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Renal Transplant News

Many Dialysis Patients Get Unnecessary Colonoscopies

Posted 11 hours ago by Drugs.com

FRIDAY, March 24, 2017 – Older Americans on kidney dialysis have high rates of colonoscopy screening for colon cancer, but most get little benefit from the screening, a new study suggests. Dialysis patients have high rates of death, so routine colon cancer screening doesn't improve survival for most dialysis patients who don't qualify for a kidney transplant. Therefore, dialysis patients who have a limited life expectancy and no signs or symptoms of colon cancer shouldn't undergo screening for the disease, according to the American Society of Nephrology. "Physicians should carefully evaluate patients' prognoses and consider the likelihood that they will truly benefit before ordering screening tests," said study co-leader Dr. Christopher Carlos, from the University of California, San Francisco. In this study, researchers reviewed data from more than 469,000 Medicare beneficiaries. They ... Read more

Related support groups: Colonoscopy, Renal Failure, Colorectal Cancer, Renal Transplant, Chronic Kidney Disease, Hemodialysis, Peritoneal dialysis

Kidney Transplant Survival Up Among Babies, Kids

Posted 18 days ago by Drugs.com

MONDAY, March 6, 2017 – Survival rates for children who get kidney transplants have improved significantly over the last half-century, a new study finds. "The outlook for infants and children with end-stage kidney disease was once dismal, with poor survival rates after transplant. There has been great progress in pediatric kidney transplantation, and now the patient survival rate is almost 100 percent," said the study's principal investigator, Dr. Srinath Chinnakotla. Chinnakotla is an associate professor of surgery at the University of Minnesota Masonic Children's Hospital in Minneapolis, where the study was done. Since 2002, 97 percent of children who had kidney transplants at the hospital were alive a year later. That compares to 85 percent 40 to 50 years ago, the study showed. Long-term outcomes have also improved. Only 42 percent of kids who got a new kidney between 1963 and 1983 ... Read more

Related support groups: Renal Transplant, Organ Transplant - Rejection Prophylaxis, Organ Transplant, Kidney Transplant, Rejection Prophylaxis

Non-English Speakers Less Likely to Be on Kidney Transplant List

Posted 9 Feb 2017 by Drugs.com

THURSDAY, Feb. 9, 2017 – Language barriers may prevent some eligible U.S. patients from receiving a kidney transplant, a new study suggests. Specifically, those who don't speak English may be less likely to complete the kidney transplant evaluation necessary for them to be placed on a waiting list for a kidney from a deceased donor. For the study, researchers analyzed data from kidney failure patients across the United States. The investigators found that patients who lived in neighborhoods where more than 20 percent of households didn't speak English were 29 percent less likely to be on a kidney transplant waiting list than those in neighborhoods where less than 1 percent of households didn't speak English. Although the study can't prove a cause-and-effect relationship, the researchers found the link between not speaking English and not being on a kidney transplant waiting list was ... Read more

Related support groups: Renal Failure, Renal Transplant, Chronic Kidney Disease, Organ Transplant - Rejection Prophylaxis, Organ Transplant, Organ Transplant - Rejection Reversal, Hyperphosphatemia of Renal Failure

Should a Mental Disability Keep Patients Off Organ Transplant Lists?

Posted 25 Jan 2017 by Drugs.com

WEDNESDAY, Jan. 25, 2017 – Pressure is mounting for the U.S. organ donation network to tackle one of the thorniest ethical questions it's ever faced – whether a person with intellectual disabilities should be denied access to a transplant. A bipartisan group of 30 legislators from the U.S. Congress petitioned the Department of Health and Human Services in October to "issue guidance on organ transplant discrimination with regards to persons with disabilities," according to a new opinion piece in the Jan. 26 New England Journal of Medicine. The legislators' request follows several highly publicized cases in which people with intellectual disabilities have either fought to receive a transplant or have been outright denied a place on a waiting list, said co-author Dr. Scott Halpern. He's an associate professor of medical ethics and health policy at the University of Pennsylvania's ... Read more

