: @ERAEDTA and #ERAEDTA19. - June 14, 2019

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Muscle-Pump Activator Cuts Hospital Time, Edema After Kidney Transplantation - Article from Medscape Nephrology (registration required). - June 13, 2019

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The New Kidney Allocation System: How Is It Performing? - Posting from the AJKD blog. - June 12, 2019

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Minorities Face More Obstacles to a Lifesaving Organ Transplant - Article from University of Richmond/The Conversation. - June 11, 2019

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Opioid Epidemic Increases Number of Organs Available for Transplant - Press release from The Annals of Thoracic Surgery. - June 6, 2019

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Study: New Drug Regimens Improve Outcomes for Kidney Transplant Patients - Press release from University of Cincinnati. - June 5, 2019

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Body Mass Index, Weight-Adjusted Immunosuppression and the Risk of Acute Rejection and Infection after Kidney Transplantation: a Cohort Study - Advance Article abstract from NDT. - June 5, 2019

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Fall River Nurses Who Underwent Kidney Transplant Are on the Mend - Article from The Herald News (Massachusetts). - June 5, 2019

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Risk Factors for Multidrug-Resistant Organisms among Deceased Organ Donors - Accepted Article abstract from American Journal of Transplantation. - June 4, 2019

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Early View Abstracts from Journal of Renal Care - June 3, 2019

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Organ and Tissue Donation in Patients Considering MAiD: New Guidance Helps Navigate Emerging Area - Press release from the Canadian Medical Association Journal. - June 3, 2019

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Allocation to Highly Sensitized Patients Based on Acceptable Mismatches Results in Low Rejection Rates Comparable to Non-Sensitized Patients - Accepted Article abstract from American Journal of Transplantation. - June 2, 2019

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Efforts to Support Living Donors and OPO Metric Improvements on the Way - Article by ASN Policy & Public Affairs Department from Kidney News Online. - June 2019

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A Culturally-Sensitive Web-Based Intervention to Improve Living Donor Kidney Transplant among African Americans - Free, full-text, Article in Press from Kidney International Reports. - May 30, 2019

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Many Immunosuppressed Persons Join in Hurricane Cleanup - Article from HealthDay. Report from the CDC's MMWR. - May 30, 2019

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Colorado Teacher Adopts Sick Student to Help Him Stay on Kidney Transplant List - Video and article from KDVR. - May 30, 2019

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It's Time To Start Paying People for Their Kidneys - Article from Forbes. - May 30, 2019

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Kidney Health Initiative: Seventh Annual Stakeholders Meeting - May 29-30 in Washington, DC. Twitter: #kidneyhealthinitiative. Notable tweet. - May 29, 2019

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Viral Study Suggests an Approach That May Decrease Kidney Damage in Transplant Patients - Press release from the University of Alabama at Birmingham. - May 29, 2019

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Let's Change the Rules for Organ Donations — and Save Lives - Opinion piece from The Washington Post. - May 29, 2019

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Comparative Effectiveness of Different Antihypertensive Agents in Kidney Transplantation: a Systematic Review and Meta-Analysis - Advance Article abstract from NDT. - May 29, 2019

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Implementing a Tailored Education Program: Renal Transplant Recipients' Experiences - Free, Full-Text Article from Journal of Renal Care. - March 28, 2019

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Free, Full-Text, Early View/Advance Articles from American Journal of Transplantation - May 28, 2019

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Social Deprivation Is Associated with Poor Kidney Transplantation Outcome in Children - Article in Press abstract from Kidney International. - May 27, 2019

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Quantifying Lead Time Bias When Estimating Patient Survival in Pre-Emptive Living Kidney Donor Transplantation - Accepted Article abstract from American Journal of Transplantation. - May 27, 2019

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Growing a New Human Kidney - Free, Open Access, Article in Press from Kidney International. - May 25, 2019

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Serum Apolipoprotein B and A1 Concentrations Predict Late-Onset Posttransplant Diabetes Mellitus in Prevalent Adult Kidney Transplant Recipients - Free, Open Access article from Canadian Journal of Kidney Health and Disease. - May 25, 2019

