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Last Updated 04/17/18
   

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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 Transplantation - April 2018

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Free, Full-Text Articles from American Journal of Transplantation - April 2018

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A New Treatment Option for Highly Sensitized Patients Awaiting Kidney Transplantation - Free, Full-Text Article from American Journal Of Kidney Diseases. - April 2018

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Korean Professor Gets $1.2 Million for Xenotransplantation Research - Article from Korea Biomedical Review. - April 17, 2018

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Transplant Docs Too Picky About Organs from Overdose Deaths? - (Registration required, but free.) Video and article from MedPage Today. Latest Article abstract and editorial extract from Annals of Internal Medicine. - April 16, 2018

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Living Kidney Donation Might Be The Answer To National Shortage - Article from Health News Florida. - April 16, 2018

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Cuomo: Number of NY Registered Organ Donors Tops 5 Million - AP article. - April 16, 2018

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Mayo Clinic Minute: Living Donor Transplants Save Lives - 1-minute video. - April 12, 2018

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Kidneys Initially Deemed Unfit for Transplant Prove Viable, Study Shows - Press Release from the National Kidney Foundation Spring Clinical Meetings.- April 11, 2018

Tweets @NKFCLINICALS and #NKFClinicals.

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Record Number of Organ Donors in UK in 2017 - April 10, 2018

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'Re-Gifting' of Previously Transplanted Kidneys Extends Life for New Recipients - Article from UCLA Newsroom. - April 9, 2018

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Dialysis Providers' Awareness of Racial Disparities in Transplantation Is Low - Press release and CJASN Express abstract from the American Society of Nephrology. - April 6, 2018

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Infectious Disease Risks in Pediatric Renal Transplantation - First Online abstract from Pediatric Nephrology. - April 6, 2018

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Patients Awaiting Organ Transplants Start Their Own Searches - AP article. - April 6, 2018

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Final Matchup for NephMadness 2018 — Postings from the AJKD Blog - April 5, 2018

Champion will be announced Friday, April 6th, 3PM EST.
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Finnish Study Reveals Large Drop in Infection Related Deaths Following Kidney Transplantation - Press release and CJASN Express abstract from the American Society of Nephrology. - April 5, 2018

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NephMadness 2018 Finals: The Left and Right Kidneys - Posting from the AJKD blog. It's Patient-Reported Outcomes vs. The Untransplantables. - April 4, 2018

This year, "The kidney is attached to a person!!!"

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Six Billboards Draw 60 Kidney Donors for Ailing Oregon Nurse - (Registration required, but free.) Article from Medscape Nephrology. - April 4, 2018

Editor's note: Why doesn't the National Kidney Foundation routinely use billboards?

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Genetic Susceptibility to Delayed Graft Function Following Kidney Transplantation: a Systematic Review of the Literature - Free, Open Access, Advance Article from Clinical Kidney Journal. - April 3, 2018

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New PSA Focuses on African Americans and Kidney Disease, Encourages Organ Donation - Press release from the National Kidney Foundation. - April 2, 2018

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Organ Donation Decision Not Linked to Family Grief - Article from Renal & Urology News. - April 2, 2018

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Longer Time on Dialysis Linked to Increased Transplant Failure - Summary from Kidney News Online. - March 2018

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Free, CJASN Express Articles - March 2018

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For Hard-to-Manage Type 1 Diabetes, Transplant Makes Life Better - Article from HealthDay. - March 30, 2018

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De Novo Heart Failure After Kidney Transplantation: Trends in Incidence and Outcomes - Articles in Press Abstract from American Journal Of Kidney Disease. - March 29, 2018

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Patient and Transplant Outcome in Infants Starting Renal Replacement Therapy before Two Years of Age - Advance Article abstract from NDT. - March 29, 2018

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Peckham and Hippen: Patient-Centered Care in Kidney Transplant - 50-minute video chat from Sharp End of the Needle. - March 29, 2018

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Tackling Adherence to Treatment on Several Fronts (in Kidney Transplantation) - Press release from McGill University Health Centre. Article in Press abstract from American Journal of Kidney Diseases. - March 27, 2018

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A Randomized Trial of a Multicomponent Intervention to Promote Medication Adherence: The Teen Adherence in Kidney Transplant Effectiveness of Intervention Trial (TAKE-IT) - Article in Press abstract from American Journal of Kidney Diseases. - March 27, 2018

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Duration of Living Kidney Transplant Donor Evaluations: Findings From 2 Multicenter Cohort Studies - Free, Open Access, Article in Press from American Journal of Kidney Diseases. - March 26, 2018

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Long-Term Kidney Transplant Failure Rates Worse in United States Compared to Other Countries - News release from Arbor Research. Early View abstract from American Journal of Transplantation. - March 26, 2018

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Effect of BMI on Allograft Function and Survival in Pediatric Renal Transplant Recipients - First Online abstract from Pediatric Nephrology. - March 25, 2018

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Sex Differences and Organ Transplant Rejection - Press release from Brigham and Women's Hospital. Online Now abstract from Trends in Immunology. - March 22, 2018

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Prolonged Dialysis Duration Is Associated with Graft Failure and Mortality after Kidney Transplantation: Results from the French Transplant Database - Advance Article Abstract from NDT. - March 22, 2018

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Conversion to Belatacept in Maintenance Kidney-Transplant Patients: A Retrospective Multicenter European Study - Online First abstract from Transplantation. - March 22, 2018

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UNOS/OPTN Response Regarding Committee Structure Changes - Posting from the AJKD blog. - March 21, 2018

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Islet Transplantation Improves Quality of Life for People with Hard-to-Control Type I Diabetes - Press release from the National Institutes of Health. - March 21, 2018

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Trained Navigators May Improve Access to Transplantation for Disadvantaged Patients - Press release and free, full-text, CJASN Express articles from the American Society of Nephrology - March 20, 2018

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Idaho First in Nation to Pass Living Donor Protections - Press release from the National Kidney Foundation. - March 20, 2018

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An Examination of the Application of the Kidney Donor Risk Index in British Columbia - Free, full-text article from Canadian Journal of Kidney Health and Disease. - March 19, 2018

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Assessment of Physical Performance and Body Composition in Male Renal Transplant Patients - First Online abstract from Journal of Nephrology. - March 17, 2018

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Transplantation Region - NephMadness Brackets. - March 15, 2018

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Renal Function Variability: An Independent Risk Factor for Graft Loss and Death following Kidney Transplantation - Issue-in-Progress abstract from American Journal of Nephrology. - March 14, 2018

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Outcome of Renal Transplantation in Small Infants: a Match-Controlled Analysis - First Online abstract from Pediatric Nephrology. - March 13, 2018

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Kidney Exchange Match Rates in a Large Multicenter Clearinghouse - Early View abstract from American Journal of Transplantation. - March 9, 2018

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The Effect of Pregnancy on the Long-Term Risk of Graft Loss, Cardiovascular Disease and Death in Kidney Transplanted Women in Norway: a Retrospective Cohort Study - Online First abstract from Transplantation. - March 9, 2018

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Free, Full-Text, Issue-In-Progress Articles from Kidney and Blood Pressure Research - March 7, 2018

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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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
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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
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

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
Medical Complications of Kidney Transplantation (Hardcover) by Claudio Ponticelli (Editor) - January 2008
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

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 2016 Annual Report: Transplant Data - 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

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 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
blue ball OPTN / SRTR 2016 Annual Report: Transplant Data - 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 These two web sites provide opposing viewpoints on xenotransplantation. Here is the the International Xenotransplantation Association.
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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