Related support groups: Depression, Bipolar Disorder, Obsessive Compulsive Disorder, Major Depressive Disorder, Schizophrenia, Mania, Paranoid Disorder, Borderline Personality Disorder, Schizoaffective Disorder, Autism, Psychosis, Renal Transplant, Psychiatric Disorders, Organ Transplant - Rejection Prophylaxis, Severe Mood Dysregulation, Body Dysmorphic Disorder, Neurosis, Organ Transplant, Organ Transplant - Rejection Reversal, Rejection Prophylaxis

For Kids With Kidney Disease, Race May Play Role in Outcomes

Posted 30 Dec 2016 by Drugs.com

THURSDAY, Dec. 29, 2016 – Black children are about one-third more likely to die from kidney failure than white children, and access to kidney transplants may be a crucial factor explaining the discrepancy, a new study suggests. Dr. Elaine Ku, of the University of California, San Francisco, and colleagues tracked the health of more than 12,000 black, Hispanic and white children who had chronic kidney failure. All had been treated for kidney disease with either dialysis or transplants between 1995 and 2011. The investigators followed the kids' health until 2012 for a median of 7 years. Over the follow-up period, 1,600 of the children died. Black children were 36 percent more likely than white children to die, the findings showed. The researchers said that they believe this difference mostly has to do with limited access to kidney transplants. However, Hispanic children were less likely ... Read more

Related support groups: Renal Failure, Renal Transplant, Chronic Kidney Disease

Don't Rule Out Kidneys From Elderly Donors

Posted 16 Dec 2016 by Drugs.com

THURSDAY, Dec. 15, 2016 – Healthy kidneys from elderly donors are often rejected, but even kidneys from donors 80 and older can function for years after transplantation, Italian researchers report. The results were published online Dec. 15 in the Clinical Journal of the American Society of Nephrology. "The results of this study support the use of extended criteria donors, even donors older than 80 years, but they have to be accurately selected and managed with dedicated protocols," Dr. Luigi Biancone, of the University of Turin, said in a journal news release. Researchers analyzed results of deceased donor kidney transplants performed at the Turin University Renal Transplant Center between 2003 and 2013. They focused on almost 650 transplants from so-called "extended criteria" donors – donors older than 60 and those aged 50 to 59 with certain risk factors. After a follow-up of nearly ... Read more

Related support groups: Renal Failure, Renal Transplant, Chronic Kidney Disease, Organ Transplant - Rejection Prophylaxis, Peritoneal dialysis, Organ Transplant, Kidney Transplant, Graft-versus-host disease, Rejection Prophylaxis, Hyperphosphatemia of Renal Failure

Organ Transplants Linked to Higher Skin Cancer Risk

Posted 21 Sep 2016 by Drugs.com

WEDNESDAY, Sept. 21, 2016 – People who have an organ transplant may be more likely to develop skin cancer, new research suggests. The finding applies to all transplant patients, even those who are nonwhite and dark-skinned, according to Dr. Christina Lee Chung, an associate professor of dermatology at Drexel University in Philadelphia, and colleagues. The researchers said the risk increases over time with ongoing exposure to medications that suppress the immune system to prevent organ rejection. Total-body skin exams should be a routine part of care after transplant surgery, the study authors advised. For the study, the researchers analyzed medical records of 413 organ transplant recipients, 63 percent of whom were not white. The investigators found 19 new skin cancers in 15 of the nonwhite patients. That group included six black patients, five Asians and four Hispanics. Among the ... Read more

Related support groups: Basal Cell Carcinoma, Renal Transplant, Melanoma, Skin Cancer, Melanoma - Metastatic, Organ Transplant - Rejection Prophylaxis, Squamous Cell Carcinoma, Organ Transplant, Kidney Transplant, Graft-versus-host disease, History - Skin Cancer, Rejection Prophylaxis