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MLN Matters: New to State Operations Manual (SOM), Appendix X, Survey Protocol and Interpretive Guidelines for Organ Transplant Programs - Notice and link to 55-page pdf. - May 24, 2019

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An 84-Year-Old Man Becomes Oldest Living Kidney Donor in the United States - Press release from Houston Methodist Hospital. - May 23, 2019

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Des Moines MercyOne Medical Center Halts Kidney Transplants - Article from Des Moines Register. - May 23, 2019

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Accepted Articles Abstracts and Full-Text PDFs from American Journal of Transplantation - May 23, 2019

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Patients Who Lose Significant Weight before a Transplant Are at Higher Risk of Dying - Press release from Drexel University. Article in Press abstract from American Journal of Kidney Diseases. - May 21, 2019

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Accuracy of Kidney Failure Risk Equation in Transplant Recipients - Free, Full-Text, Articles in Press from Kidney International Reports. - May 21, 2019

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Criteria for Living Donation from Marginal Donors: One, No One, and One Hundred Thousand - Free, full-text, Online First article from Nephron. - May 20, 2019

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Two New Medical Advisory Council (MAC) Toolkits; Transplant, Medications - Notice from the Northwest Renal Network. - May 19, 2019

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Take It from a Kidney Transplant Recipient: Extending Immunosuppressive Drug Coverage Saves Lives, Money - Article from The Hill. - May 17, 2019

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Racial Differences in Inflammation and Outcomes of Aging among Kidney Transplant Candidates - Free, Open Access Article from BMC Nephrology. - May 17, 2019

blue ball Latest transplant news from the United Network for Organ Sharing (UNOS)
blue ball Kidney Transplant news stories from Yahoo! News - Continually Updated!
 
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  ANTI-REJECTION DRUG INFORMATION

blue ball Azathioprine ("Imuran") - Drug Info from Medline Plus. National Library of Medicine PubMED search results for azathioprine and kidney transplant Continually Updated!
Corticosteroids ("Prednisone" and many others) - Drug Info from The MedMaster™ Patient Drug Information database. National Library of Medicine PubMED search results for corticosteroids and kidney transplant Continually Updated! Search results for prednisone Continually Updated!
Cyclosporine ("Sandimmune" or "Neoral") - Drug Info from Medline Plus. National Library of Medicine PubMED search results for cyclosporine and kidney transplant Continually Updated!
Mycophenolate ("CellCept") - Drug Info from Medline Plus. National Library of Medicine PubMED search results for mycophenolate and kidney transplant Continually Updated!
blue ball Pycnogenol ("Zenapax®") - Drug Info from Medline Plus. National Library of Medicine PubMED search results for daclizumab and kidney transplant Continually Updated!
Sirolimus ("Rapamune®") - Drug Info from Medline Plus. National Library of Medicine PubMED search results for sirolimus and kidney transplant Continually Updated!
Tacrolimus ("Prograf" or FK506) - Drug Info from Medline Plus. National Library of Medicine PubMED search results for tacrolimus and kidney transplant Continually Updated!
 

  WEB RESOURCES

blue ball Latest Scientific Journal Articles on Kidney Transplantation
blue ball Alliance for Paired Donation web site
Bienvenido a Infórmate - kidney transplantation information for Hispanic/Latino patients from the National Kidney Foundation
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Booklet Advises Parents of Pediatric Transplant Patients - Resource (35-page pdf) from UNOS Transplant Living. - 2018

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Brochure Addresses Patients' Questions about Transplant Candidate Kidney Evaluation and Listing - PDF Resource from the United Network for Organ Sharing

Center and OPO Specific Reports from the Scientific Registry of Transplant Recipients web site
blue ball Developing an Artificial Kidney with Dr. Morteza Ahmadi - 25-minute YouTube video that was part of the Demystifying Medicine Seminar Series in 2017. Dr. Ahmadi founded Qidni Labs in Canada in 2014.
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Evaluation of Kidney Donors: Core Curriculum 2018 - Free, Full-Text, Articles in Press from American Journal Of Kidney Disease - January 2018

