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Indications, selection, and evaluation of the kidney transplant candidate 

Indications, selection, and evaluation of the kidney transplant candidate
Indications, selection, and evaluation of the kidney transplant candidate

M. Francesca Egidi

and Giuseppe Segoloni

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date: 22 October 2019

This chapter describes the indications and the process for selection and evaluation of patients with end-stage renal disease who are being considered for kidney transplantation (KTx). The decision-making process underlying selection for KTx is based on the medical, psychological, and social condition of the patient. The routine evaluation includes taking a history, physical examination, and laboratory tests. However, the complexity of chronic renal disease and the associated comorbidities requires a multidisciplinary approach with close collaboration and interaction between the referral and transplant centres. As such, screening for cardiovascular and cerebrovascular diseases, diabetes, and infections must be done in advance. The increasing need for KTx has led to innovations such as desensitization protocols and/or donor exchange programmes that offer transplant recipients with incompatible live donors an opportunity to receive a compatible kidney. These protocols are described in detail.

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