3-D Printed Model Helps Delicate Kidney Surgery

Posted 9 Jul 2016 by Drugs.com

FRIDAY, July 8, 2016 – Cutting-edge 3-D technology is making more inroads in medicine, this time helping doctors save a patient's kidney during difficult tumor-removal surgery. Patient Linda Green's tumor was located in a challenging location next to vital arteries and veins, explained doctors at Intermountain Medical Center in Salt Lake City. To prepare for the surgery, CT scans were used to produce an exact 3D-printed model of the patient's kidney. The model had two halves, which enabled the doctors to determine exactly how the tumor was attached to the patient's kidney. Based on this information, the patient's surgical team was able to work around the sensitive areas, successfully remove the tumor, and save the kidney. The model helped them spot a small "nub" of the tumor that had grown up into a pocket of the kidney. "Without the 3D model, the visual images of the CT scans would ... Read more

Related support groups: Renal Failure, Renal Transplant, Chronic Kidney Disease, Peritoneal dialysis, Organ Transplant, Kidney Transplant, Hyperphosphatemia of Renal Failure

Obama's 3-Pronged Effort to Speed Organ Transplants

Posted 13 Jun 2016 by Drugs.com

MONDAY, June 13, 2016 – The Obama administration on Monday announced wide-ranging public and private measures to speed the wait for lifesaving organ transplants in the United States. The goals include making it easier for Americans to become organ donors and increasing the number of organ transplants. Also, almost $200 million in new investments will "facilitate breakthrough research and development," the White House said in a media release. "New breakthroughs in bioengineering, transplantation, and organ preservation can further increase the number of organ transplants and improve outcomes," the President's office said. The administration has enlisted the cooperation of dozens of corporations, universities, hospitals, foundations and patient advocacy organizations in this ongoing project. Last year, more than 30,000 transplants took place in the United States, a record number. Yet ... Read more

Related support groups: Renal Transplant, Organ Transplant - Rejection Prophylaxis, Organ Transplant, Kidney Transplant, Organ Transplant - Rejection Reversal, Graft-versus-host disease, Rejection Prophylaxis, Rejection Reversal

Cancer History May Affect Survival After Organ Transplant

Posted 22 Apr 2016 by Drugs.com

FRIDAY, April 22, 2016 – Organ transplant patients who previously had cancer may be at increased risk for new cancer and early death compared to organ recipients with no cancer history, new research suggests. The findings indicate that transplant patients with a history of cancer may need closer monitoring to detect recurrent and new cancers early, the study's senior author, Dr. Nancy Baxter, said in a news release from St. Michael's Hospital in Toronto. Baxter is chief of the hospital's General Surgery Department. She and her colleagues reviewed 33 studies that included a total of nearly 400,000 patients in 12 countries. They found that organ recipients with previous cancer were 1.5 times more likely to die prematurely from any cause than those with no previous cancer. Moreover, those with previous cancer were nearly twice as likely to develop a new cancer and had three times higher ... Read more

Related support groups: Surgery, Cancer, Renal Transplant, Organ Transplant - Rejection Prophylaxis, Kidney Transplant, Graft-versus-host disease, Rejection Reversal

Online Tool Helps Predict Chances of Kidney Failure, Study Finds

Posted 12 Jan 2016 by Drugs.com

TUESDAY, Jan. 12, 2016 – A new online tool may help predict whether someone with chronic kidney disease will develop kidney failure in the next two to five years. Using results from kidney function tests, the tool helps those at high risk for kidney failure prepare for dialysis or kidney transplant. It also provides reassurance to those who likely won't progress to kidney failure, said lead researcher Dr. Navdeep Tangri, an associate professor of nephrology at the University of Manitoba in Winnipeg, Canada. "This study sets the stage for the tool to be used globally for all patients with kidney disease. The tool helps patients plan their lives by knowing what their risk is for dialysis," Tangri said. To find out the risk of kidney failure, patients need blood and urine test results from their doctor to enter into the online calculator, along with their age and sex, Tangri explained. ... Read more

Related support groups: Renal Failure, Renal Transplant, Chronic Kidney Disease, Peritoneal dialysis, Diagnosis and Investigation

