Simultaneous liver-kidney transplantation: Evaluation to decision making

C. L. Davis, S. Feng, R. Sung, F. Wong, N. P. Goodrich, L. B. Melton, K. R. Reddy, M. K. Guidinger, A. Wilkinson, J. Lake

Research output: Contribution to journalArticlepeer-review

157 Scopus citations

Abstract

Questions about appropriate allocation of simultaneous liver and kidney transplants (SLK) are being asked because kidney dysfunction in the context of liver failure enhances access to deceased donor organs. There is specific concern that some patients who undergo combined liver and kidney transplantation may have reversible renal failure. There is also concern that liver transplants are placed prematurely in those with end-stage renal disease. Thus to assure allocation of transplants only to those truly in need, the transplant community met in March 2006 to review post-MELD (model for end-stage liver disease) data on the impact of renal function on liver waitlist and transplant outcomes and the results of SLK.

Original languageEnglish (US)
Pages (from-to)1702-1709
Number of pages8
JournalAmerican Journal of Transplantation
Volume7
Issue number7
DOIs
StatePublished - Jul 2007

Keywords

  • Evaluation
  • Liver kidney transplant
  • MELD
  • Selection

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