Dialysis access failure: an indication for immediate kidney transplantation.

Abstract:

:In the United States, presently there are more than 50,000 patients with end-stage renal disease (ESRD) awaiting a cadaveric kidney and each year less than a quarter receive kidney transplantation. Although the real incidence in unknown, a significant number of these patients die due to lack of dialysis access. While various medical necessities are indications for emergent transplantation of other organs, the current kidney allocation system of the United Network for Organ Sharing (UNOS) makes no room for those ESRD patients whose death is imminent due to lack of vascular access. Local organ procurement organizations (OPOs) are allowed to make decisions based on arbitrary policies (or no policies at all) which often falter and fail to deal appropriately with a largely ignored issue. The growing wait for cadaveric kidneys makes the problem of ESRD patients dying due to lack of dialysis access increasingly important and one that must be addressed through a revision of the UNOS kidney allocation system.

journal_name

Semin Dial

journal_title

Seminars in dialysis

authors

Laskow DA,Ahsan N

doi

10.1046/j.1525-139x.2002.00001.x

subject

Has Abstract

pub_date

2002-01-01 00:00:00

pages

1-2

issue

1

eissn

0894-0959

issn

1525-139X

journal_volume

15

pub_type

社论
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