Kidney Donors, Recipients Want to Know More About Each Other

Posted 18 Aug 2015 by Drugs.com

TUESDAY, Aug. 18, 2015 – Most living kidney donors and recipients would like to know more about each other's health before a transplant, a new study indicates. Currently, a transplant candidate must be told if the donor is at increased risk for hepatitis or HIV, but rules are unclear about what other health information can be shared. "Our finding that both donors and recipients support greater sharing of health and health-behavior information challenges the current approach to disclosure in organ transplantation," said study author Dr. Lainie Friedman Ross, of the University of Chicago. Researchers surveyed 76 kidney transplant recipients or candidates and 160 potential or actual donors. They found that 88 percent of the respondents said recipients should receive donors' general health information, and nearly four out of five said donors should be given recipients' general health ... Read more

Related support groups: Renal Failure, Renal Transplant, Organ Transplant - Rejection Prophylaxis, Peritoneal dialysis, Organ Transplant, Hyperphosphatemia of Renal Failure

Too Few Kidney Dialysis Patients Referred for Organ Transplant, Study Finds

Posted 11 Aug 2015 by Drugs.com

TUESDAY, Aug. 11, 2015 – Although a kidney transplant is considered the best hope for people struggling with end-stage renal disease, a new study conducted in Georgia found three-quarters of these patients weren't even evaluated for a possible transplant within their first year of dialysis. That finding flies in the face of U.S. regulations that require all dialysis centers to fully inform these patients about all available treatment options. Those options include kidney transplantation, a typically less expensive intervention than ongoing dialysis and one that also promises greater longevity and a better quality of life, the researchers noted. What's more, the team found a huge variation in statewide referral rates. Some dialysis centers failed to send even a single first-year patient for a transplant consultation, while others referred 75 percent of their new patients. It remains ... Read more

Related support groups: Renal Failure, Renal Transplant, Chronic Kidney Disease, Diabetic Kidney Disease, Peritoneal dialysis, Diabetic Nephropathy, Organ Transplant, Renal Osteodystrophy, Anuria, Renal and Genitourinary Disorders, Hyperphosphatemia of Renal Failure, Hypertensive Renal Disease

Cooling Bodies of Brain-Dead Donors May Boost Kidney Function After Transplant

Posted 29 Jul 2015 by Drugs.com

WEDNESDAY, July 29, 2015 – Transplant surgeons may have found a simple way to improve the functioning of kidneys from brain-dead donors: Cool the donor's body by just a few degrees. Experts said the advance, reported in the July 30 issue of the New England Journal of Medicine, could free up more donor kidneys for the many people now on transplant waitlists. "This is a simple, zero-cost intervention that can be done in any country in the world," said lead researcher Dr. Claus Niemann, a professor of anesthesia and surgery at the University of California, San Francisco. "We think this will liberate more organs, and get more people off of waitlists," Niemann said. Kidney transplants can come from a living or deceased donor, but, for various reasons, those from living donors have a better shot at success. They are less likely to be rejected, and typically last longer: About 80 percent of ... Read more

Related support groups: Renal Failure, Renal Transplant, Chronic Kidney Disease, Peritoneal dialysis, Organ Transplant

HIV Patients May Fare as Well as Others With Kidney Transplants

Posted 19 Mar 2015 by Drugs.com

THURSDAY, March 19, 2015 – Kidney transplant patients with HIV have similar survival rates as those without HIV, a new study finds. The study included 510 HIV-positive adults who had kidney transplants in the United States between 2002 and 2011. Overall, these patients had similar five- and 10-year survival rates as kidney transplant patients without HIV. However, transplant recipients who had both HIV and hepatitis C had lower survival rates than those without HIV: 69 percent versus 75 percent after five years, and 50 percent versus 54 percent after 10 years, the study found. About 25 percent of kidney transplant patients with HIV also have hepatitis C, according to the study published March 19 in the Journal of the American Society of Nephrology. The findings suggest that excellent results are possible among HIV-positive kidney transplant recipients. However, doctors should be ... Read more

Related support groups: HIV Infection, Renal Transplant

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