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Evaluation of the potential renal transplant recipient

Ana P Rossi, MD, MPH
Christina L Klein, MD
Section Editors
Barbara Murphy, MB, BAO, BCh, FRCPI
Daniel C Brennan, MD, FACP
Deputy Editor
Albert Q Lam, MD


Kidney transplantation is the treatment of choice for most patients with end-stage renal disease (ESRD) [1,2]. A successful kidney transplant improves quality of life and reduces the mortality risk for the majority of patients when compared with maintenance dialysis.

Patients with ESRD often have significant comorbidities. It is important that potential kidney transplant recipients are carefully evaluated in order to detect and treat coexisting illnesses, which may affect perioperative risk and survival after transplantation, as well as transplant candidacy [3,4]. (See "Patient survival after renal transplantation".) The evaluation should be as efficient and cost effective as possible.

This topic will review the evaluation of a potential renal transplant recipient. The evaluation of the renal transplant donor is discussed separately. (See "Evaluation of the living kidney donor".)

Issues related to patient survival following transplantation, risk factors associated with graft failure, and the kidney transplant waitlist are discussed elsewhere. (See "Patient survival after renal transplantation" and "Risk factors for graft failure in kidney transplantation" and "The kidney transplant waiting list in the United States".)


Transplantation should be discussed with all patients with irreversible and progressive chronic kidney disease (CKD).


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Literature review current through: Sep 2016. | This topic last updated: Feb 11, 2016.
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