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.
KeywordsIleal Methylprednisolone Glomerulonephritis
- 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.