Principles of Renal Transplantation
Renal transplantation is regarded as the primary treatment for all patients with established grade 5 chronic kidney disease (CKD), requiring replacement, as long as they are medically fit for the procedure. In practice, only around 40–50% of the UK renal failure population are fit enough for surgery. The Renal Association (RA) guidelines suggest that patients should be offered kidney transplantation if it offers a likelihood of increased life expectancy following grafting. The RA guidelines also recommend that patients should be listed within 6 months of starting dialysis, and both RA and the British Transplant Society (BTS) recommend transplantation prior to commencement of dialysis wherever possible.
KeywordsChronic Kidney Disease Internal Iliac Artery Deceased Donor Live Donor Transplant Haemolytic Uremic Syndrome
- The British transplantation website has a wealth of guidelines and documents relating to almost all forms of transplantation and their management. http://www.bts.org.uk/transplantation/standards-and-guidelines/.
- Centre-specific outcomes and UK data can be found at the NHSBT website. http://www.organdonation.nhs.uk/ukt/statistics/centre-specific_reports/centre-specific_reports.jsp.