Top tips about kidney transplants In this article we will describe top tips about kidney transplants. This will focus on the period after a transplant, especially the first year. Remember .. “A good transplant is one that is working well at one year with a blood creatinine level of under 150 mcmol/L” Typical scar after […]
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10 unanswered questions in kidney transplantation In this article, we will describe 10 unanswered questions in kidney transplantation. 1. Why do blood clots in the transplanted kidney artery (and vein) still occur despite anticoagulation? When blood in the blood vessels to the transplanted kidney clots, the kidney has no blood flow. It usually does not
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At what GFR level should dialysis start? GFR <10 ml/min. Or .. Stage 5 CKD (kidney failure) Blood creatinine > 500 mcmol/L. That’s the short answer. It’s a bit more complicated [“how did I guess you would say that?” CKDEx Ed]. It’s not just the numbers above that lead to a decision to start dialysis.
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BK virus-associated nephropathy (BKVAN) after kidney transplantation In this article we will describe BK (or Human polyomavirus 1) nephropathy. In 1971, a human polyomavirus was discovered from the urine of a renal transplant recipient whose initials were B.K. This virus has been named ‘BK virus’. BK virus infection usually occurs in early childhood (80%), typically
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10 frequently asked questions (FAQs) about kidney transplants 1. What is the life expectancy of a transplanted kidney? On average, a kidney transplant from a living donor lasts for 15-20 years, while a kidney from a deceased donor lasts 10-15 years. Kidney survival is improving (Poggio, 2021). But is very variable depending on the age
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How much does dialysis cost in the UK? A lot. About £20,000 per person per year. Dialysis is a high-cost treatment, with the NHS spending over £600 million per year (£20,000 x 30,000 patients) on dialysis in the UK (over 0.25% of the NHS budget on a rare disease). With the growth in CKD and
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When to start should dialysis This a controversial area [“not another one. Is it complicated (again) docs?!” CKDEx Ed] Yup, sure is. And doctors tend to vary with regard to recommending an earlier or later start to dialysis. The ‘earlier start’ group tend to want to avoid the risks of an emergency start (e.g. at
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Pros and cons of dialysis vs a kidney transplant In advanced CKD (CKD5; kidney failure) there are three options: dialysis, kidney transplantation, or supportive care (not having either). In this article we will describe the pros and cons of dialysis or a kidney transplant. It would seen obvious that a kidney transplant is ‘better’ than
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If you are not sure whether to choose haemodialysis or peritoneal dialysis, this article may be able to help you Let’s start with some basics. Whats is dialysis? Dialysis is an artificial method of filtering the blood to remove toxins, excess salts and water – in other words, the normal role of the kidneys. There
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How does living donation affect the donor? In the long-term, it has little effect. In fact, it may be beneficial (see below). People can live normal lives with only one kidney. In fact 1 in 1000 of the population are born with one kidney an have few problems. As long as the donor is evaluated
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