Financial Assistance for Living Donors web site
The Gift that Heals: Stories of hope, renewal and transformation through organ and tissue donation - book by Reg Green
Guidelines for Preventing Transmission of Human Immunodeficiency Virus Through Transplantation of Human Tissue and Organs from the CDC - May 20, 1994
Help Hope Live web site
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How the Immune System Can Make Getting an Organ Transplant Trickier - Mayo Clinic Minute video. - January 29, 2019

How the Transplant Waiting List Works - Article from the Renal Support Network - April 2012
blue ball Hundreds of Interlaced Fingers: A Kidney Doctor's Search for the Perfect Match - A young, hopeful doctor's memoir (book) --an unforgettable love story and an informative journey into the world of medicine and kidney transplantation that ultimately asks: What does it mean to let go of something that you love, even if it is life itself?

The Jewish Kidney & Transplant Support Center - Advice and support for kidney transplant and dialysis patients

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Kidney Transplantation: The Patient’s Guide - KidneyTalk podcast from Renal Support Network. - August 15, 2018

Kidney/Pancreas Transplant Program from the Johns Hopkins Medical Institutions
Kidney Transplant  web sites from Yahoo!
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Kidney Transplant eBook - by Dr. Leonardo V. Riella - September 2016

Living Kidney Donor Network
Living Kidney Donor Search
Living Kidney Donor Search Tools and Tips web site
Living Donors Online Message Board discussion page
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new Management of Kidney Transplant Recipients by General Nephrologists: Core Curriculum 2019 - Free, Full-Text Articles from American Journal Of Kidney Diseases

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new Medical Advisory Council (MAC) Transplant Toolkit from the The Forum of ESRD Networks

Medical Complications of Kidney Transplantation (Hardcover) by Claudio Ponticelli (Editor) - January 2008
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newMLN Matters: New to State Operations Manual (SOM), Appendix X, Survey Protocol and Interpretive Guidelines for Organ Transplant Programs - Notice and link to 55-page pdf. - May 2019

National Donor Memorial web site
National Foundation for Transplants web site
National Kidney Registry web site
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National Living Donor Assistance Center - Website developed by Transplant Informatics Institute, a subsidiary of UNOS.

National Service Framework for Renal Services: Part One - Dialysis and transplantation - Department of Health web site
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Nutrition Care for Your Kidney Transplant - owner's manual from Journal of Renal Nutrition

Organ Donation Toolbox - from the Organ Donation and Transplantation Alliance web site

Organdonor.gov video explains donation, transplantation processes

The Organ Procurement and Transplantation Network (OPTN) weekly updated Waiting Lists for transplants.
blue ball OPTN / SRTR 2017 Annual Report: Introduction and OPTN/SRTR 2017 Annual Data Report: Kidney - Annual report from the U.S. Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients.
Organ Transplant from the University of Southern California web site
Pediatric Transplantation web site
Pregnancy After Transplant from the Transplant Living web site
Influenza and Transplant Recipients: Ways To Prevent And Treat - Conversations in Transplantation from the American Society of Transplantation - November 2010
Q&A on Living Donation from the NKF web site
Questions About Kidney Transplantation from TransWeb.org web site
blue ball Renal Transplantation - this is a growing library of key high-impact articles in nephrology, chosen by UKidney's contributors as suggested reading for nephrology trainees and practitioners.
The Scientific Registry of Transplant Recipients (SRTR) web site.
Top 10 Myths About Donation & Transplantation from TransWeb.org web site
Transplantation and Organ and Tissue Donors and Transplant Recipients from the NKF web site.
TransplantLiving - the patient's connection to the transplant community from UNOS
Update: Investigations of West Nile Virus Infections in Recipients of Organ Transplantation and Blood Transfusion - from MMWR - September 20, 2002
UNOS Corporate Annual Report from the United Network for Organ Sharing (UNOS)
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UNOS Transplant Pro - website for transplant professionals

blue ball What Every Parent Needs to Know - booklet advises parents of pediatric transplant patients produced by the OPTN/UNOS Patient Affairs Committee
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What You Might Not Know about Being an Organ Donor - Short video from the Mayo Clinic. - April 2019

Who is Eligible for Medicare? from the The Official U.S. Government Site for Medicare Information
 
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  ESSENTIALS AND CLASSICS

blue ball Evaluation of Kidney Donors: Core Curriculum 2018 from the American Journal of Kidney Disease
blue ball Transplantation Fact Sheet (pdf) from the American Nephrology Nurses’ Association
European Best Practice Guideline for Transplantation Part 1 and European Best Practice Guideline for Transplantation Part 2 - guidelines endorsed by the European Renal Association-European Dialysis and Transplant Association (ERA-EDTA)
Treatment Methods for Kidney Failure: Kidney Transplantation from the National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
End-Stage Renal Disease: Choosing a Treatment That's Right for You: Transplantation from the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
HLA Matching from the University of Michigan Medical Center.
 
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  KDIGO™ -  Kidney Disease: Improving Global Outcomes
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Kidney Disease Improving Global Outcomes (KDIGO) web site

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  PUBMED SEARCHES

kidney transplant Continually Updated!
organ donor and kidney Continually Updated!
renal transplant and HLA matching Continually Updated!
kidney transplant and complications Continually Updated!
kidney transplant and rejection Continually Updated!
 
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  LAPAROSCOPIC NEPHRECTOMY

Live Doner Laparoscopic Nephrectomy For Kidney Transplantation - article from the University of Southern California Kidney Transplant Program.

Here is a listing of articles on the laparoscopic nephrectomy procedure from the latest scientific journals (PubMed search).

 
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  NON-DIRECTED DONATION AND "SWAPS"

 
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  STATISTICS

blue ball U.S. Facts About Kidney Transplantation from the Organ Procurement and Transplantation Network (OPTN) web site
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Organ Donation and Transplantation Dashboard resource available on the Health Resources & Services Administration (HRSA) website

blue ball OPTN / SRTR 2017 Annual Report: Introduction and OPTN/SRTR 2017 Annual Data Report: Kidney - Annual report from the U.S. Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients.
blue ball Transplant Statistics: Center-Specific Reports from the Scientific Registry of Transplant Recipients (SRTR) web site
 
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  UPCOMING EVENTS

blue ball Listing of North American Transplant Coordinators Organization (NATCO) Meetings
 
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  TRANSPLANT CENTERS

blue ball US Transplant Centers - from the OPTN web site
blue ball Transplant Statistics: Center-Specific Reports from the Scientific Registry of Transplant Recipients (SRTR) web site
 
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  XENOTRANSPLANTATION, BIOTECH, AND STEM CELL RESEARCH

blue ball FDA Guidance for Industry on Xenotransplantation from the U.S. Food & Drug Administration
blue ball International Xenotransplantation Association. web site
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Kidney Xenotransplantation — Steps toward Clinical Application - Free, full-text, perspective piece from the Clinical Journal of the American Society of Nephrology. - February 2019

blue ball U.S. Public Health Service Guideline on Infectious Disease Issues in Xenotransplantation from the Morbidity & Mortality Weekly Report (MMWR) - August 24, 2001
blue ball Stem Cell Information - from the National Institutes of Health
blue ball Stem Cell Research - Full coverage page from Yahoo
blue ball Beyond Transplants: Growing Organs in the Lab from Popular Mechanics
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Interspecies Organogenesis-Derived Tissues for Transplantation - free, full-text articles from Transplantation - July 2017

blue ball 24-minute Video from The Kidney Project Facebook Page on their Implantable Artificial Kidney - This is a UCSF project headed by Shuvo Roy
 
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  DISCUSSION FORUM

blue ball General Nursing Discussion Forum - RenalWEB Discussion Forum
 
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  INPUT / SUGGESTIONS

blue ball E-mail to RenalWEB on the Transplantation Topic
 
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